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2014/09/04 Quitclaim RE: APN 360-050-011 (4)RECORDING REQUESTED BY AND WHEN RECORDED MAIL THIS DEED AND ALL TAX STATEMENTS TO: Angeles Cornelio Keeler 2262 Salt Air Drive Santa Ana, CA 92705 NO FEE (GOV. CODE 6103) APN: Portion 360-050-011 DOC = 2014-03ZS005 09/04/2014 Customer Cou Label The paper to which is label is affixed has not been compared with the filed/recorded document Larry W Ward County o Riverside Assessor, County Clerk & Recorder Documentary Transfer Tax $ NONE QUITCLAIM DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, the CITY OF MENIFEE, a municipal corporation, does hereby remise, release, and forever quitclaim to ANGELES CORNELIO KEELER, TRUSTEE OF THE ANGELES CORNELIO KEELER LIVING TRUST dated July 13, 1999, all right, title and interest in the following described real property located in the City of Menifee, County of Riverside, State of California: SEE ATTACHED EXHIBIT "A" AND EXHIBIT "B" ATTACHED HERETO AND MADE A PART THEREOF Date: _ 2y.l-� ATTESTS: KATHY BENNETT, Clerk to the City of Menifee By: City Clerk CITY OF ME IFI-_`# By: ,--� SCOTT A. MANN, Mayor (SEAL) EXHIBIT "A" - LEGAL DESCRIPTION A STRIP OF LAND, 11.00 FEET IN WIDTH, LYING WITHIN SECTION 3, TOWNSHIP 6 SOUTH, RANGE 3 WEST, OF THE SAN BERNARDNINO BASE & MERIDIAN AND WITHIN THAT PORTION OF NEWPORT ROAD (87.00 FEET HALF -WIDTH) AS DESCRIBED IN THAT CERTAIN DEED, GRANTED TO THE CITY OF MENIFEE, IN THE COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, RECORDED APRIL 17, 2014 AS INSTRUMENT NO. 2014-0140722, THE SOUTHERLY LINE OF WHICH IS COINCIDENT WITH THE NORTHERLY LINE OF LOTS 3 AND 4 OF TRACT NO. 22542, RECORDED IN BOOK 234, PAGES 18 THROUGH 20, INCLUSIVE OF MAPS, BOTH RECORDS OF THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, DESCRIBED AS A WHOLE AS FOLLOWS: BEGINNING AT THE NORTHWESTERLY CORNER OF SAID LOT 3; THENCE, ALONG A LINE PERPENDICULAR TO THE CENTERLINE OF SAID NEWPORT ROAD AND PASSING THROUGH SAID NORTHWESTERLY CORNER OF LOT 3, NORTH 00006'19" WEST 11.00 FEET TO A LINE PARALLEL WITH AND DISTANT 76.00 FEET SOUTHERLY, MEASURED AT RIGHT ANGLES, FROM SAID CENTERLINE OF NEWPORT ROAD; THENCE, ALONG SAID PARALLEL LINE, NORTH 89053'41" EAST 96.06 FEET TO THE BEGINNING OF A TANGENT CURVE CONCAVE SOUTHERLY AND HAVING A RADIUS OF 8924.00 FEET; THENCE, EASTERLY ALONG SAID CURVE, THROUGH A CENTRAL ANGLE OF 01000'55" AN ARC LENGTH OF 158.14 FEET TO A LINE PERPENDICULAR TO SAID CENTERLINE OF NEWPORT ROAD AND PASSING THROUGH THE NORTHEASTERLY CORNER OF SAID LOT 4; THENCE, ALONG SAID PERPENDICULAR LINE, SOUTH 00054'36" WEST 11.00 FEET TO SAID NORTHEASTERLY CORNER OF LOT 4, SAID CORNER ALSO BEING THE BEGINNING OF A NON -TANGENT CURVE CONCAVE SOUTHERLY AND HAVING A RADIUS OF 8913.00 FEET, A RADIAL BEARING T❑ SAID CURVE BEARS NORTH 00054'36" EAST; THENCE, WESTERLY ALONG SAID CURVE AND SAID NORTHERLY LINE OF LOTS 3 AND 4, THROUGH A CENTRAL ANGLE OF 01000'55" AN ARC LENGTH OF 157.94 FEET; THENCE, CONTINUING ALONG SAID NORTHERLY LINE, SOUTH 89°53'41" WEST 96.06 FEET TO THE POINT OF BEGINNING. Sheet 1 of 2 CONTAINING AN AREA OF 2,795 SQUARE FEET, MORE OR LESS. ALSO SHOWN IN EXHIBIT "B", ATTACHED HEREWITH AND MADE A PART HEREOF. DATE rISITH E.TAIT, R.C.E. 14900 RATION EXPIRES 03/31/2015 Sheet 2 of 2 •��c4`�O NETHF�y9� No C14900 m * Exp.03/31/15 c�V11 �F9� CA LIF���,� EXHIBIT "B" PLAT TO ACCOMPANY LEGAL DESCRIPTION EXHIBIT "A" r N00'54'36"E 76.00' L2 "4 ir7 U Q I 87' NE'LY COR. LOT 4 76' 4 I U CV U 0 o TRACT NO. 22542 o�� .w CV J - - - Q Of m 0 M.B. 234/18-20 a. ;� z rn j 11' W z 0 U z W o = 3 o o ;n ca ca in rn rn � rn z 00 P.O.B. NW'LY COR. LOT 3 LEGEND: = AREA GRANTED BY THE CITY OF GRAPHIC SCALE MENIFEE PER THIS INSTRUMENT 0 60 120 P.O.B. POINT OF BEGINNING 11J.LLLLL ACCESS RESTRICTED LINE TABLE 1 inch = 60 ft.FES LINE BEARING DISTANCE H F �9� L1 N00'06'19"W 11.00'(RAD) 141 ��A y_ L2 S00'54'36"W 11.00'(RAD) DATE 4,� No. Y ctasoo CURVE TABLE * Exp. 3/31/2015 CURVE DELTA RADIUS_ ARC LENGTH ETH C/VIL,Fp¢Q C1 01'00'55" 8924.00' 158.14' 1LIE__NSE E. AT, RCE NO. 14900 OF CAL C2 01'00'55" 8913.00 EXPIRES: 03/31/2015 j 157.94' EXHIBIT B TAIT & ASSOCIATES INC. 1 OF 1 SEC. 3, T. 6 S., R. 3 W., S. B. B. & M., Engineering Surveying • Environmental CITY OF MENIFEE, COUNTY OF RIVERSIDE 701 PARKCENTER DRIVE, SANTA ANA, CALIFORNIA 92705 STATE OF CALIFORNIA TEL. (714) 560-8200 Recorder LARRY W. WARD P.O. Box 751 COUNTY OF RIVERSIDE Riverside, CA 92502-0751 r ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000 Website: w%yw nccrsideacr.eosn r." 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. Por. ASSESSOR'S PARCEL NO. 360 -- 050 -- 011 I declare that the documentary transfer tax for this Property Address: Newport Rd. & Bradley Rd. transaction is: $ 0 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. Please check one or explain in "Other".) 1. _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options). 2. _ Section 11911. The easement is not perpetual, permanent, or for life. 3. _ Section 11921. The instrument 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 between legal entities, and does not change the proportional interests held. 6. _ Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no additional consideration was paid. 7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the foreclosing beneficiary does not exceed the unpaid debt. 8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation. 9. _ 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. 10. Section 11930. The conveyance is to the grantor's revocable living trust. 11. y/ Other (Include explanation and authority) Recording Quit Claim Deed to finalize VAC 12-001 I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. I S r- Executed this �I day of 2014 at City State Cheryl A. Green Printed Name of Affiant Garfield Beach CVS, LLC One CVS Drive, Mail Code 1160, Woonsocket, RI 02895 Name of Firm (if applicable) Address of Affiant (including City, State, and Zip Code) 401-770-7076 Telephone Number of Affiant (including area code) This form is subject to the California Public Records Act (Government Code 6250 et. seq.) Nor Recorder's Use: Affix PCOR Label Here ACR 521 (Rev. 03/2012) Available in Alternative Formats BOE-502-A(P1) REV. 11 (07-10) 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 or 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. Please answer all questions in each section, and sign and complete the certification before filing. This form may be used in all 58 California counties. If a document evidencing a change in ownership is presented to the Recorder for recordation without the concurrent filing of a Preliminary Change of Ownership Report, the Recorder may charge an additional recording fee of twenty dollars ($20). NOTICE: The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the County Assessor. Supplemental assessments are not paid by the title or escrow company at close of escrow, and are not included in lender impound accounts. You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill. SELLER/TRANSFEROR City of Menifee BUYER]TRANSFEREE Garfield Beach CVS, LLC STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY SEC Newport Rd. & Bradley Rd., Menifee MAIL PROPERTY TAX INFORMATION TO (NAME) LARRY W. WARD, COUNTY OF RIVERSIDE ASSESSOR - COUNTY CLERK- RECORDER PO BOX 12004, RIVERSIDE, CA 92502-2204 (951) 955-6200 www.dversideacr.com ASSESSOR'S PARCEL NUMBER Por. 360-050-011 BUYER'S DAYTIME TELEPHONE NUMBER (401 ) 770-7076 ADDRESS CITY STATE ZIP CODE One CVS Drive, Mail Code 1160 Woonsocket RI 02895 ❑YES © 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. YES NO ❑ ❑✓ ❑ ❑✓ A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement etc.). B. ❑ ❑— * C. ❑ ❑✓ * D. 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.). This is a transfer between: ❑ parent(s) and child(ren) ❑grandparent(s) and grandchild(ren). This transaction is to replace a principal residence by a person 55 years of age or older. Within the same county? ❑ YES ❑ NO ❑ * E. This transaction is to replace a principal residence b a person who is severely disabled as defined by Revenue and Taxation Code section 69.5. Within the same counly7 ❑ YES r] NO ❑ ❑✓ F. 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: ❑ ❑✓ G. The recorded document creates, terminates, or reconveys a lender's interest in the property. ❑ ❑✓ H. 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: ❑ ❑✓ I. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. J. 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 transferors 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. ❑ ❑✓ 4. to/from an irrevocable trust from which the property reverts to the creator/grantor/trustor within 12 years. ❑ ❑✓ K. This property is subject to a lease with a remaining lease term of 35 years or more including written options. ❑ L. 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. F?_ ❑✓ M. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions. ❑ ❑✓ * N. This transfer is to the first purchaser of a new building containing an active solar energy system. * If you checked YES to statements C, D, or E, you may qualify for a property tax reassessment exclusion, which may allow you to maintain your previous tax base, If you checked YES to statement N, you may qualify for a property tax new construction exclusion. A claim form must be filed and all requirements met in order to obtain any of these exclusions. Contact the Assessor for claim forms. 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. 11 (07-10) 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-100-13) Contract of sale. Date of contract: [ I 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: Recording Quit Claim Deed to finalize VAC 12-001 C. Only a partial interest in the property was transferred. YES NO If YES, indicate the percentage transferred: % PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. A. Total purchase or acquisition price. Do not include closing costs or mortgage insurance. $ 0 Down payment: S Interest rate: % Seller -paid points or closing costs: $ Balloon payment: S Loan carried by seller Assumption of Contractual Assessment* with a remaining balance of: $ * An assessment used to finance property -specific improvements that constitutes a lien against the real property. B. The property was purchased: 7Through real estate broker. Broker name: Phone number: { 7 Direct from seller ❑ From a family member Other. Please explain: C. Please explain any special terms, seller concessions, 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 Check and complete as applicable. A. Type of property transferred Single-family residence Co-op/Own-your-own F ! Manufactured home Multiple -family residence. Number of units: Condominium Unimproved lot ❑ Other. Description: (i.e., timber, mineral, water rights, etc.) Timeshare i Commercial/Industrial B. YES ❑ NO Personal/business property, or incentives, are included in the purchase price. Examples are furniture, farm equipment, machinery, club memberships, etc. Attach list if available. If YES, enter the value of the personal/business property: $ C. YES ❑ 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 ❑ NO 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 CERTIFICATION Fair Poor 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 accompanying statements or documents, is true and correct to the best of my knowledge and belief. This declaration is binding on each and every buyer/transferee. VAME OF BIIYER+T7ANSFEREEILEGAL REPRESENTATIVEICORPORATE OFFICER (PLEASE PRINT) TITLE Garfield Beach CVS, LLC Assitant Secretary -MAI L ADDRES S ' Cheryl.Green2@CVSCaremark.com the Assessor's office may contact you for additional information regarding this transaction.