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<br />Please write Assessor's Parcel Number(s): <br /> <br />Please answer, to the best of your knowledge, all applicable questions, sign and date. If a question does not apply, indicate wJth "N/A. JJ <br />PART III: PURCHASE PRICE AND TERMS OF SALE <br /> <br />Wrapped) <br /> <br />(Prin. & Int. only) <br />o New loan <br />o Assumed existing loan balance <br />o Bank or savings & loan <br />o Finance company <br />Amount $ <br /> <br />(Prin. & Int. only) <br />o New loan <br />o Assumed existing loan balance <br />Amount $ <br /> <br />Amount $ <br />Amount $ <br /> <br />.ct) <br /> <br />A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs) <br />B. FIRST DEED OF TRUST @ % interest tor years. Pymts/Mo.=$ <br />o FHA (___ Discount Points) 0 Fixed rate <br />o Conventional 0 Variable rate <br />o VA ( Discount Points) 0 All inclusive D.T. ($ <br />o Cal-Vet 0 Loan carried by seller <br />Balloon payment 0 Yes 0 No <br />C. SECOND DEED OF TRUST @ ----2:2 interest for _ years. <br />o Bank or savings & loan 0 Fixed rate <br />o Loan carried by seller 0 Variable rate <br />Balloon payment 0 Yes 0 No Due Date <br />D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? 0 Yes 0 No <br />Type: @ % interest for years. Pymts.lMo.= $ (Prin. & Int. only) <br />o Bank or savings & loan 0 Fixed rate 0 New loan <br />o Loan carried by seller 0 Variable rate 0 Assumed existing loan balance <br />Balloon payment 0 Yes 0 No Due Date Amounl $ <br />E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? 0 Yes 0 No Outstanding Balance: Amount $ <br />F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estafe commission if paid.) <br /> <br />TOTAL ITEMS A THROUGH E l!g~0r::fl).CiO I <br /> <br />o From a family member 0 Other (please explain;' <br /> <br />Due Date <br />Pymts/Mo.=$ <br /> <br />Amount $ <br /> <br />Amount $ <br /> <br />G. PROPERTY PURCHASED 0 Through a broker r:f Direct from seller <br />II purchased through a broker, provide broker's name and phone number: <br />Please explain any special terms, seller concessions, or financing and any other information that would help the Assessor understand the purchase price <br />and terms of sale. <br /> <br />PART IV: PROPERTY INFORMATION <br /> <br />A. TYPE OF PROPERTY TRANSFERRED: <br />o Single-family residence <br />o Mulliple-family residence (no. of units: <br />Iil"CommerciaVlndustrial <br />o Other (Description: i.e., timber, mineral, water rights, etc. <br />B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? Cl Yes g No <br />If yes, enter date of occupancy I, 20~ or intended occupancy <br />(month) (day) (year) (month) <br />C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE? (i. e. furnilure, farm equipment, machinery, etc.) <br />(other than a manufactured home subject to local property tax)? 0 Yes Q'No <br />I' yes, enter the value of the personal property included in the purchase price $ (Attach itemized list of personal property.) <br />D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? Cl Yes ~o <br />If yes, how much of the purchase price is allocated to the manufactured home? $ <br />Is the manufactured home subject to local property tax? 0 Yes 0 No What is the decal number? <br />E. DOES THE PROPERTY PRODUCE INCOME? 0 yes st:;o If yes, is the income from: <br />o Lease/Rent 0 Contract 0 Mineral rights D Other (please explam): <br />F WHAT WAS T':!S-CONDITION OF PROPERTY AT THE TIME OF SALE? <br />o Good ., Average 0 Fair 0 Poor <br />Please explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in <br />. g~erm!!)!Q9..1t!t:.l. v~!l,!~..Q!..!~.e_Q!QQ~r:tL___ <br /> <br />o Agricultural <br />o Co-op/Own-your-own <br />o Condominium <br /> <br />o Timeshare <br />o Manufactured home <br />D Unimproved lot <br />) <br /> <br />(day) <br /> <br />,20_ <br />(year) <br /> <br />CERTIFICATION <br /> <br />OWNERSHIP TYPE (..I) <br />Proprietorship 0 <br />Partnership 0 <br />Corporation ~ <br />OlherMU~,!( .... <br /> <br />I certify thai the foregoing is true, correct and complete 10 Ihe best of my knowledge and belief. <br />This declaration is binding on each and every co-owner and/or partner. <br /> <br /> <br />~<... <br /> <br />DATE <br /> <br />[0 - t <br /> <br />06 <br /> <br />FEDERAL EMPLOYER 10 NUMBER <br /> <br />Nt>. <br /> <br />ADDRESS (typed or printed) <br /> <br />E-MAIL ADDRESS (optional) <br /> <br />DATE <br /> <br />(NOTE: The Assessor may contact you for further information) <br />If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing or a preliminary <br />change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20). <br /> <br />BOE-502-A (BACK) REV 8(10-05) ASSR-70 (Rev. 05106) <br /> <br />Page 2 of 2 <br />