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BOE-502-A(PI)REV. 13 (08.17) <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />To be completed by the transferee (buyer) prior to a transfer of subject <br />property, In accordance with Section 480.3 of the Revenue and Taxation <br />Code. A Preliminary Change of Ownership Report must be glad with <br />each conveyance In the County Recorder's office for the county <br />where this property Is located. <br />FOR ASSESSOR'S USE ONLY <br />City of Santa Ana, a charter city and municipal corporation <br />20 Civic Center Plaza, M-30 <br />Santa Ana, CA 92702 <br />STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY <br />ASSESSOR'S PARCEL NUMBER <br />403-141-09 <br />SELLER/TRANSFEROR <br />Susan A. Hawken and Lee/Hawken Partnership <br />BUYER'S DAYTIME TELEPHONE NUMBER <br />714-647-5664 <br />BUYER'S EMAIL ADDRESS <br />❑ YES I2LNO This property is intended ss my principal residence. It YES, please Indicate the date of occupancy I MO I DAY I YEAR <br />or intended occupancy. <br />❑ YES ffNO Are you a disabled veteran ora unmarried surviving spouse ofa disabled veteran who was <br />compensated at 100% by the Department of Veterans Affairs? <br />MAIL PROPERTY TAX INFORMATION TO (NAME) <br />MAIL PROPERTY TAX INFORMATION TO (ADDRESS) <br />PART L TRANSFER INFORMATION Please complete all statements. <br />This section contains possible exclusions from reassessment for certain types of transfers. <br />ZIP CODE <br />YES NO <br />❑ IN A. This transfer is solely between spouses (addition or removal ofa spouse, death ofa spouse, divorce settlement, etc.). <br />❑ [I B. This transfer le solely between domestic partners currently registered with the California Secretary of State (addition orremovel of a <br />partner, death of a partner, terminaflon settlement, etc.). <br />❑ X* C. This Is a transfer: 0 between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren). <br />❑ [K * D. This transfer Is the result of a cotenanl's death. Date of death <br />❑ ❑ * E. This transaction is to replace a principal residence by a person 55 years of age or older. <br />Within the same county? ❑ YES ❑ NO <br />❑ F, This transaction is to replace a principal residence by a person who Is severely disabled as defined by Revenue and Taxation Code <br />sectlon 59.5. Within the same county? ❑ YES 0 NO <br />❑ l& G. This transaction is only a correction of the names) of the person(s) holding title to the property (e.g., a name change upon marriage). <br />If YES, please explain: <br />❑ IS H. The recorded document creates, terminates, or reconveys a lender's Interest in the property. <br />❑ ❑ I. This transaction Is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security Interest <br />(e,g., cosigner). If YES, please explain: <br />❑ I$ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. <br />K. This is a transfer of property: <br />❑ IN 1. tolfrom a revocable trust that maybe revoked by the transferor and Is for the benefit of <br />❑ the transferor, end/or ❑ the transferor's spouse ❑ registered domestic partner. <br />❑ 13 2. tolfrom an irrevocable trust for the benefit of the <br />■ n <br />■ r. <br />■ <br />0 creator/grantorttrustor and/or 0 grantor's/trustoes spouse ❑ grantor'sltrustor's registered domestic partner. <br />L. This property is subject to a lease with a remaining lease tens of 35 years or more Including written options, <br />M. This Is a transfer between parties In which proportional Interests of the transferors) and transferee(s) In each and every parcel being <br />transferred remain exactly the same after the transfer. <br />N This is a transfer subject to subsidized low -Income housing requirements with governmentally imposed restrictions, or reslricllons <br />Imposed by speoilicd nonprofit corporations. <br />O. This transfer Is to the first purchaser of a new building containing an active solar energy system. <br />P. Other. This transfer Is to <br />* Please refer to the Instructions for Part 1. <br />Please provide any other Information that will help the Assessor understand the nature of the transfer. <br />THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION <br />SFRM0017 (DSI Rev. 12120117) <br />