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2019-013342 PCOR <br />y of SqA, 9:30 am 02/27/19 OD Fee: NO FEE <br />EF -502 ,A -R13-0617-41003962-1 J� A'9A <br />Recorded in Official Records <br />BOE-502-A(PI) REV. 13 (06-17) u° o County of San Mateo <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT Mark Church <br />To be completed by the transferee (buyer) prior to a transfer of Assessor -County Clerk -Recorder <br />subject property, in accordance with section of the Revenue ��FORN IIII IIIIIIII I VIIIIIIIIIIIIVIII1111111111111111111111111111111111111111 <br />and Taxation <br />Ownership Code. A Preliminary Change of Ownership Report <br />must be filed with each conveyance in the County Recorder's * g p 0 II 0 2 6 6 7 8 5 9 <br />office for the county where the property is located. <br />FOR ASSESSOR'S USE ONLY ASSESSOF <br />r , 052-372-240, 052-372-200, 052-372-170 <br />SELLERnRANSFEROR <br />Vista Marin LLC (no change of ownership) <br />BUYER'S DAYTIME TELEPHONE NUMBER <br />( 650 ) 780-7301 <br />BUYER'S EMAILADDRESS <br />L J mdiaz@redwoodcity.org (no change of ownership) <br />STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY <br />707-777 Bradford Street, Redwood City, CA 94063 <br />YES ] NO This property is intended as my principal residence. If YES, please indicate the dale of occupancy Mo DAY YEAR <br />or intended occupancy. <br />YES Z NO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran who was <br />compensated al 100% by the Department of Veterans Affairs? <br />MAIL PROPERTY TAX INFORMATION TO (NAME) <br />City of Redwood City, Attn. City Manager <br />MAIL PROPERTY TAX INFORMATION TO(ADDRESS) CITU STATE zIPCODE <br />1017 Middlefield Road Redwood City CA 94063 <br />PART 1. TRANSFER INFORMATION Please complete all statements. <br />This section contains possible exclusions from reassessment for certain types of transfers. <br />YES NO <br />E] Z A. This transfer is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.). <br />E] Z B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of <br />a partner, death of a partner, termination settlement, etc.). <br />E] n,/ • C. This is a transfer. [] between parent(s) and child(ren) F] from grandparent(s) to grandchild(ren). <br />E] Q * D. This transfer is the result of a cotenant's death. Dale of death <br />F,/]' E. This transaction is to replace a principal residence owned by a person 55 years of age or older. <br />Within the same county? []YES F] NO <br />ElZ - F. This transaction is to replace a principal residence b a erson who is severely disabled as defined by Revenue and Taxation Code <br />section 69.5. Within the same county? F] YES HNO <br />ZG. 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). <br />If YES, please explain: <br />F1 Qd H. The recorded document creates, terminates, or reconveys a lender's interest in the property. <br />❑✓ I. This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest <br />(e.g., cosigner). If YES, please explain: <br />J. The recorded document substitutes a trustee of a trust, mortgage, or other similar document. <br />K. This is a transfer of property: <br />❑✓ 1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of <br />F1 the transferor, and/or ❑ the transferor's spouse F� registered domestic partner. <br />QJ 2. to/from an irrevocable trust for the benefit of the <br />❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor'sitrustor's registered domestic partner. <br />❑ ❑✓ L. This property is subject to a lease with a remaining lease term of 35 years or more including written options. <br />F] Q M. This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel <br />being transferred remain exactly the same after the transfer. <br />❑ Z N. This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions <br />imposed by specified nonprofit corporations. <br />❑ Z* O. This transfer is to the first purchaser of a new building containing an active solar energy system. <br />✓❑ ❑ P. Other. This transfer is to See Attachment 1. <br />Please refer to the instructions for Part 1. <br />Please provide any other information that will help the Assessor understand the nature of the transfer. <br />THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION <br />Illllllllnlllll IIIIIIII�IIIII�IIIgIII��IIII�I�I�III����IInIIz�NII�IIIIIIIIaINIIIIQIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />