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2017/04/28 Grant Deed William & Donna Thomas - APN: 360-170-002-9, 360-170-003-0RECORDED AT 'I HE REQUEST OF CHICAGO TITLE - INLAND EMPIRE RECORDING REQUESTED BY: Madison Avenue Escrow Order No. 7101704425 Escrow No. RV-7062 Parcel No. 360-170-002-9, 360-170-003-0 AND WHEN RECORDED MAIL TO: CITY OF MENIFEE 29714 Haun Road Menifee, CA 92586 O 2-b DOC # 2017-0170635 04/28/2017 12:57 PM Fees: $0.00 Page 1 of 4 Recorded in Official Records County of Riverside Peter Aldana Assessor -County Clerk -Recorder **This document was electronically submitted to the County of Riverside for recording— Receipted by: TERESA #134 GRANT DEED LINE FOR THE UNDERSIGNED GRANTOR(S) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS X computed on full value of property conveyed, or ❑ computed on full valueless liens orencypbrances remaining at the time of sale. ❑ unincorporated area: ] Menifee, and #0 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, William L. Thomas and Donna R. Thomas, Husband And Wife As Joint Tenants hereby GRANT(S) to City of Menifee the following described real property in the County of Riverside, State of California: Legal Description attached hereto and made a part hereof. More commonly known as: Vacant Land - APN# 360-170-002-9 And APN#360-170-003-0, Menifee, CA Date March 27, 2017 William . Thomas &AA-& �_" Donna R. Thomas A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validityof that document. STATE OF TL" 5 l COUNTYOF—C,011 i YZ I S.S. On rI(before me, u t✓Li Il�c• ✓wQ. NOTARY PUBLIC , personally appeared i II i a4l L. 'ThDIYtQS 04 AA 1iDn-YL&r K. I YLAM who 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 acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m han ffrcial seal. TRACY HORNE it'jt e`b Notary public Signature (Seal) 4 • l ') • State of Texas ID # 3403427 ;`'°`��" Comm. Expires 7/17/2018____w_j Mail Tax Statement to: SAME AS ABOVE or Address Noted Below RE(;;,)RL- _D H i i HE REQUEST OF CHICAGO TITLE - INLAND EMPIRE RECORDING REQUESTED BY: Madison Avenue Escrow Order No. 7101704425 Escrow No. RV-7062 Parcel No. 360-170-002-9, 360-170-003-0 AND WHEN RECORDED MAIL TO: CITY OF MENIFEE 29714 Haun Road Menifee, CA 92586 0Z(0 -0 1 (p GRANT DEED THIS LINE FOR RECORDER 96) THE UNDERSIGNED GRANTORS) DECLARE(S) THAT DOCUMENTARY TRANSFER TAX IS r X computed on full value of property conveyed, or ❑ computed on full value less liens or encu brances remaining at the time of sale. ❑ unincorporated area: '9 Menifee, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, William L. Thomas and Donna R. Thomas, Husband And Wife As Joint Tenants hereby GRANT(S) to City of Menifee the following described real property in the County of Riverside, State of California: Legal Description attached hereto and made a part hereof. More commonly known as: Vacant .Land - APN# 360-170-002-9 And APN#360-170-003-0, Menifee, CA Date M ch 27, 2017 William . Thomas Donna R. Thomas A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF ��t� COUNTY OF D ( y 1, } S.S. On "�� `i' 2a i -7 before me, G �— NOTARY PUBLIC personally appeared OLK4 -011 who 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 acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m handifficial seal. TRACY HORNE Notary Public Signature (Seal) _ • ('� State of Texas ID # 3403427 '*oF Comm. Expires 7/17/2018 Mail Tax Statement to: SAME AS ABOVE or Address 1\Toted Below EXHIBIT "A" Legal Description For APN/Parcel ID(s): 360-170-002-9 and 360-170-003-0 Parcels 1 and 2 of Parcel Map 15811, in the City of Menifee, County of Riverside, State of California, as per map recorded in book 103, page 16 of parcel maps, in the office of the county recorder of said county. CERTIFICATE of ACCEPTANCE (GOVERNMENT CODE SECTION 27281) THIS IS TO CERTIFY that the interest in real property granted in Fee by this Deed from, William L. Thomas and Donna R. Thomas, husband and wife as joint tenants to the CITY OF MENIFEE, is hereby accepted for Project No. CS031 "Parkland Acquisition" for the Evans Park project in the CITY OF MENIFEE on behalf of the public for sports park and/or regional park purposes, and WILL be included into the City Park Maintenance Areas, subject to improvements in accordance with City standards, by the undersigned on behalf of the City Council of Menifee. Grantee consents to recordation thereof by its duly authorized officer. Date6110 1 C_ Z 7. 20- 17 BZ- �jo�nathann G. Smith P.E. City Engineer, City of Menifee A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of rCL1'S0rn',cL. County of S-,\/or.S; �Q On ant a1 , 200 before me —Sam Q—er (Insert name and title of offer) personally appeared who proved to me on the basis of satisfactory evidence to be the person( whose name(&ris/are' subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/Wr/t it authorized capacity(Leay and that by his/h.&Mben signature(s-yron the instrument the person(, or the entity upon behalf of which the person(s-)-acted, executed the instrument. I certify under Penalty of Perjury, under the laws of the State of California, that the foregoing paragraph is true and correct. Witness my hand and official seal Signature J NNIFER ALLEN Notary Public - Californie Riverside County (Seal) Commission #f 2156276 My Comm. Ex ires Jul 9, 2020 ILLEGIBLE NOTARY SEAL DECLARATION Government Code 273641.7 I certify under penalty of perjury that the notary seal on the document to which this statement is attached reads as follows: R-en Name of Notary: J `(� \' Notary Identification Number: 2) (0 Z County / State Where Bond Is Filed: �� V-P"N S l � Q- Date Commission Expires: &' Iy q j-L G Vender Identification Number: Y J j A I Place of Execution: San Bernardino Date: / SPL, Inc., as agent. Signature SOE-502-A (P1) REV. 12 (05-13) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a 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. NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE (Make necessary corrections to the printed name and mailing address) Ir� City of Menifee a971� 4"h %fit r Y�ent ec/CA�� L STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY Vacant Land - APN# 360-170-002-9 And APN#360-170-003-0, Menifee, CA MAIL PROPERTY TAX INFORMATION TO (NAME) City of Menifee ascruw ivu.: nv-/uoa LARRY WARD RIVERSIDE COUNTY ASSESSOR (951)955-6200 ASSESSOR'S PARCEL NUMBER 360-170-002-9, 360-170-003-0 SELLER/TRANSFEROR William L. Thomas and Donna R. Thomas BUYER'S DAYTIME TELEPHONE NUMBER I BUYER'S EMAIL air C 1STATE/'�e IZIP a 7a r-S7c-%- 7/il _ �-fa�►•� Roo t� o.n . PO o ❑ YES P!kNO This property is intended as my principal residence. If YES, please indicate the date of occupancy Mo DAY YEAR or intended occupancy - PART 1. TRANSFER INFORMATION Please complete all statements. This section contains possible exclusions from reassessment for certain types of transfers. YES ❑ NO IDd A. This transfer is solely between spouses (addition orremoval of a spouse, death of a spouse, divorce settlement, etc.). ❑ B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of a partner, death of a partner, termination settlement, etc.). ❑ * C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) and grandchild(ren). ❑ * D. This transfer is the result of a cotenant's death. Date of death ❑ 1,61 * E. This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑ YES ❑ NO ❑ InI * F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code section 69.5. Within the same county? ❑ YES ❑ NO ❑ ® G. This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage). If YES, please explain: ❑ r� (p( H. The recorded document creates, terminates, or reconveys a lender's interest in the property. ❑ 41. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner). If YES, please explain: ❑ J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. ❑ K. This is a transfer of property: 1, to/from a revocable trust that may be revoked by the transferor and is for the benefit of ❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. ❑ 2. to/from a trust that may be revoked by the creator/grantor/trustor who is also a joint tenant, and which names the other joint tenant(s) as beneficiaries when the creator/grantor/trustor dies. ❑ 3. to/from an irrevocable trust for the benefit of the ❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner. ❑ ® L. This property is subject to a lease with a remaining lease term 35 years or more including written options. ❑ M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel �{ being transferred remain exactly the same after the transfer. El IN N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ l * O. This transfer is to the first purchaser of a new building containing an active solar energy system. Please refer to the instructions for Part 1. Please provide any other information that will help the Assessor understand the nature of the transfer. THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION BOE-502-A(P2) REV. 12 (05-13) PART 2. OTHER TRANSFER INFORMATION A. Date of transfer, if other than recording date: Check and complete as applicable. B. Type of transfer. ® Purchase ❑ Foreclosure [:]Gift [:]Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) ❑ Contract of sale. Date of contract: ❑ Inheritance. Date of death: ❑ Sale/Leaseback ❑ Creation of a lease ❑ Assignment of a lease ❑ Termination of a lease, Date lease began: Original term in years(including written options): Remaining term in years (including written options): ❑ Other. Please explain: C. Only a partial interest in the property was transferred. ❑ Yes X No If YES, indicate the percentage transferred: PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase price B. Cash down payment or value of trade or exchange excluding closing costs C. First deed of trust @ % interest for years. Monthly payment $ ❑ FHA (— Discount Points) ❑ Cal -Vet ❑ VA (— Discount Points) ❑ Fixed rate Amow Amow ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: D. Second deed of trust @ % interest for years. Monthly payment $ ❑ Fixed Rate ❑ Variable rate ❑ Bank/saving & Loan/Credit Union ❑ Loan carried by seller ❑ Balloon payment $ Due date: Amount $ E. Was an Improvement Bond or other public financing assumed by the buyer? ❑YES tgNO Outstanding balance $ F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchj�se price $ G. The property was purchased. Through real estate broker. Broker nam 6 y� tJ�j; `�p, Phone number: RSh ?9 "5734( ❑ Direct from seller ❑ From a family member -Relationship ❑ Other. Please explain: H. Please explain any special terms, seller concessions, broker/agent fees waived, financing, and any other information (e.g., buyer assumed the existing loan balance) that would assist the Assessor in the valuation of your property. PART 4. PROPERTY INFORMATION A. Type of property transferred ❑ Single-family residence ❑ Multiple -family residence. Number of units: ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) Check and complete as applicable. ❑ Co-op/Own-your-own ❑ Manufactured home ❑ Condominium Unimproved lot ❑ Timeshare [l Commercial/Industrial B. ❑YES 4NO Personal/business property, or incentives, provided by seller to buyer are included in the purchase price. Examples of personal property are furniture, farm equipment, machinery, etc. Examples of incentives are club memberships, etc. Attach list if available. If YES, enter the value of the personal/business property: ; ❑YES P<NO A manufactured home is included in the purchase price. If YES, enter the value attributed to the manufactured home: S ❑YES ❑NO The manufactured home is subject to local property tax. If NO, enter decal number: D. ❑YES D5NO The property produces rental or other income. If YES, the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other: Incentives $ E. The condition of the property at the time of sale was: ❑ Good CS Average ❑ Fair ❑ Poor Please describe: CERTIFICATION I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the best of my knowledge and belief office may con0r you for additional information rega Escrow: RV-7062 LARRY W. WARD Recorder P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 ASSESSOR -COUNTY CLERK -RECORDER (951) 486-7000 Website: www.riversideacr.com DOCUMENTARY TRANSFER TAX AFFIDAVIT WARNING ANY PERSON WHO MAKES ANY NIATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDENIEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE. ASSESSOR'S PARCEL NO. 360-170-002-9, 360-170-003-0 I declare that the documentary transfer tax for this Property Address: Vacant Land - APN# 360-170-002-9 And transaction is: $® . APN#360-170-003-0, Menifee. CA If this transaction is exempt from Documentary Transfer Tax, the reason must be identified below. I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECAUSE: (The Sections listed below are taken from the Revenue and Taxation Code with the exception of items 9 and 10 which are taken from Riverside County Ordinance 516). Please check one or explain in "Other".) 1. ❑ Section 11911. The consideration or value of the property, exclusive of any liens and encumbrances is. $100.00 or less and there is no additional consideration received by the grantor. 2. ❑ Section 11911. The conveyance transfers to a revocable living trust by the grantor or from a revocable living trust to a beneficiary. 3. ❑ Section 11921. The conveyance was given to secure a debt. 4, .� Section 11922. The conveyance is to a governmental entity or political subdivision. 5. ❑ Section 11925. The transfer is between individuals and a legal entity or partnership, or between legal entities, and does not change the proportional interests held. 6. ❑ Section 11926. The conveyance is to a grantee who is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 7. ❑ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. (A spouse must sign a written recital in order to claim this exemption. This form may be used for that purpose.) 8. ❑ Section 11930. The conveyance is an inter vivos gift* or a transfer by death. Please be aware that information stated on this document may be given to and used by governmental agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service. 9. ❑ Section 8. The easement is not perpetual, permanent, or for life. 10. ❑ Section 9. The document is a lease for a term of less than (35) years (including written options) 11. ❑ Other (Include explanation and authority) I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. /' Q Executed this vy / day of /59F�1i d� , 20�� at Hen t4;C.� � —A City State 4. '9PAV_6;Y Signature of Affiant Printed Name of Affiant C 14y ram(' Mw N I FU r✓ 1A ? I Awo Ind . Mwims, cA g25g( Name of Finn (if applicable) Address of Affiant (including City, S ate, and Zip Code) q -1- 672--%777 Telephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) For Recorder's Use: Affix PCOR Label Here ACR 521(Rev. 11/2014) Available in Alternative Formats