TAING, KENG TON AND SIGN LOR (TAING FAMILY TRUST)

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PRELIMINARY CHANGE OF OWNERSHIP REPORT FOR RECORDER'S USE ONLY To be completed by transferee (buyer) prior to transfer of subject property in accordance with Section 480.03 of the DOCUMENT NUMBER Revenue and Taxation Code. A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's office for the county where the property is located; this particular form may be used in all 58 counties of California. THIS REPORT IS NOT A PUBLIC DOCUMENT SELLER/TRANSFEROR: Keng Tong Taing, Trustee, Sing Lor Taing, Trustee BUYER/TRANSFEREE: City of Santa Ana, Public Works Agency, ASSESSOR'S PARCEL NUMBER(S): 010 - 272 -26 PROPERTY ADDRESS OR LOCATION: 1019 South Bristol St., Santa Ana, CA RECORDING DATE MAIL TAX INFORMATION TO: Name City of Santa Ana, Public Works Agency Address Phone Number 8 a.m. — 5 .m. NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30. One -half of these taxes is due November 1, and one -half is due February 1. The first installment becomes delinquent on December 10, and the second installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. If this transfer occurs after January 1 and on or before December 31, you may be responsible for the second installment of taxes due February 1. The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the Orange County Assessor. For further information on your supplemental roll obligation, please call the Orange County Assessor. PART I: TRANSFER INFORMATION (please answer all questions) YES NQ ❑ V A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)? ❑ IZ B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (For example, a name change upon marriage)? Please explain ❑ CJ C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property? ❑ to D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g. cosigner)? Please explain ❑ 111 E. Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document? ❑ F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants? ❑ 6e( G. Does this transfer return property to the person who created the joint tenancy (original transferor)? ❑ H. Is this transfer of property: ❑ 1. to a revocable trust that may be revoked by the transferor and is for the benefit of the O transferor ❑ transferor's spouse? ❑ 2. to a trust that may be revoked by the Creator /Grantor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the Creator /Grantor dies? ❑ ❑ 3. to an irrevocable trust for the benefit of the ❑ Creator /Grantor and /or ❑ Grantor's spouse? ❑ ❑ 4. to an irrevocable trust from which the property reverts to the Creator /Grantor within 12 years? ❑ I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options? ❑ *J. Is this a transfer between ❑ parent(s) to child(ren)? ❑ or from grandparent(s) to grandchild(ren)? ❑ *K. Is this transaction to replace a principal residence by a person 55 years of age or older? Within the same county? ❑ Yes ❑ No ❑ 12� *L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code Section 69.5? Within the same county? ❑ Yes ❑ No ❑ 4 M. Is this transfer solely between domestic partners currently registered with the California Secretary of State? *If you checked yes to J, K, or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you do not file a claim, your property will be reassessed. Please provide any other information that would help the Assessors to understand the nature of the transfer. If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation Code for any reason other than those listed above, set forth the specific exclusions claimed: Please answer all questions in each section. If a question does not apply, indicate with "NIA ". Sign and date at bottom of second page. PART II: OTHER TRANSFER INFORMATION A. Uate of transter it other than recording date B. Type of transfer (Please check appropriate box.) Mr Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition C. ❑ Contract of Sale - Date of Contract ❑ Inheritance - Date of Death Other: Please explain:RO4'D ❑ Creation of Lease ❑ Assignment of a Lease ❑ Termination of a Lease ❑ Date lease began ❑ Original term in years (including written options) ❑ Remaining term in years (including written options) Monthly Payment Remaining Term Was only a partial interest in the property transferred? es If yes, indicate the percentage transferred % BOE -502 -A (BACK) REV. 8(10 -05) ASSR -70 (Rev. 05106) v� %DeN Pe6iez ❑ Sale /Leaseback Page 1 of 2 AV,1 Ta U ST /✓� ol�inQ�� /� �a� 6,y P`a.o� d r LdO