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24_0038849RECORDING REQUESTED BY Lawyers Title - 620650303 MAIL TAX STATEMENTS AND WHEN RECORDED MAIL TO: County of Rivereside Facilities Mgmt. Dept. Real Estate Div. 3450141h Street, Suite 201 Riverside, CA 92501 DOC # 2024-0038849 02/13/2024 08:00 AM Fees: $0.00 Page 1 of 8 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder "'This document was electronically submitted to the County of Riverside for recording" Receipted by: MOLLY #056 (Space above this line for Recorder's use) GRANT DEED THE UNDERSIGNED DECLARES: NO RECORDING FEE PURSUANT TO GOVERNMENT CODE 27383 NO DOCUMENTARY TRANSFER TAX PURSUANT TO CALIFORNIA REVENUE &TAXATION CODE 11922 NO SB2 FEES (GC CODE SECTION 27388.1) PURSUANT TO GOVERNMENT CODE 27383 DTT: $0.00 APN: Portion 480-150-018 TRA: 082-181 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (ADDITIONAL RECORDING FEE APPLIES) RECORDING REQUESTED BY Lawyers Title - 620650303 MAIL TAX STATEMENTS AND WHEN RECORDED MAIL TO: County of Rivereside Facilities Mgmt. Dept. Real Estate Div. 3450 14th Street, Suite 201 Riverside, CA 92501 (Space above this line for Recorder's use) GRANT DEED THE UNDERSIGNED DECLARES: NO RECORDING FEE PURSUANT TO GOVERNMENT CODE 27383 NO DOCUMENTARY TRANSFER TAX PURSUANT TO CALIFORNIA REVENUE & TAXATION CODE 11922 NO S132 FEES (GC CODE SECTION 27388.1) PURSUANT TO GOVERNMENT CODE 27383 DTT: $0.00 APN: Portion 480-150-018 TRA: 082-181 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (ADDITIONAL RECORDING FEE APPLIES) Recording Requested by: Lawyers Title � U(o5D3o3 Recorded at request of and return to: Facilities Management Real Estate Division On behalf of the Transportation Department 3450 14th Street, Ste 201 Riverside, CA 92501 FREE RECORDING This instrument is for the benefit of the County of Riverside, and is entitled to be recorded without fee. (Govt. Code 6103) DTT = $0.0 (Space above this line for Recorder's use) PROJECT: Clinton Keith Extension Phase III PARCEL: 04724-151 A APN: 480-150-018 ❑rtion of GRANT DEED FOR GOOD AND VALUABLE CONSIDERATION, receipt and adequacy of which are hereby acknowledged, COUNTRY ROADS MAINTENANCE CORPORATION, a California nonprofit mutual benefit corporation Grants(s) to the COUNTY OF RIVERSIDE, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, a permanent fee interest for public road and utility purposes, including drainage over, upon, across and within the rea property in the County of Riverside, State of California, as more particularly described as: See Exhibits "A" and "B" attached hereto and made a part hereof PROJECT: Clinton Keith Extension Phase I I I PARCEL: 04724-151 A APN: 480-150-018 (a portion of) Dated: 12' l ACKNOWLEDGMENT A notary public or other officer completing this individual who signed the document to which truthfulness. accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF ZUez!�GdP-- GRANTOR: COUNTRY ROADS MAINTENANCE CORPORATION, a California Nonprofit mutual benefit corporation [Insert Grantor's Name) M e iy In Co le man certificate verifies only the identity of the this certificate is attached, and not the On 17-12/70z f before me, a Notary Public, Copersonally appeared �'Pg0A W fun" who proved to me on the bL�§is of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. *MY JO LYNN VINCENT Notary Public - California Riverside County Commission # 2330564 Comm. Expires Jul 21, 2024 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my and and official seal: Signature 4&-UW� PROJECT: Clinton Keith Extension Phase III PARCEL: 04724-151A APN: 480-150-018 (a portion of) CERTIFICATE of ACCEPTANCE (Government Code Section 27281) THIS IS TO CERTIFY that the interest in real property granted by grant deed dated --Z 2- I , from COUNTRY ROADS MAINTENANCE CORPORATION, a California nonprofit mutual corporation to the COUNTY OF RIVERSIDE, is hereby accepted for the purpose of vesting title in the County of Riverside on behalf of the public for public road, drainage and utility purposes, and subject to improvements in accordance with County Standards, will be included into the County Maintained Road System by the undersigned on behalf of the Board of Supervisors pursuant to the authority contained in County Ordinance No. 669. Grantee consents to recordation thereof by its duly authorized officer. Dated: , Lao /6r Zoyy COUNTY OF RIVERSIDE Mark Lancaster, Director of Transportation y l�% i"A- EXHIBIT "A" LEGAL DESCRIPTION 04724-151 A BEING A PORTION OF OPEN SPACE LOT 243, AS SHOWN BY TRACT MAP No. 29484, ON FILE IN BOOK 387 OF MAPS, PAGES 81 THROUGH 99, INCLUSIVE, AND DESCRIBED BY GRANT DEED RECORDED OCTOBER 10, 2017 AS DOCUMENT NUMBER 2017-0418054, BOTH OFFICIAL RECORDS OF THE RECORDER OF RIVERSIDE COUNTY, CALIFORNIA, LYING WITHIN THE SOUTHWEST ONE -QUARTER OF SECTION 31, TOWNSHIP 6 SOUTH, RANGE 2 WEST, SAN BERNARDINO MERIDIAN, DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE CENTERLINE OF LEON ROAD AND THE CENTERLINE OF CLINTON KEITH ROAD, AS SHOWN ON SAID TRACT MAP, SAID CENTERLINE OF CLINTON KEITH ROAD BEING A CURVE CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 1,800 FEET, A RADIAL LINE TO SAID CENTERLINE INTERSECTION BEARING NORTH 48°56'12" EAST; THENCE SOUTHEASTERLY ALONG SAID CENTERLINE OF CLINTON KEITH ROAD AND SAID CURVE THROUGH A CENTRAL ANGLE OF 03°26'36", AN ARC DISTANCE OF 108.17 FEET TO AN INTERSECTION WITH THE SOUTHERLY LINE OF SAID TRACT MAP; THENCE NON -TANGENT FROM SAID CURVE, NORTH 89°58'48" EAST ALONG SAID SOUTHERLY LINE, A DISTANCE OF 100.96 FEET TO THE SOUTHERLY -MOST CORNER OF SAID LOT 243, BEING A POINT ON THE NORTHEASTERLY RIGHT-OF-WAY LINE OF SAID CLINTON KEITH ROAD (81.00 FOOT NORTHEASTERLY HALF -WIDTH), THE BEGINNING OF A NON -TANGENT CURVE CONCAVE SOUTHWESTERLY, HAVING RADIUS OF 1,881.00 FEET WITH AN INITIAL RADIAL BEARING OF NORTH 54°15'24" EAST, AND THE TRUE POINT OF BEGINNING: THENCE NORTHWESTERLY ALONG SAID NORTHEASTERLY RIGHT-OF-WAY LINE AND SAID NON -TANGENT CURVE THROUGH A CENTRAL ANGLE OF 02°56'03", AN ARC DISTANCE OF 96.33 FEET TO THE SOUTHERLY TERMINUS OF THE CORNER CUTBACK LINE BETWEEN SAID CLINTON KEITH ROAD AND SAID LEON ROAD; THENCE NORTH 06050'32" EAST ALONG SAID CORNER CUTBACK LINE, A DISTANCE OF 32.81 FEET TO THE NORTHERLY TERMINUS THEREOF, BEING A POINT ON THE SOUTHEASTERLY RIGHT-OF-WAY LINE OF SAID LEON ROAD (50.00 FOOT SOUTHEASTERLY HALF -WIDTH); THENCE NORTH 52022'04" EAST ALONG SAID SOUTHEASTERLY RIGHT-OF-WAY LINE, A DISTANCE OF 4.61 FEET TO THE BEGINNING OF A TANGENT CURVE CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 1,349.86 FEET; THENCE NORTHEASTERLY ALONG SAID SOUTHEASTERLY RIGHT-OF-WAY LINE AND SAID TANGENT CURVE THROUGH A CENTRAL ANGLE OF 02024'21", AN ARC DISTANCE OF 56.68 FEET TO HEREINAFTER DESCRIBED COURSE "A"; COURSE "A" THENCE LEAVING SAID TANGENT CURVE AND SAID SOUTHEASTERLY RIGHT-OF-WAY LINE, SOUTH 37037'56" EAST, A DISTANCE OF 32.80 FEET TO HEREINAFTER DESCRIBED COURSE "B"; COURSE "B" THENCE SOUTH 14°44'36" WEST, A DISTANCE OF 25.25 FEET TO A LINE PARALLEL WITH AND DISTANT 20.00 FEET SOUTHWESTERLY OF, AS MEASURED AT RIGHT ANGLES TO SAID COURSE "A"; PAGE 1 of 2 EXHIBIT "A" LEGAL DESCRIPTION 04724-151 A THENCE SOUTH 37°37'56" EAST ALONG SAID PARALLEL LINE, A DISTANCE OF 13.89 FEET TO A LINE PARALLEL WITH, AND DISTANT 11.00 FEET SOUTHEASTERLY OF, AS MEASURED AT RIGHT ANGLES TO, SAID COURSE "B"; THENCE SOUTH 14°44'36" WEST ALONG SAID PARALLEL LINE, A DISTANCE OF 36.61 FEET TO A LINE PARALLEL WITH AND DISTANT 49.00 FEET SOUTHWESTERLY OF, AS MEASURED AT RIGHT ANGLES TO SAID COURSE "A"; THENCE NORTH 37037'56" WEST ALONG SAID PARALLEL LINE, A DISTANCE OF 13.89 FEET TO THE SOUTHWESTERLY PROLONGATION OF SAID COURSE "A"; THENCE SOUTH 14044'36" WEST ALONG SAID SOUTHWESTERLY PROLONGATION A DISTANCE OF 37.01 FEET; THENCE PERPENDICULAR FROM LAST SAID COURSE, SOUTH 75015'24" EAST, A DISTANCE OF 38.00 FEET TO A LINE PARALLEL WITH AND DISTANT 38.00 FEET SOUTHEASTERLY OF, AS MEASURED AT RIGHT ANGLES TO, SAID COURSE "B"; THENCE SOUTH 14044'36" WEST ALONG SAID PARALLEL LINE, A DISTANCE OF 14.98 FEET RETURNING TO SAID SOUTHERLY LINE OF TRACT MAP No. 29484; THENCE SOUTH 89°58'48" WEST ALONG SAID SOUTHERLY LINE, A DISTANCE OF 22.72 FEET TO THE TRUE POINT OF BEGINNING. CONTANING 6,318 SQUARE FEET, OR 0.145 ACRES, MORE OR LESS. THE BEARINGS AND DISTANCES USED IN THE ABOVE DESCRIPTION ARE BASED ON THE CALIFORNIA COORDINATE SYSTEM OF 1983, ZONE 6. MULTIPLY DISTANCES SHOWN BY 1.000099080 TO OBTAIN GROUND DISTANCE. SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF. PREPARED UNDER MY SUPERVISION: TIMOTHY F. RAYBURN. P eS. A55 1111012020 DATED. PAGE 2 of 2 p,t LANps� o�rNo.�- R4. O 8455 70 *\ Exp. 12-31-20 J* �r`�TEOF�P EXHIBIT "B" 04724-151A "� Q��'rg �� ❑ ash NTSON P.Q.C. I N TR ,.,�; i/ \ tiso_ I 6011 / O PARCEL 04724-1 51 A �► / �'� off` \ � � 5 \�� 6,318 SQ. FT. � ' 0.145 AC. COURSE "B" I 9 GRANT DEED 2017-0418064 N 51 ° 1 9' 21 " E (R) ,/ REC. 10/10/2017 — — — — — — APN: 480-150-018 10 1 3 L"J 0 ` -N 54015'24" E (R) 13 00_-------� 14 ' ,\ ,'G9tl,�, S'LY LINE TR. 29484 T.P.�.B. 15 y \�� NOTE: SEE SHT. 2 OF 2 FOR: -po\9�,, -SURVEYOR'S NOTES -V \ -EASEMENT NOTES SEC. 31, -DATA TABLES T. 6 S., R. 2 W., S.B.M. \\�J -PARALLEL OFFSET DETAILS ALL DISTANCES SHOWN ARE GRID DISTANCES. GROUND DISTANCES MAY BE OBTAINED�D BY MULTIPLYING THE GRID DISTANCE BY A COMBINATION FACTOR OF " 1.000099080 " PCL No.: 04724-151 A COUNTY OF RIVERSIDE TRANSPORTATION DEPARTMENT, SURVEY DIVISION WO No.: B2-04724 SCALE: NTS PROJECT: CLINTON KEITH ROAD No.8455 THIS PLAT IS AN AID IN LOCATING THE PARCELM DESCRIBED IN THE PRECEDING * Exp. 12-31'20 PREPARED BY: H. FINN DOCUMENT. ALL PRIMARY CALLS ARE LOCATED IN THE WRITTEN DESCRIPTION. Lp DATE: OCTOBER, 2020 APPROVED BY: � � DATE: 1111012020 OF CAI-1F SHEET 1 OF 2 EXHIBIT "B" 04724-151 A ❑ LINE TABLE DIRECTION DISTANCE 2 N 89'58'48" E 100.96' rNO. 4 N W50'32" E 32.81' 5 N 52°22'04" E 4.61' COURSE "A" 7 S 37°3T56" E 32.80' COURSE "B" 8 S 14.44-M W 25.25' 9 S 37°3T56" E 13.89' 10 S 14°"W W 36.61' 11 N 37°3T56" W 13.89' 12 S 14°44'36" W 37.01' 13 S 75°15'24" E 38.00' 14 S 14'44'36" W 14.98' 15 S 89'5848" W 1 22.72' 0 CURVE TABLE NO. RADIUS DELTA DISTANCE TANGENT 1 1,800.00' 03"26'36" 108.1T 54.10' 3 1,881.00' 02"56'03- 96.33 48.1T 6 1,349.86' 02"2421" 56.69 28.35' SURVEYOR'S NOTES: INDICATES RESTRICTED ACCESS, AFT PER MB 387/71-99. EASEMENT NOTES: PUBLLI�CDUSENPERSMBE387/819 ICED TO EASEMENT AREA: 1,467 SO. FT. / 0.034 AC. PARALLEL OFF -SET DETAILS CURSE ''A" DETAIL: COURSE "A" OFFSETS RSE "B" DETAIL: COURSE "B" OFFSETS ALL DISTANCES SHOWN ARE GRID DISTANCES. GROUND DISTANCES MAY BE OBTAINED BY MULTIPLYING THE GRID DISTANCE BY A COMBINATION FACTOR OF " 1.000099080 " PCL No.: 04724-151 A COUNTY OF RIVERSIDE T AN }PORTTATION DEPARTMENT, SURVEDISION WO No.: B2-04724 SCALE: NTS PREPARED BY:H. FINN DATE: OCTOBER, 2020 SHEET 2 OF 2 IPROJECT: CLINTON KEITH ROAD I THIS PLAT IS AN AID IN LOCATING THE PARCELIS) DESCRIBED IN THE PRECEDING LAN, F Rqy�� N0. 8455 * Exp. 12-31-20 DOCUMENT. ALL PRIMARY CALLS ARE LOCATED IN THEWRITTENDESCRIPTION. � 3i, w APPROVED BY: �r J / DATE: 11/10/2020 kkf � 1� f BOE-502-A (Pl) REV.13 (06-17) PRELIMINARY CHANGE OF ,OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property, in accordance with Section 480.3 of the 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. FOR ASSESSOR'S USE ONLY ASSESSOR'S PARCEL NUMBER 480-150-018 D __ SELLER/TRANSFEROR Country Roads Maintenance Corporallon, a California nonprofit mutual benefit corporation BU R'S DAYTIME T LEPHQNE NUMBER STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY Vacant Land, APN 480-150-018 Riverside, CA ❑ YES M NO This property is intended as my principal residence, If YES, please Indicate the date of occupancy MO I DAY I YEAR or intended occupancy. ❑ YES [ONO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran who was compensated at 100% by the Department of Veterans Affairs? MAIL PROPERTY TAX INFORMATION TO (NAME) COUNTY OF RIVERSIDE, a political SUbdIVIS10n of the State of Callfomla MAIL PROPERTX TAX INFORMATION TO (ADDRESS) CITY STAT ZIP CODE 13;esr. �-(,11 - , / 1.er. PART]: TRANSFER INFORMATION Please complete all statements, This section contains possible exclusions from reassessment for certain types of transfers. YES NO ❑ ® A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.). ❑ 2 B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of a partner, death of a partner, termination settlement, etc.), ❑ ® . C. This Is a transfer; ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren). ❑ 12 • D. This transfer Is the result of a cotenant's death. Date of death ❑ IJ' E. This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑ YES ❑ NO ❑ ® ' F. This transaction is 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 ❑ 10 G. This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage). If YES, please explain: ❑ Up H. The recorded document creates, terminates, or reconveys a lender's interest in the property. ❑ 03 I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner). If YES, please explain: ❑ 11 J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. K. This Is a transfer of property: ❑ 1. to/from a revocable trust that maybe revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. ❑ RN 2. to/from an irrevocable trust for the benefit of the ❑ creator/grantor/trustor and/or ❑ grantor's/trustor+s spouse ❑ grantor's/trustor's registered domestic partner. ❑ W L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. ❑ @0 M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel being transferred remain exactly the same after the transfer. ❑ M N This is a transfer subject to subsidized low-income housing requirements wlth'governmentally imposed restrictions, or restrictions imposed by specified nonprofit corporations. ❑ [ ' 0. This transfer is to the first purchas of a n}"� ulldin containing an active solar energy system. @� ❑ P. Other. This transfer is;�� to F�cnrJ c7�' �{j1.� %�ir7 sd�u t• �. * Please refer to the instructions Far art 1. Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION BOE-502-A (P2) REV. 13 (06-17) PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. A. Date of transfer, if other than recording date: tJ�� B. Type of Transfer � a- ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death: ❑ Sale/leaseback ❑ Creation of a 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): ❑ Other. Please explain_ / C. Only a partial interest in the property was transferred. R1 YES ❑ NO If YES, Indicate the percentage transferred: S b % PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase price. B. Cash down payment or value of trade or exchange excluding closing costs Amount $ 1A C. First deed of trust @ % interest for years. Monthly payment $ Amount $ E ❑ FHA ( Discount Points) ❑ Cal -Vet ❑ VA ( Discount Pointsl ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loah/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: j D. Second deed of trust @ ao Interest for years, Monthly payment $ Amount $ ❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: E. Was an Improvement Bond or other public financing assumed by the buyer? ❑ YES ❑ NO Outstanding Balance $ rl� WJA F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $ G. The property was purchased: ❑ Through real estate broker. Broker name: Phone number ❑ Direct from seller ❑ From a family member -Relationship p Other: Please explain: /� �'e�`-•71 r X14 f1 ,45 H. Please explain any special terms, seller concessions, brokerlagora fees waived, financing, and any other information (e.g., buyer assumed the existing loan balance) that would assist the Assessor in the valuation of your property. PART 4. PROPERTY INFORMATION Check and complete as applicable. A. Type of property transferred ❑ Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Multiple -family residence. Number of units: ❑ Condominium 40 Unimproved lot ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare ❑ Comm erciaUlndustrial B. ❑ YES IP NO Person allbusiness property, or Incentives, provided by seller to buyer are included in the purchase price. Examples of personal property are furniture; farm equipment, machlnery, etc. Examples of incentives are club memberships, etc. Attach list if available. If YES, enter the value of the personallbusiness property: $ _ Incentives $ C. ❑ YES 11111 NO A manufactured home is included in the purchase price. If YES, enter the value attributed to the manufactured home: $ ❑ YES 0 NO The manufactured home is subject to local property tax. If NO, enter decal number D. ❑ YES E4 NO The property produces rental or other income. If YES, the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: E. The condition of the property at the time of sale was: ❑ Good al Average ❑ Fair ❑ Poor Please describe: CERTIFICATION I certify (or declare) that the foregoing and all information hereon, Including any accompanying statements or documents, Is true and correct to the best of my knowledge and belief SIGNATURE OF BUYEWMANSFEREE OR CORPORATE OFFICER DATE TELRHONS NAME OF BUYEWRANSFEAEFAEGAL REPRESENTATIVEOORPORAYE OFFICER (PLEASE PRINT) TITLE EMAIL ADDRESS r-f1Cfie The Assessor's office may contact ybu for additional €nformatiof: regarding this transaction. or kra�.Rs Recorder PETER ALDANA P.O. sox 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ' a ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 �' � � Website: www, 'versideacr.cam ` Cl- DOCUMENTARY TRANSFER TAX AFFIDAVIT WARNING ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE. ASSESSOR'S PARCEL NO. 480 P�-150 -- 018 I declare that the documentary transfer tax for this Property Address: Varant I and, Riverside. CA transaction is: $n no If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECA USE: (The Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are taken from Riverside County Ordinance 516). Please check one or explain in "Other". I . Section i 1911. The consideration or value of the property, exclusive of any liens and encumbrances is $100.00 or less and there is no additional consideration received by the grantor. 2. Section 11911. The conveyance transfers to a revocable living trust by the grantor or from a revocable living trust to a beneficiary. 3. Section 11921. The conveyance was given to secure a debt. 4. x Section 11922. The conveyance is to a governmental entity or political subdivision. 5. Section 11925. The transfer is between individuals and a legal entity or partnership, or between legal entities and does not change the proportional interests held. 6. Section 11926. The conveyance is to a grantee who is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 7. Section 11927. The conveyance relates to a dissolution of marriage or legal separation. (A spouse must sign a written recital in order to claim this exemption. This form may be used for that purpose.) 8. Section 11930. The conveyance is an inter vivos gift* or a transfer by death. *Please be aware that information stated on this document may be given to and used by governmental agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service. 9. Section 8. The easement is LQLperpetual, permanent, or for life. 10. _. - Section 9. The document is a lease for a term of Ethan (35) years (including written options.) lT Other (Include explanation and legal authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TR UE AND CORRECT.. 'ut -1 S y of 024 at_Riye1Skie -A City Stalc Signatu .of Affiant Printed Name of Affiant awjDmnanv e of irm (if applicable) 3480 Vi C�rno �' t@ `,3QQ^�lyergidp, -CA 92.5_07 Address of AMant (including City, State, and Zip Code) elephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorder's Use: Affix PCOR Label Here ACR 521 (Rev. 11/2014) Available in Alternate Formats