|
BOF.-602-A(P'I)REV. 19 (06.17)
<br />PRELIMINARY CHANGE OF OWNERSHIP REPORT
<br />To be completed by the transferee (buyer) prior toe transfer of subject
<br />property, in scorom os Mid Secflarr 480.S of the Revenue and TAxafloo
<br />Code, A Prohminary Change or Ownership Report must be filed win
<br />each conveyance In the County R000rder's office for the county
<br />where the property is located.
<br />FOR. ASSESSOR'S USE ONLY
<br />City of Santa Ana, a Charter city and municipal corporation ASSESSOR'S PARCEI. NUMBER
<br />20 Civic Center Plaza, M-86 3g8-152.19; 398.150.02
<br />Santo Ana, CA 92701 SELLERIrRANSFEROR
<br />Pacific Legacy Real Estate and. Investments Inc,, a
<br />5'rREET ADDRESS ON PHYSICA LOCATION OF REAL PROPERTY
<br />951.657 East Washington Avenue, Santa Ane, CA
<br />❑ YES ANO This property Is Intended as my principal residence. If YES, please indicate the date of occupancy M0 DAY YEAR _�
<br />j or Intended occupancy.
<br />❑ YES t1d N0 Are you a disabled veteran or a unmarried suMving spouse of adisabled veteran vhho was
<br />compensated at 100% by the Department of Vi tarans Affairs'?
<br />MAIL PROPERTY TAX INFORMATION TO (NAME)
<br />City of Santa Ana a charter city and municipal corporation
<br />MAIL PROPERTY TAX INFORMATION TO(ADDRESS) CITY STATE ZIP CODE
<br />PART 0 TRANSFER INPhaoste complete all statements,
<br />'rhia aeotlon contains possible exWuelons trom reaseossmonE far omnain types of transfers,
<br />YES N
<br />❑ ;Q A. This transfer Is solely between spouses (addition orremoval ofa spouse, death eta spouse, divorce settlement, etc,).
<br />❑ 0. This transfer Is solely between domestic partners currently registered with the California Secretary of Slate (addition cr removal pia
<br />partner, death of a partnar termination settlement, ef¢),
<br />❑ `w C, This is.a transfer. 0 between parents) and rohild(ren) 0 from grandparent(s)to gracMchlld(ren).
<br />❑ 0, This transfer is the result of a cotenant's death, Date of death
<br />U E. This transaction Is to. replace a principal. residence by a person 55 years of age or. older.
<br />Within the same county? ❑ YES G NO
<br />❑ R This transaction Is to replace a principal residence by a person who Is severely disabled ad dofinedby Revenue and Taxation Code
<br />�n section 69,5. Wdhin the same county? OYES L7 NO
<br />❑ !"
<br />G. this transaction Is only a correction of the Female) of the person(s) holding title to the property (a.g., a name change upon Marriage).
<br />If YES, please explain:
<br />❑ H, The recorded document dismiss, terminates, or reoonvoys a lender's interest in the property,
<br />❑ L This traosectlon In recorded only as a requirement for financing purposes or to create, terminate, or recommy a security Interest
<br />(e.g., designer). UYES, please explalm _ _
<br />❑ ,(Q J. The recorded document substitutes a trustee of a trust, mortgage, or other Similar document,
<br />K. This is a transfer of property:
<br />❑ Cl� 1, tolfrom a revocable trust that may be revoked by the transferor and is for the benefit of
<br />❑ the Dans roar, and/or 0 the hensfaror's spouse 0 registered domestic partner.
<br />C) N a. to/Rom an irrevocable trust for the benefit of the
<br />❑ creator/grantorltrustor and/or 13 grantor sltrusfor's spouse ❑ grantor itrustdr's registered domestic partner.
<br />❑ L, This propartyis subjedt to a lease with aremaining lease form of35:years or more Including written options,
<br />M, This is a transfer between parties in which proportional Interests of the Uansfaror(s) and tratlafareo(a)' in each and every parcel being
<br />transferred remain exactly the same after the transfer.
<br />❑ K[ N This Is a transfer subject to subsidized law -Income housing requirements with governmentally Imposed restrictions, or restrictions
<br />Imposed by speclfied nonprofit corporations.
<br />❑ 0. This transfer is to the first purchaser of a now building containing an active solar energysystem.
<br />❑ ❑ P, Other, This transfer la to
<br />. Please refer to the Instructions for Part 1,
<br />Please provide any other information that will help the Assessor understand thenature of the transfer.
<br />THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
<br />SFRM0017 (I)SI Rev, 12120117)
<br />
|