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RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
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RECEIVED 12/6/2006 at 9:39 AM
RECEIVING # 925048
BOOK: 642 PAGE: 240
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
A.P.N.
Space above this line for Recorder's use
INTERSPOUSAL GRANT DEED
(Excluded from reappraisal under California Constitution Article 13A §1 et seq,)
THE UNDERSIGNED GRANTOR(S) DECLARE(S)
COUNTY TRANSFER TAX: EXEMPT/SPOUSAL TRANSFER CITY TRANSFER TAX: EXEMPT
( X) This is an INTERSPOUSAL TRANSFER and not a change in ownership under § 63 of the Revenue and
Taxation Code and Grantor(s) has(have) checked the applicable exclusion from reappraisal;
( X) Release of any community property by non-title spouse.
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the following real property in the Unincorporated Area, County of Lln~. State of I~'
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This grantor is executing this instrument for the purpose of relinquishing all of grantor's rights, title and interest,
including, but not limited to, any community property interest irvand to the land described herein and placing title in the
name of the grantee as his separate property,
Dated: NOV€;~ bet I, ~l.)O~
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STATE OF CALIFORNIA }ss
COUNTY OF <!£JJ a.v' e V'"£1.S }
On t-JO\l e Y'\''\ be (" I \ Q.D ð ~ before me
6ft') '-~ \,. D ý\ J. A.V\ d ~ Ý'sl"ì V"I , a notary public,
Personally appeared \ (\ d '0.. A \ a. V- N\.OO\'ì -
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CALAVERAS COUNTY
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personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within Instrument and acknowiedged to me that he/she/they executed
the same In his/her/thelr authorized capaclty(les), and that by
his/her/their slgnature(s) on the instrument the person(s) or the entity
upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
MAIL TAX STATEMENTS AS DIRECT D ABOVE
PRELIMINARY CHANGE OF OWNERSHIP REPORT v..~r"''' '.,' '-' - 1:-.0
[To be completed by transferee (buyer) prior to 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; this particular form may be used in all 58 counties
of California,
rVR RC\,VRUCR'ò) uò::tc UNL'
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THIS REPORT IS NOT A PUBLIC DOCUMENT
SELLERlTRANSFEROR: .:::c~ ~ l/h..&tn.-
BUYERlTRANSFEREE: :::r~ ~ ?Jl/rT~ S L I, ," .
ASSESSOR'S PARCEL NUMBER(S): Lt1+ L ¥ of -tw... HlAJoL.:..."-- Iff/1M v r>, 0--....
PROPERTY ADDRESS OR LOCATION:
MAIL TAX INFORMATION. TO: Name: .::r~ ~IL. ~.lIrtÆ~ _,I j if.4.. /jc,:;-~,:z.
Address: P. o. 'B";o ¿~;:L( I rV1XtJf..¡ ...."., -, '" :;/
Phone Number (8 a.m. - 5 p.m.) (~}.) 7q~- (¿' 7~1
NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June 30, One-
half of these taxes Is due November 1, and one-half is due February 1, The first Installment becomes delinquent on December 10, and the second installment
becomes delinquent on April 10, One tax bill is mailed before November 1 to the owner of record, You may be responsible for the current or upcoming
property taxes even If you do not receive the tax bill.
The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the CALAVERAS County Assessor,
PART I: TRANSFER INFORMATION (please answer all questions)
YE§.-o/\tO
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B~
A, Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc,)?
ß, Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name change upon marriage)?
Please explain
C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property?
D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e,g"
cosigner)?
Please explain
E. Is this document recorded to substitute a trustee under a deed of trust, mortgage, or other similar document?
F. Did this transfer result In the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants?
G. Does this transfer retum property to the person who created the joint tenancy (original transferor)?
H, Is this a transfer of property:
1, to a revocable trust that may be revoked by the transferor and Is for the benefit of the 0 transferor 0 transferor's spouse?
2, to a trust that may be revoked by the Creator/Grantor who is also a joint tenant, and which names the other joint tenant(s) as
beneficiaries when the Creator/Grantor dies?
3. to an irrevocable trust for the benefit of the 0 Creator/Grantor and/or 0 Grantor's spouse?
4. to an Irrevocable trust from which the property reverts to the Creator/Grantor within 12 years?
I. If this property Is subject to a lease, Is the remaining lease term 35 years or more Including written options?
* J, Is this a transfer between 0 parent(s) and child(ren)? 0 or from grandparent(s) to grandchild(ren)?
*K. Is this transaction to replace a principal residence by a person 55 years of age or older?
Within the same county? 0 Yes 0 No
*L, Is this transaction to replace a principal residence by a person who Is severely disabled as defined by Revenue and Taxation Code section
69,S? Within the same county? 0 Yes 0 No
M, Did this transfer result from the death of a domestic partner currently registered with the California Secretary of State?
o 1!1' /
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O~
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*If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property, If you do not file a
claim, your property will be reassessed.
Please provide any other Iniormation that will help the Assessor to understand the nature of the transfer,
If the conveying document constitutes an exclusion from a change in ownership as defined In section 62 of the Revenue and Taxation Code for any reason other
than those listed above, set forth the specific exclusions claimed:
Please answer all questions in each section. If a question does not apply, indicate with "N/A". Sign and date at bottom of second page.
PART II: OTHER TRANSFER INFORMATION
A. Date of transfer if other than recording date
B, Type of transfer (please check appropriate box):
o Purchase 0 Foreclosure 0 Gift 0 Trade or Exchange 0 Merger, Stock, or Partnership Acquisition
o Contract of Sale - Date of Contract A, /
o Inheritance - Date of Death ~ther (please explain): ~~07l5d.. 6rf'õW:f Ì) U4......._
o Creation of Lease 0 Assignment of a Lease 0 Termination of a Lease 0 Sale/Leaseback
o Date lease began
o Original term in years (including written options)
o Remaining term in years (including written options)
Monthly Payment
C. Was only a partial interest in the property transferred?
If yes, indicate the percentage transferred
DYes
Remaining Term
ONo
%,
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Please answer, to lne Dest of your knowledge, all applicable questions, men sign and date, If a question does not apply, indicàfe '!;ilff "7'f,i;t.:
PART III: PURCHASE PRICE AND TERMS OF SALE
A. CASH WN PAYMENT OR value of trade or exchange (excluding closing costs) Amount $
B. FIRST D OF TRUST @ % interest for years, Pymts.lMo. = $ _ (Prin. & Int. only) Amount $
o FHA( Discount Points) 0 Fixed rate 0 New loan
o Conventional 0 Variable rate 0 Assumed existing loan balance
o VA ( 0 All inclusive D.T. ($ Wrapped) 0 Bank or savings & loan
o Cal-Vet 0 Loan carried by seller 0 Finance company
Balloon payment 0 No Due Date Amount $
C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo. = $ _ (Prin. & Int. only) Amount $
o Bank or savings & loan 0 Fixed rate 0 New loan
o Loan carried by seller 0 Variable rate 0 Assumed existing loan balance
Balloon payment 0 Yes No Due Date Amount $
D. OTHER FINANCING: Is other financing involved t covered in (b) or (c) above? 0 Yes 0 No Amount $
Type @ % interest years, Pymts./Mo, = $ (Prin. & Int. only)
o Bank or savings & loan ixed rate O. New loan
o Loan carried by seller 'able rate 0 Assumed existing loan balance
Balloon payment 0 Yes 0 No Due Date Amount $
E, WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? S 0 No Outstanding Balance: Amount $
F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchange, 'nclude real estate commission if paid) ¡_
TOTAL ITEMS A THROUGH E . $
G. PROPERTY PURCHASED 0 Through a broker 0 Direct from seller 0 From a fanì bar 0 Other (please explain):
If purchased through a broker, provide broker's name and phone number:
Please explain any special tenns, seller concessions, or financing and any other infonnatl hat would help the Assessor understand the
purchase price and terms of sale:
A. TY OF PROPERTY TRANSFERRED:
o Si e-family residence
o Multip amily residence (no, of units:
o Commercl ndustrial
o Other (Descrip . : i.e., timber, mineral, water rights, etc.
B. IS THIS PROPERTY IN ED AS YOUR PRINCIPAL RESIDENCE? 0 Yes 0 No
If yes, enter date of occupan /_,20_ or intended occupancy _/_ , 20_ .
(mo (day) (year) (month) (day) (year)
C. IS PERSONAL PROPERTY INCLUDED URCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.)
(other than a manufactured home subject to 10 roperty tax)? 0 Yes 0 No
If yes, enter the value of the personal property inclu in the purchase price $
D. IS A MANUFACTURED HOME INCLUDED IN PURCHAS CE? DYes ONo
If yes, how much of the purchase price is allocated to the manufa d home? $
Is the manufactured home subject to local property tax? 0 Yes 0 No What is the decal number?
E. DOES THE PROPERTY PRODUCE INCOME? 0 Yes 0 No If yes, is ttì . come from:
o Lease/Rent 0 Contract 0 Mineral rights 0 Other (please explain):
F. WHAT WAS THE CONDITION OF THE PR.OPERTY AT THE TIME OF SALE?
o Good 0 Average 0 Fair 0 Poor
Please explain the physical condition of the property and provide any other infonnation (such as restrictions. etc.) that would assist the
Assessor in determining the value of the property:
PART IV: PROPERTY INFORMATION
o Agricultural
o Co-op/Own-your-own
o Condominium
o Timeshare
o Manufactured home
o Unimproved lot
(Attach itemized list of personal property,)
OWNERSHIP TYPE ( + )
Proprietorship 0
Partnership 0
Corporation 0
Other 0
NAME OF NEW OWNERlC RPORATE OFFICER
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CERTIFICATION
I certify that the foregoing is true, correct and complete to the best of my knowledge and belief.
This declaration is binding on each and every co-owner and/or partner.
-MAil ADDRESS (op/#on8l)
~~OW E
NAME OF ENTITY (typed or
ADDRESS (typed or ptfnled)
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(NOTE: Th. As....or may contact you for additional Information.)
If a d cument evld.nclng a change of own.rshlp I. pr...nted to the r.corder for recordation without the concurrent filing of a Preliminary
Chang. of Own.rshlp Report, the r.cord.r may charg. an additional r.cordlng f.. of twenty dollar. ($20).