2017/04/28 Grant Deed William L. Thomas and Donna Thomas - TRA 026-016RECURRED AT'( 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 MENTFEE
29714 Haun Road
Menifee, CA 92586
02_0--0iLQ
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 orencuotbtances remaining at the time of sale.
❑ unincorporated area: S 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 at part hereof.
More commonly known as: Vacant .Land - APN# 360-170-002-9 And APN#360-170-003-0, Menifee, CA
Date Majch 27, 2017
r
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 -re, i,k S
COUNTY ,O`F D I Yj ) S.S. //11�1�'' �f_,_
On `i'� ZD t before me, G F►�' Tt b ✓�_ NOTARY PUBLIC
personally appeared &,, m3 who
proved to me on the basis of satisfactory evidence to be the persons) whose names) islare 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 hen fficial seal.
TRACY HORNE
Notary Public
Signature (Seal) State oL7/17/2018
s
S ID # 34
- Comm. Expire
Mail Tax Statement to: SAME AS ABOVE or Address Noted Below
REWRL U NI-4HE 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
C) Z(O — 0 [ (P SPACE: ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED P)
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 orency
pbrances remaining at the time of sale.
❑ unincorporated area: 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 March 27, 2017
r
WilliamIL. Thomas
&,� 7%&V4—
Ejunna 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 —fe' S
COUNTY OF =t> I i j yl S.S.
On q'- `T' � 2C) 11
me,
NOTARY PUBLIC
personally appeared &_ JZ K,14 nL kj 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 persdti(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 handljry� qff icial seal.
9 ;wX TRACY HORNE
Signature (Seal) ~ Notary Public
State of Texas
ID # 3403427
Comm. Expires 7/17/2018
Mail Tax Statement to: SAME AS ABOVE or Address Noted 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.
Date Z 1d r 7
By , A /_
-
onathan 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 i n.l sLAIC&.,
County of
On Plor' l R� , 011 before me _&Mker i4kA , �ury 'Yij ,c-
(Insert name and title of officer)
personally appeared
who proved to me on the basis of satisfactory evidence to be the persontWwhose name(&Yis/aw
subscribed to the within instrument and acknowledged to me that he/sheftey executed the same in
his/hd'r/tWrr authorized capacity(tee) and that by his/haiteir signature(s-j-on the instrument the
personK or the entity upon behalf of which the person() 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 (Seal)
J NNIFER ALLEN
Notary Public - Caldornia
LID Riverside County
Commission #F 2156276
—MY Gomm. Ex irea JAI 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: l
Name of Notary: -T(? � (1 4 f fflijen
Notary Identification Number: 5 (p Z
County / State Where Bond Is Filed:
Date Commission Expires: V v I U l-
r
Vender Identification Number: P J I v
I_
Place of Execution: San Bernardino
Date: —11� - / A
SPL, Inc., as agent.
Signature
BOE-502-A (P1) REV 12 (05-13)
PRELIMINARV 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)
II� City of Menifee
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
r-scruw iNo.: rcv-/voi.
LARRY WARD
RIVERSIDE COUNTY ASSESSOR
(951) 955-6200
ASSESSOR'S PARCEL NUMBER
360-170-002-9, 360-170-003-0
SELL E RITRANSFE ROR
William L. Thomas and Donna R. Thomas
BUYER'S DAYTIME TELEPHONE NUMBER
BUYER'S EMAIL
CfTY STAT ZIP CODE
'f . at~� I -Pee- G gaS
❑ YES p!�NO 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
❑ A. This transfer Is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑ S. Th{s transfer is solely between domestic partners currently registered with the California Secreta of State te dd/'t
to
l
a partner. death of partner, termination settlement, etc,). ry (a n or remove of
This is a transfer, ❑ between parent(s) and child(ren) ❑ from grandparent(s) and grandchild(ren).
This transfer is the result of a cotenant's death. Date of death
This transaction is to replace a principal residence by a person 55 years of age or older.
Within the same county? ❑ YES ❑ NO
❑ ` 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
9
® 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:rvi
.
181 H. The recorded document creates, terminates, or reconveys a lender's interest in the property.
I. 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 ❑ grantors/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.
❑ I,ddl( 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.
❑ N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions.
❑ A " 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
Check and complete as applicable.
A. Date of transfer, if other than recording date:
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 0 No
PART 3. PURCHASE PRICE -AND TERMS OF SALE
A. Total purchase price
B. Cash down payment or value of trade or exchange excluding closing costs
If YES, indicate the percentage transferred:
0hec/r and connp/ete as applicable.
Amount $
C. First deed of trust (cp % interest for y payment 5
ears. Month) Amount $
y _
❑ FHA Discount Points) ❑ Cal -Vet ElVA (_ Discount Points) [IFixed rate El variable rate
❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment $ Due date: �'-'xX r
D. Second deed of trust @ % interest for years. Monthly payment $ Amount $�
❑ Fixed Rate ❑ Variable rate ❑ Bank/Saving & Loan/Credit Union ❑ Loan carried by seller
❑ Balloon payment S Due date:
E. Was an Improvement Bond or other public financing assumed by the buyer? []YES EgNO Outstanding balance $ "f
F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purch se price $_ �---
G. The property was purchased. Through real estate broker. Broker name o_ ; �px Phone number: flSh
❑ 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.)
and complete as applicable.
❑ Co-op/Own-your-own ❑ Manufactured home
❑ Condominium Unimproved lot
❑ Timeshare N Commercial/Industrial
B. DYES ENO 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: $ . _ Incentives $
C. ❑YES P<NO A manufactured home is included in the purchase price.
If YES, enter the value attributed to the manufactured home: $
❑YES ❑NO The manufactured home is subject to local property tax. If NO, enter decal number:
D. []YES C5NO The property produces rental or other income.
If YES, the income is from: ❑ Lease/rent ❑ Contract ❑ Mineral rights ❑ Other:
E. The condition of the property at the time of sale was: ❑ Good ® Average ❑ Fair ❑ Poor
Please describe:
l certify (or declare) that the /oregoing and all;
of my knowledge and belief.
OF
CERTIFICATION
hereon, including any accompanying statements or documents, is true and correct to the
ti
-7
WArr_ ADD
.. s en �
The Ass.�
esso office may cons ou for additional information reoa ina the tr sactinn.
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 MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART
OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY
OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL NO. 360-170-002-9 360-1707003-0 I declare that the documentary transfer tax for this
Property Address: Vacant Land - APN## 360-170-002-9 And transaction is: $24enB .
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: (Tile
Sections dieted below are taken front the RePert ue and Taxation Code with the exception of ✓items 4 and 10 which are taken
f oin Riverside County Ordinance 516). Please check Otte 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 vivo 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 TR UE AND CORRECT.
Executed this day of r%l/�Qi✓ , 20�7 at �P11►Ti�Ni
City State
Signature of ftiant Printed Name of Affiant
Ek 65.,c Name of Firm (if applicable) Address of Affiant (including City, S atc, and Zip Cods:.)
-�1�� 7 2-- (7 ?
Telephone Number of Affiant (iuclu(ltnl; area code)
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
ror Kecorder's Use:
Affix PCOR Label Here
ACR 521(Rev. 11/2014) Available in Alternative Formats