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BOE-502-A (P2) REV, 15 (02-21) <br />PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. <br />A. Dale of transfer, if other than recording date: <br />B. Type of Transfer <br />® Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) <br />❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death: <br />❑ Sale/leaseback ❑ Creation of a lease ❑ Assignment of a lease ❑ Termination of a lease. Dale lease began: <br />Original term In years (including written options): Remaining term In years (Including written options): <br />❑ Other. Please explain <br />C. Only a partial interest In the properly was transferred. ❑ YES ❑ NO If YES, indicate the percentage transferred: <br />PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. <br />A. Total purchase price. Is —� <br />B. Cash down payment or value of trade or exchange excluding closing costs Amount $ <br />C. First deed of trust @ % Interest for years. Monthly payment $ Amount $ <br />❑ FHA (—Discount Points) ❑ Call ❑ VA ( Discount Points) ❑ Fixed rate ❑ Variable rate <br />❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller <br />❑ Balloon payment $ Due dale: <br />D. Second deed of trust @ _% Interest for years, Monthly payment $ Amount $ <br />❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller <br />❑ Balloon payment $ Due date: <br />E. Was an Improvement Bond or other public financing assumed by the buyer? ❑ YES ❑ NO Outstanding Balance $ <br />F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $ <br />G. The property was purchased: ❑ Through real estate broker. Broker name: Phone number ( ) <br />❑ Direct from seller ❑ From a family member -Relationship <br />❑ Other: Please explain:. <br />H. Please explain any special terms, seller concesslons, brokerlagent fees waived, financing, and any other information (e.g., buyer assumed the <br />existing loan balance) that would assist the Assessor in the valuation of your properly. <br />PART 4. PROPERTY INFORMATION Check and complete as applicable. <br />A. Type of property transferred <br />® Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home <br />❑ Multiple -family residence. Number of units: ❑ Condominium ❑ Unimproved lot <br />❑ Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare ❑ Commercial/Industrial <br />B. ❑ YES ® NO Personal/business property, or Incentives, provided by seller to buyer are Included in the purchase price. Examples of personal <br />property are furniture, farm equipment, machinery, etc. Examples of Incentives are club memberships, etc. Attach list If available. <br />If YES, enter the value of the personal/business property: $ Incentives $ <br />C. ❑ YES N NO A manufactured home is Included in the purchase price. <br />If YES, enter the value attributed to the manufactured home: $ <br />❑ YES ❑ NO The manufactured home is subject to local property tax. If NO, enter decal number <br />D. ❑ YES ❑ NO The property produces rental or other Income. <br />If YES, the income Is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: <br />E. The condition of the property at the time of sale was: ❑ Good ❑ Average ❑ Fair ❑ Poor <br />Please describe: <br />CERTIFICATION <br />I certify (or declare) that the foregoing and ail information hereon, including any accompanying statements or documents, is true and correct to the best <br />of my knowledge and belief. <br />SIGNATURE OF BUYERrrRANSFEREE OR CORPORATE OFFICER DATE TELEPHONE <br />111 02l08/23 (714)647-5664 <br />City of Santa Anal Jason Gabriel - I Principal Civil Engr I JGabriel@santa-ana,org <br />The Assessor's office may contact you for additional information regarding this transaction. <br />SFRM0017 (DSI Rev, 02/18/21) <br />