PACIFIC LEGACY REAL ESTATE & INVESTMENTS - 2018

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BOE-502-A(P'I) REV. 13 (06.11) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be computed by the transferee (buyer) prior to a banarnr of subject property, in accordance with Section 490.5 of the Revenue and Taxation Coda, A Prdlanheay Change of Ownership Repot must be filed with each conveyance In the county Recorder's office for the county where the proparty Is located FOR ASSESSOR'S USE ONLY City of Santa Ana, a charter city and municipal corporation ASSESSOR'SPARCEL NUMacrt�-' 20 Civic Center Plaza, 1 398-152-15;:398.150.02 Santa Ana, CA 92701 SELLER(TRANSFEROR Pacific Legacy Real Estate and Investments lnc„ a CI YES ANO This property Is Intended as my principal residence. If YE$. pleas a indicate the date of occupancy I MO I DAY J I YEAR or Intended occupancy. ❑ YES X4NO At you a disabled veteran or a unmarried surviving spouse of disabled veteran who was compensated at 100 by the Department of Veterans Affairs? MAIL PROPERTY TAX INFORMATION TO (NAME) City of Santa Ane a charter city and municipal corporation MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE ZIP CODE PART I; TRANSFER INFORMATION Please complete all statements. Thle aeodon condoms toasted oxalualona?rpm measosament foraorala types of IOW rs, YE5 ❑ A, This Banafer Is solely between spouses (addlUon or removal of spouse, death of a Spouse, dlvotoesettlement, akc,}, ❑ (�. B. This transfer Is solely between domestic partners currently registered with the California Secretary of State (addltlon or removal of a partner, death of partner, tamtinatlon seatement, etc,).. ❑ * G, This is a transfer: ❑ between parent(s) and ohild(ren) Lt from grandperent(s) to graridrhild(rrim. ❑ :* D. This transfer is the result of cotanant's death. Date of death ❑ E. This transaction is to. replace principal residence by a, person 55 years Of age or older. Within the sante county? ❑ YES LINO ED F, This Iran sacdon Ia 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 0 NO ❑ G, This transaction Is only a correction of the nanne(s) of the persons) holding title to the property (Off, a name change upon marnage): If YES, please explain: ❑ 4 H. The rocordod document creates, terminates, or reconveys a lender's inlereslin the property. ❑ �- I. This transaction Is recorded only as a requirement for financing purposes or to create, terminate, or reconvoy a security Interest (e.g., cosigned. IfYES, please explain: ❑ ,S'J J. The recorded document substitutes a trustee of atrust, mortgage, or other slmllar document. K. This Is atransfer ofpreperiy, ❑ 1. to/from a revocable trust that may be revoked by the tranefaror and is for the benefit of ❑ thedransferar, antler 0 the transferor's spouse ❑ registered domestic partner. ❑ ,� 2. tolfrom an irrevocable trust her the Uenafitofthe 0 creatorlgrantorltru&tor and/or 0 grantor's/hum spouse ❑ grantor'sltrustor's registered domestic partner. ❑ ). L. This property Is subject to a lease with a remaining loose term of 35 years or more Including written options. ❑ rySL M. This Is atransfer between parties in which proportional interests of the transfaror(s) and tmnsferee(s),In each and every parcel being ��[[ transferred remain exactly the same after the transfer. C] J4 N This is a transfer subject to subsidized low -Income housing requirements with governmentally Imposed restrictions, or restrictions imposed by speoited nonprofit corporatlons. ❑ O. This transfer is to the first purchaser of a now building containing an active solar energy system. ❑ ❑ P. Other. This transfer Is to " Please refer to the Instructions for Part 1, Please provide any other information that will help tied Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION SFRM0017 (DSI Rev, 12120!17)