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BOE-502.A (BACK) REV. 6 (8-04) <br />Please answer to the best ofyour knowledge, all app/icab/e questions, then sign and date. If a question does not apply, indicate with "N/A. " <br />PART III: PURCHASE PRICE AND TERMS OF SALE <br />A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs) <br />B. FIRST DEED OF TRUST @ % interest for Years. Pymts./Mo. _ $ (Prin. <br />^ FHA ( _ Discount Points) ^ Fixed rate <br />^ Conventional ^ Variable rate <br />^ VA ( Discount Points) ^ All inclusive D.T. ($ Wrapped) <br />^ Cal-Vet ^ Loan carried by seller <br />Balloon payment ^ Yes ^ No Due Date <br />C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo.= $ <br />Amount $ (,lV~(LYJ1J'In7 <br />& Int. only) Amount $ <br />^ New loan ~" <br />^ Assumed existing loan balance <br />^ Bank or savings & loan <br />^ Finance company <br />Amount $ <br />(Prin. & Int. only) Amount $ <br />. j2, K - <br />i~s~er <br />Bank or savings & loan ^ Fixed rate ^ New loan <br />^ Loan carried by seller ^ Variable rate ^ Assumed existing loan balance <br />Balloon payment ^ Yes ^ No Due Date Amount $ <br />D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ^ Yes ^ No Amount $ <br />Type @ % interest for years. Pymts./Mo.=$ (Prin. & Int. only) <br />^ Bank or savings & loan ^ Fixed rate ^ New Loan <br />^ Loan carried by seller ^ Variable rate ^ Assumed existing loan balance <br />Balloon Payment ^ ^ No Due Date Amount $ <br />E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ^ Yes ^ No Outstanding Balance: Amount $ <br />F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid) ~_ <br />TOTAL ITEMS A THROUGH E $ <br />G. PROPERTY PURCHASED ^ Through a broker ~ Direct from seller ^ From a family member ^ Other (p/ease exp/ainj <br />If purchased through a broker, provide broker's name and phone number: <br />Please explain any special terms, seller concessions , or financing and any other information that would help the Assessor understand the purchase <br />price and terms of sale: <br />PART IV: PROPERTY INFORMATION _ <br />A. TYPE OF PROPERTY TRANSFERRED <br />^ Single-family residence ^ Agricultural ^ Timeshare <br />^ Multiple-family residence (no. of units: ) ^ Co-op/Own-your-own ^ Manufactured Home <br />Commercial/Industrial ^ Condominium <br />^ Unimproved lot <br />^ Other (Description: i.e., timber, mineral, water rights, etc. ) <br />B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ^ Yes No <br />If yes, enter the date of occupancy / , 20 or intended occupancy / , 20 <br />(month) (day) (year) (month) (day) (year) <br />C. IS PERSONAL PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.) <br />(other than a manufactured home subject to local property tax)? ^ Yes ~ No <br />If yes, enter the value of the personal property included in the purchase price $ (Attach itemized /ist of persona/ property.) <br />D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ^ Yes -~-No <br />If yes, how much of the purchase price is allocated to the manufactured home? $ <br />Is the manufactured home subject to local properly tax? ^ Yes ^ No What is the decal number? <br />E. DOES THE PROPERTY PRODUCE INCOME? ^ Yes ^ No If yes, is the income from: <br />^ Lease/Rent ^ Contract ^ Mineral rights ^ Other (p/ease exp/ain) <br />F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE? <br />Good ^ Average ^ Fair ^ Poor <br />lease explain the physical condition of the property and provide any other information (such as restrictions, etc.) that would assist the Assessor in <br />determining the value of the property. <br />CERTIFICATION __ <br />OWNERSHIP TYPE ( ) <br />Proprietorship ^ <br />Partnership ^ I certify that the foregoing is true, correct and complete to the best of my knowledge and belief <br />Corporation ^ This declaration is binding on each and every co-owner and/or partner. <br />Other ^ <br />NAME OF W OWNER/CORPORATE OFFICER TITL <br />l~fi - S ~~ ~~ ~i~ I~~n~ cr <br />SIGNATURE OF 0 ER/CORPO 0 I DATE <br />Q ~~ ".4-- I "' O <br />NAME OF ENTI (typed or print ) FEDERAL EMPLOYER ID NUMBER <br />C it ~ f SU v~ ern Any 5 <br />ADDRESS (typ or printed) E-MAIL ADDRESS (OPTIONAL) DATE <br />_~IA Yl`~1~ ~ In Gy ~J/~ 012.7 ~ ~ <br />(NOTE: The Assessor may contact you for additional information.) <br />If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary <br />change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20). <br />