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BOE- 502 -AH (P2) REV. 15 (05 -13) <br />PART 2. OTHER TRANSFER INFORMATION <br />A. Date of transfer, if other than recording date: <br />Check and complete as applicable. <br />B. Type of transfer. <br />❑ -] Purchase E] Foreclosure F] Gift Trade or exchange E] merger, stock, or partnership acquisition (Form BOE- 100 -13) <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. Date lease began: <br />Original term in years (including written options): Remaining term in years (including written options): <br />F-1 flfhcr Plaasa axnlain ___ <br />C. Only a partial interest in the property 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 <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) ❑ Cal -Vet ❑ VA (_Discount Points) ❑ Fixed rate ❑ Variable rate <br />❑ Bank /Savings & Loan /Credit Union ❑ Loan carried by seller <br />❑ Balloon payment $ Due date: <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 concessions, broker /agent 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 property. <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 []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: F] Good <br />Please describe: <br />[-]Average Fair []Poor <br />CERTIFICATION <br />I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any <br />accompanying statements or documents, is true and correct to the best of my knowledge and belief. This declaration is binding on each and <br />every buyer /transferee. <br />SIGNATURE OF BUYER /TRANSFEREE OR CORPORATE OFFICER DATE TELEPHONE <br />J <br />OF BUYER /TRANSFEREE /LEGAL REPRESENTATIVEICORPORATE OFFICER (PLEASE PRINT) ITITLE <br />The Assessor's office may contact you for additional information regarding this transaction. <br />A002 -254 (P2) (R 12/14) 000064.4 <br />