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SOE-502-A (P11 REV. 15 102-21) <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />To be completed by the transferee (buyer) prior to a transfer of <br />subject property, in accordance with Section 480.3 of the Revenue <br />and Taxation Code. A Preliminary Change of Ownership Report must <br />be filed with each conveyance in the County Recorder's office <br />for the county where the property Is located. <br />NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE <br />(Make n sseryroereelbns io coo pdnled naom m mmlirp eddmssl <br />Santana Green Development LLC, a California <br />company <br />714 S. Plymouth Boulevard <br />Los Angeles, CA 90005 <br />limited liability ASSESSOR'S PARCEL NUMBER <br />015-194-43,(old 015-194-37 & 40) <br />SELLERfTRANSFEROR <br />City of Santa Ana, a charter city of municipal <br />corporation organized and existing under the <br />2235 S. Bristol Street, 1211 W. Warner Street, Santa Ana, CA 92704 <br />❑ YES 9NO This property is intended as my principal residence. If YES, please indicate the date of occupancy NO I DAY I YEAR <br />or intended occupancy. <br />❑ YES Uf NO Are you a disabled veteran or an unmarried surviving spouse of a disabled veteran who was <br />compensated at 100% by the Department of Veterans Affairs? <br />MAIL PROPERTY TAX INFORMATION TO (NAME) <br />Santana Green Development LLC. a California limited liability company <br />MAIL PROPERTY AX INFORMATION TO DDR S)D. CITY STATE ZIP CODE <br />PART I: TRANSFER INFORMATION Please complete all statements. <br />This section contains possible exclusions from reassessment for certain types of transfers. <br />YES <br />NO <br />❑ <br />f;f A. <br />This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.). <br />❑ <br />to B. <br />This transfer is solely between domestic partners currently registered with the California Secretary of Slate (addition or removal of a <br />partner, death ofa partner, termination settlement, etc.). <br />❑ <br />9J • C. <br />This is a transfer. ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren). <br />Was this the transferor/grantor's principal residence? ❑ YES ❑ NO <br />❑ <br />D. <br />This transfer is the result of a coternant's death. Date of death <br />❑Gf <br />" E. <br />This transaction Is to replace a principal residence by a person 55 years of age or older. <br />7� <br />Within the same county? ❑ YES ❑ NO <br />❑ <br />-d(• F. <br />This transaction is to replace a principal residence by a person who is severely disabled. <br />Within the same county? ❑ YES ❑ NO <br />❑ <br />G. <br />This transaction is to replace a principal residence substantially damaged or destroyed by a wildfire or natural disaster for which <br />the Governor proclaimed a state of emergency. Within the same county? ❑ YES ❑ NO <br />❑j <br />H. <br />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 />❑ <br />[9 L <br />The recorded document creates, terminates, or reconveys a lenders interest in the property. <br />❑ <br />J. <br />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 />❑ <br />'�( K. <br />The recorded document substitutes a trustee of a trust. mortgage, or other similar document. <br />L. <br />This Is a transfer of property: <br />❑ <br />1. toRrom a revocable trust that may be revoked by the transferor and is for the benefit of <br />❑ the transferor, and/or ❑ the transferors spouse ❑ registered domestic partner. <br />❑ <br />2. tolfrom an irrevocable trust for the benefit of the <br />❑ creator/grantorAmstor and/or ❑ grantors/buster's spouse ❑ grantors/Iruslors registered domestic partner. <br />❑ <br />M. <br />This property Is subject to a lease with a remaining lease lean of 35 years or more Including written options. <br />❑ <br />N. <br />This is a transfer between parties In which proportional interests of the transferor(s) and transferee(s) in each and every parcel being <br />transferred remain exactly the same after the transfer. <br />❑ <br />O <br />This is a transfer subject to subsidized low -Income housing requirements with governmentally imposed restrictions, or restrictions <br />Imposed by specified nonprofit corporations. <br />❑ <br />P. <br />This transfer is to the first purchaser of a new building containing an active solar energy system. <br />❑ <br />❑ O. <br />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 />SFRM0017 (DSI Rev. 02118/21) <br />