RecDoc 2020-146947 Grant Deed Casey to RWC

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TRANSFER TAX AFFIDAVIT, pg. 2 6. ARE YOU MOVING TITLE INTO OR OUT OF A TRUST? ❑ Yes EX No / ❑ Into ❑ Out of / ❑ Revocable ❑ Irrevocable a. Name of Trust: c. Name of Trustor(s): d. Name(s) of Currently Active Trustee(s): b. Date of Trust: e. If this transaction changes who is on title or the proportional interest of how title is held, further explanation is required and may require additional time to review. Attacn aamnonat page(s) it necessary. 7. DO YOU CONTEND THAT NO TRANSFER TAX IS DUE FOR A REASON NOT EXPLAINED IN #1-6? IX Yes ❑ No (If yes, give a complete explanation.) a. The nature of the transaction is: Donation/Gift b. The reason (exemption) you claim no tax is due: R £t T 11922 8. IS THIS A TRANSFER BETWEEN LEGAL ENTITIES? ❑ Yes N No IF YES, TRANSFERS INVOLVING LEGAL ENTITIES MUST PROVIDE, PREFERRABLY ONE _11)_WEEK 114 ADVANCE, APPLICABLE DOCU- MENTATION. SOME EXAMPLES ARE LISTED BELOW. THIS TYPE OF TRANSACTION WILL REQUIRE 1.3 BUSINESS DAYS TO REVIEW. Entity ownership documentation is required if you are a: Corporation—A copy of the Articles of Incorporation amendments and any other documents showing the shares issued and share ownership; or LLC—A copy of the Operating Agreement, amendments, and any other documentation showing the partners and ownership \percentage; or Partnership— A copy of the Partner Agreement, amendments and any other documents showing the part- ners and ownership percentage. For all legal entities, provide the names of individuals and specific percentages held by each individual prior to and following the transfer. TAXA$l-E TRANSACTION5: Complete the following and calculate the tax below. Tax is Calculated as 50.55 per 5500 Example, $100,000 value/$500 increments = 200. 200 increments x $0.55 = $110 in tax due. You may also use $1.10 A) Consideration paid or value. $ B) ❑ Full cash value. ❑ Less liens. C) If less liens, loan amount assumed. $ D) Total consideration or value less liens. (Line A minus line C.) $ E) Tax due. $ I DECLARE OR AFFIRM UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Ar you the ® Transfere Transferor, 1:1h, or El Representative with full knowledge of foregoing. Signature still required. Signature of Transferee: Print Name: qyo Address of Transfer e: Phone Number of Transferee: 1111. Signature of Transferor: Print Name Address of Transferor: Phone Number of Transferor: Place of Execution: (City, County, State where executed.) Date of Execution REC-SMC-012011-REV_3 (10/2016) Page 2 of 2