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BOE -502-A (Pl) REV. 13 (06-17) <br />PRELIMINARY CHANGE OF OWNERSHIP REPORT <br />To be completed by the transferee (buyer) prior to a transfer of subject <br />property, in accordance with section 480.3 of the Revenue and Taxation <br />Code. A Preliminary Change of Ownership Report must be filed with each <br />conveyance in the County Recorder's office for the county where <br />the property is located. <br />FOR ASSESSOR'S USE ONLY <br />L <br />ASSESSOR'S PARCEL NUMBER <br />057-221-100 and 057-221-110 and 057-222-240 and 057-222- <br />250 and 057-222-260 and 057-222-270 and 057-222-280 and <br />057-222-290 and 057-222-300 <br />SELLER/TRANSFEROR <br />Mel Casey and Marguerite Casey, The Casey Family Trust <br />dated 5/10/2000„ The Casey Family Trust created by them on <br />May_ _10,_2_000, <br />BUYER/TRANSFEREE <br />City of Redwood City <br />BUYER/TRANSFEREE ADDRESS <br />BUYER'S DAYTIME PHONE and EMAIL ADDRESS <br />STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY <br />Vacant Land / APN 057-221-100,057-221-110,057-222-240,057-222-250, 057-222-260,057-222-270,057-222-280, 057-222-290 and 057-222-300, Redwood City, <br />❑ YES O NO This property is intended as my principal residence. If YES, please indicate the date MO DAY f YEAR <br />of occupancy or intended occupancy. <br />❑ YES ® NO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran <br />who was compensated at 100% by the Department of Veterans Affairs? <br />MAIL PROPERTY TAX INFORMATION TO (NAME) <br />City of Redwood City <br />MAIL PROPERTY TAX INFORMATION TO (ADDRESS) CITY STATE TIP CODE <br />1017 Middlefield Road I 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 />❑ ® A. This transfer is solely between spouses (adrlitinn or removal ofa spouse, death ofa spouse, divorce settlement, etc.). <br />❑ ® B. This transfer is solely between domestic partners currently registered with the California Secretary of State (addWon or removal of <br />partner, death of partner, termination settlement, etc.). <br />❑ ® *C. This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren). <br />❑ ❑X *D. This transfer is the result of a cotenant's death. Date of death <br />❑ ❑X *E. This transaction is to replace a principal residence by a person 55 years of age or older. <br />Within the same county? ❑ YES ❑ NO <br />❑ ® *F. This transaction is to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code <br />section 69.5. Within the same county? YES [—] NO <br />❑ ® 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). <br />If YES, please explain: <br />❑ ® H. The recorded document creates, terminates, or reconveys a lender's interest in the property. <br />❑ Q 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 />❑ 7*0. This transfer is to the first purchaser of a new building containing an active solar energy system. <br />® ❑ P other. This transfer is to donation of property to a public entity. <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 />K. <br />This is a transfer of property: <br />❑ <br />0 <br />1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of <br />❑ the transferor, and/or ❑ the transferor's spouse ❑ registered domestic partner. <br />�] <br />® <br />2. to/from an irrevocable trust for the benefit of the <br />❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor's/trustor's registered domestic partner. <br />0 L. <br />This property is subject to a lease with a remaining lease term of 35 years or more including written options. <br />❑ <br />® M. <br />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 />❑ <br />® N. <br />This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions <br />imposed by specified nonprofit corporations. <br />❑ 7*0. This transfer is to the first purchaser of a new building containing an active solar energy system. <br />® ❑ P other. This transfer is to donation of property to a public entity. <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 />