HomeMy WebLinkAboutNAING, MA MAY THET (2)City of Santa Ana
Clerk of the Council COTC Office Use Only
_- ---..
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements C! ty of Santa Ana
have been satisfied prior to signing the termination form. „ a 21
Is the agreement(s) a permanent record? Yes No
CiF rk of the Council
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
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The agreement with A C> kA ck � "�� N o k1A
No. % `%CIa — Z l was completed on
(List aff amendments. Use space below if needed.)
Pr - aoV-1-333-01
Revised: 10-18-16
lj,�2qf _I_�<_ and final payment has been made.
Department: )? I Pei YVV\ tti
Phone/Ext.: G-a S7-�
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Signature: a .kkop1 k/Y 1p
Date: -7_�lF�
WORK MAY l'f-iC,10E-�i7 511n� C�wo
CLLRK C CQUJV(;,Il.
P () 7 2j11
When recorded, please mail this
instrument and tax statements to:
Clerk of the Council
City of Santa Ana
20 Civic Center Plaza, M-30
Santa Ana, California 92701
Free recording requested by
THE CITY OF SANTA ANA PER
GOVERNMENT CODE SECTION 6103 &273
0
SPACE ABOVE THIS LINE FOR RECORDER'S USE
A-2017-233-01
CANCEL
APPROVEDASTO
APPROVED BY
DESCRIPTION
DESCRIPTION
A.P.
R1W MAP
PROJECT
TAXES
FORM BY ATTY.
DIRECTOR
WRITTEN BY
CHECKED•O.K
I
NUMBERS
NUMSER
NUMBER
X
011-251-17.13,19,20p&39
I I I2.1125 S. Smndand Avenue. Santa Ana. CA 92704
DBED NUMBER
GRAIU DEED ff6qR
FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Ma May That Naing, a married woman, as her sole and separate property
Do Hereby Grant to the CITY OF SANTA ANA, a charter City and municipal; corporation duly organized
under the Constitution and laws of the State of California, for public purposes, all that real property in the City
of Santa Ana, Orange County, State of California, located at 1113-1125 S. Standard Avenue, Santa Ana, CA
92704 described as follows:
SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF;
Dated: l L 2 2 L11
By:
Ma May That Naing
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to
which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On 11/22/2017
before me, Armik Arzoumanian , Notary Public,
(Here insert time and title of the officer)
personally appeared Ma May Thet Naing
who proved to me on the basis of satisfactory evidence to be he person(;) whose name r'subscribed to
the within instrument and acknow dged to me th t sh they executed the sa e in h' their authorized
capacity), and that by f ; their signature�on the instrument the person or the entity upon behalf of
which the personWacte , executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
ARMK AR20t1MANIAN
Commission # 2104294
i s Notary Public • Caltfornia a
z Los Angeles County n
M Comm. Expires Mar 22, 2019
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
Grant Deed
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages _ Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed In Caltfornia must contain verbiage exactly or
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside ofCal fornia. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
Caltfornia (i.e. certifying the authorized capacity of the signer), Please check the
document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signers) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the names) of document signers) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
Ire/sheifhey- is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording,
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
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Page 1 of i Reycested By: Kavin MOGNO , phhheo. 10J27M16 10 17 AM
EXHIBIT "A"
LEGAL DESRIPTIGN
Real property in the City of Santa Ana, County of Orange, State of California, described as
follows:
PARCELI:
LOTS 17 AND 18, OF TRACT NO. 3293, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE,
STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 104, PAGES 30 AND 31 OF
MISCELLANEOUS MAPS, IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
PARCEL 2:
THAT PORTION OF LOT A OF TRACT NO. 3293, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED Ev BOOK 104, PAGES 30
AND 31 OF MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA, LYING
SOUTHERLY OF THE EASTERLY PROLONGATION OF THE NORTHERLY LINE OF LOTS 17 AND
18 OF SAID TRACT NO. 3293.
PARCEL3:
LOTS NINETEEN AND TWENTY OF TRACT NO. 3293, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 104, PAGES 30
AND 31 OF MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA.
PARCEL 4:
THAT PORTION OF LOT "A" OF TRACT NO. 3293, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 104, PAGES 30
AND 31 OF MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA, LYING
BETWEEN THE EASTERLY EXTENSION OF THE NORTH AND SOUTH LINES OF LOT 19 OF SAID
TRACT 3293.
PARCEL 5:
THAT PORTION OF LOT "A" OF TRACT NO. 3293, IN THE CITY OF SANTA ANA, COUNTY OF
ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP RECORDED IN BOOK 104, PAGES 30
AND 31 OF MISCELLANEOUS MAPS, RECORDS OF ORANGE COUNTY, CALIFORNIA, LYING
BETWEEN THE EASTERLY EXTENSION OF THE NORTH AND THE SOUTH LINES OF LOT 20 OF
SAID TRACT 3293.
Assessor's Parcel Number: Olt-251-17, 18, 19, 20, 38,
CERTIFICATE OF ACCEPTANCE
This is to certify that the interest in the real property conveyed by the Quitclaim
Deed dated November 22, 2017, from Ma May Thet Naing, a married woman as
her sole and separate property to the City of Santa Ana, a charter City and
municipal corporation organized and existing under the Constitution and laws for
the State of California, is hereby accepted by the undersigned officer or agent on
behalf of the City Council pursuant to authority conferred by Ordinance No. NS-
2352 and Section No. 33-55 of the Santa Ana Municipal Code adopted by the City
Council on June 1, 1988, in the compliance with California Government Code
Section 27281 and the grantee consents to recordation thereof by its duly
authorized officer.
Date
For the City of Santa Ana:
r
City Manager
RAUL GODINEZ II
Maria D. Huizar
Clerk of the Council
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
-validity of that document.
State of California
County of Ora
On DEC 2 0 2017 before me, Michael A. Rojano, Notary Public
(insert name and title of the officer)
personally appeared Raul Godinez
who proved to me on the basis of satisfactory evidence to be the personA whose name(o is/pee
subscribed to the within instrument and acknowledged to me that he/om/0-46y executed the same in
his/P&/tXir authorized capacity, and that by his/Xr/1;ladr signatureA on the instrument the
person, or the entity upon behalf of which the person acted, executed the instrument.
1 certify under PENALTY OF PERJURY under the
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
laws of the State of California that the foregoing
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(Seal) ��O°9gN<FOP�J�fi��,
Commonwealth Land Title Company
Commonwealth- 4100 Newport Place Suite 0
Newport Beachh,, CA 9266660
LAND TITLE INSURANCE COMPANY Phone: (949) 724-3140
Fax:
December 5, 2017
City of Santa Ana, a municipal corporation and California charter city
20 Civic Center Plaza, M-36
Santa Ana, CA 92701
Attention: Leticia Carrillo
RE: SWAP - City of Santa Ana and Naing / Escrow 09181219-GKD
At the request of Sour! Amirani, please find attached Original Executed Grant Deed from Ma
May Thet Naing to City of Santa Ana pertaining to property at 1113-1125 S. Standard.
We will need certificate of acceptance for this Deed.
Sincerely,
Vivian Lee for Grace Kim
Commercial Escrow Officer
Phone:(949) 724-3141
Fax:(714) 459-7217
e-mail: qukim@cltic.com