Grant Deed 2018-0404495RECORDING REQUESTED BY:
Chicago Title Company
When Recorded Mail Document
and Tax Statement To:
Tina M. White
The City of Poway, a municipal corporation
13325 Civic Center Dr.
Poway, CA 92064
DOC# 2018-0404495
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII
Sep 28, 2018 08:00 AM
OFFICIAL RECORDS
Ernest J. Dronenburg, Jr.,
SAN DIEGO COUNTY RECORDER
FEES: $342.00(SB2 Atkins: $0.00)
PCO :YES
PAGES: 19
Escrow Order No.: 73718008523 Exempt from fee per GC 27388.1 (a) (2); recorded in connection with a transfer subject to
APN/Parcel ID(s): 321-100-22 and 321.100-24 the imposition of documentary transfer lax.
GRANT DEED
The undersigned grantor(s) declare(s)
❑ This transfer is exempt from the documentary transfer tax.
Q The documentary transfer tax is $264.00 and is computed on:
* the full value of the interest or property conveyed.
❑ the full value less the liens or encumbrances remaining thereon at the time of sale.
The property is located in 2 the City of Poway.
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Hidden Valley Partners
hereby GRANT(S) to The City of Poway, a municipal corporation
the following described real property in the City of Poway, County of San Diego, State of California:
For APN/Parcel ID(s): 321.100.22 and 321-100-24
PARCEL 1:
THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF
SECTION 5, TOWNSHIP 14 SOUTH, RANGE 1 WEST, SAN BERNARDINO MERIDIAN, IN THE CITY OF
POWAY, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO UNITED STATES
GOVERNMENT SURVEY, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO
COUNTY.
PARCEL 1A:
THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF
SECTION 5, TOWNSHIP 14 SOUTH, RANGE 1 WEST, SAN BERNARDINO MERIDIAN, IN THE CITY OF
POWAY, COUNTY OF SAN DIEGO, STATE OF CALIFORNIA, ACCORDING TO UNITED STATES
GOVERNMENT SURVEY, FILED IN THE OFFICE OF THE COUNTY RECORDER OF SAN DIEGO
COUNTY.
PARCEL 2:
Grant Deed Printed: 08.12.18 @ 02:27 PM
SCA0000128.doc /Updated: 11.20.17 CA-CT-FWD002180.055834-73718008523
GRANT DEED
(continued)
APN/ParcellD(S): 321-100-22 and 321-100-24
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM CLEM H. ABRAMS, A SINGLE MAN, RECORDED
OCTOBER 29, 1976 AS FILE NO. 1976-360640 OF OFFICIAL RECORDS.
PARCEL3:
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM LEON C. MULLING, A SINGLE MAN, RECORDED
OCTOBER 29, 1976 AS FILE NO. 1976-360645 OF OFFICIAL RECORDS.
PARCEL 4:
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM RALPH R. WARNOCK, AN UNMARRIED MAN,
RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360648 OF OFFICIAL RECORDS.
f71390�A
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM JOHN R. HILSABECK, SR., AND MARY ANNE
HILSABECK, HUSBAND AND WIFE, RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360649 OF
OFFICIAL RECORDS.
PARCEL6:
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM VALENCIA PROPERTIES, INC., A CALIFORNIA
CORPORATION, RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360652 OF OFFICIAL RECORDS.
71394m
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED T0, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM PATRICK W. GOWAN AND MARY ELLEN GOWAN,
HUSBAND AND WIFE, AS JOINT TENANTS AS TO AN UNDIVIDED ONE-HALF INTEREST; AND
RICHARD L GOWAN AND CAROL S. GOWAN, HUSBAND AND WIFE, AS JOINT TENANTS, AS TO AN
UNDIVIDED ONE-HALF INTEREST, RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360653 OF
OFFICIAL RECORDS.
Grant Deed Printed: 09.12.18 @ 02:27 PM
SCA0000129.doc I Updated: 11.20.17 CA-CT-FWDO-02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
PARCEL &
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM EDWIN W. SMITH, A MARRIED MAN, AS HIS SOLE
AND SEPARATE PROPERTY, RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360655 OF OFFICIAL
RECORDS.
PARCEL 9:
EASEMENTS AND RIGHTS OF WAY FOR INGRESS AND EGRESS, ROAD AND UNDERGROUND
UTILITY PURPOSES, INCLUDING, BUT NOT LIMITED TO, ELECTRIC POWER, TELEPHONE, GAS,
WATER, SEWER AND CABLE TELEVISION, OVER, UNDER AND ACROSS THOSE CERTAIN
EASEMENTS AS SET FORTH IN THE DEED FROM JOHN B. GERDING AND ELIZABETH N. GERDING,
HUSBAND AND WIFE, RECORDED OCTOBER 29, 1976 AS FILE NO. 1976-360661 OF OFFICIAL
RECORDS.
Grant Deed Printed: 09.12.18 @ 02:27 PM
CA -CT -FWD
SCA0000129.doc / Updated: 11.20.17 402180.05583473778008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
Dated: September 12, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
HiddenVa ley Partners
BY: '
Rob rt H. Hagey, Jr.
Trustee of the Robert H Hagey Jr. Trust
Declaration of Trust restated February 25,
BY:
Elizabeth Hagey Drakulich
BY:
ames S. Hagey
BY:
Edward U. Hage
BY:
John agey
BY:
Susan Hagey Wall
BY:
William H. Hagey
BY:
Caroline A. Pollacek
1997
*signed in counterpart
ee
Grant Deed Printed: 09.12.18 @ 02:27 PM
SCA0000129.dac t Updated: 11.20.17 CA -CT -F WDO-02180.05583473718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
Dated: September 25, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
Hidden Valley Partners
*signed in counterpart
BY:
Robert H. Hagey, Jr.
Trustee of the Robert H. Hagey, Jr. Trust
Declaration of Trust restated February 25, 1997 nn
BY: Ud&gu I AG-�N
Elizabet agey Drakulich �—
*
BY:
James S. Hagey
BY:
Edward H. Hagey
BY:
John F. Hagey
BY:
Susan Hagey Wall
BY:
William H. Hagey
BY:
Caroline A. Pollacek
*
Grant Dead w/ PCOR Pnnted: 09.25.18 (a3 02:39 PM
SCA0002540.doe / Updated: 12.28,17 CA -CT -FW DO -02180.055834-73718008523
GRANT DEED
(continued)
APN/ParcellD(S): 321-100-22 and 321-100-24
Dated: September 12, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
Hidden Valley Partners
BY:
Robert H. Hagey, Jr.
Trustee of the Robert H Hagey Jr. Trust
Declaration of Trust restated February 25, 1997
BY:
Elizabeth Hagey Drakulich
BY:
James S. Hagey
BY:
Edward H. Hagey
BY:
John F. Hagey
BY:
Susan Hagey Wall
BY:
William H. Hagey
BY:
Caroline A. Pollacek
*signed in counterpart
Grant Deed Printed: 09.12.18 @ 02:27 PM
SCA0000129.doc/ Updated: 11 .20.17 CA-CT-FWDO-02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
Dated: September 12, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
Hidden Valley Partners
BY:
Robert H. Hagey, Jr.
Trustee of the Robert H Hagey Jr. Trust
Declaration of Trust restated February 25, 1997
BY:
Elizabeth Hagey Drakulich
BY:
James S. Hagey
BY:
Edward H. Hagey
BY:
John F. Hagey
BY:
Susan Hagey Wall
BY:
William H. Hagey
BY:
Caroline A. Pollacek
*signed in counterpart
Grant Dead Printed: 09.12.18 @ 02:27 PM
SCA0000129.dw / Updated: 11.20.17 CA-CT-FwDO-02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
Dated: September 12, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
Hidden Valley Partners
*
BY:
Robert H. Hagey, Jr.
Trustee of the Robert H Hagey Jr. Trust
Declaration of Trust restated February 25, 1997
BY:
Elizabeth Hagey Drakulich
BY:
James S. Hagey
BY:
Edward H. Hagey
BY:
John F. Hagey
BY:
Sus n -- -1-1 ^ `�
By I
William H. Hagey
BY:
Caroline A. Pollacek
*signed in counterpart
Grant Deed Printed: 09.12.18 @ 02:27 PM
SCA0000129.doc / Updated: 11.20.17 CA-CT-FWDO-02180.055834-73718008523
GRANT DEED
(continued)
APN/PafcellD(s): 321-100-22 and 321-100-24
Dated: September 12, 2018
IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below.
Hidden Valley Partners
BY:
Robert H. Hagey, Jr.
Trustee of the Robert H Hagey Jr. Trust
Declaration of Trust restated February 25, 1997
BY:
Elizabeth Hagey Drakulich
BY:
James S. Hagey
IM
Edward H. Hagey
BY:
John F. Hagey
BY:
Susan Hagey Wall
BY:
William H. Hagey �J
BY: / 66 1'4
Caroline A. Pollacek
*signed in counterpart
Grant Deed Pnnted 09.12.18 @ 02:27 PM
SCA0000129.doc l Updated: 11.20.17 CA -CT -FW DO -02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
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 0A li611--o k2 t A
County of 6A�a) .'pr�/r-O /a /`
On ow before me, CY t-�-. U'-1 e,50A) _, Notary Public,
(here insert name and title of the officer)
personally appeared o r At, -L----4 QTR
who proved to me on the basis of satisfactory evidence to be Mg person(s)-whose name(s)Z98re subscribed to the
within instrum nt and acknowledged to me thaie a/they executed the same irCf is/ r/their authorized capacity4se),
and that b is er/their signature(f*on the inrraFnent the personal, 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 fficial seal.
i;i=gna/11rev71
Grant Deed
SCA0000129.doc / Updated: 11.20.17
GAYLE GIBSON
(Seal)x' Notary Public - California
r San 01490 County i
Commisslon #r 2163829
Mv Comm. Eltk#s Sep 26 2020
Printed: 09.12.18 @ 02:27 PM
CA -CT -F W D 0-02180.05583473718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
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
County of
before me,
IiFliii 7
Notary Public,
personally appeared v I Ir:f+C)I X N L)L W `C- ersov- t ,
who proved to me on the basis of satisfactory evidenc to a the pns) 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 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.
WITN S my hand an official seal.
%
Signat re /
...............
(Seal)
.............................,..,,,...,...., I -- ...... ORI FWER
Notary Public - State of Nevada
• .. Appointment Retotded In Wasto 00unh
' No: 07.4406-2- EVIMe July 10, 2019
Grant Deed Printed: 09.12.18 @ 02:27 PM
SCA0000129.doc / Updated: 11.20.17 CA -CT -F WDO-02180.055834-73718008523
NOTARY ACKNOWLEDGMENT
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 California )
County of�j Aye )
A NOTARY PUBL#e
On !' "x19— l g before me, 4Lt L1;' etpsCA)
(insert name and title of the officer), personally appeared
who proved to me on the basis of satisfactory evidence to be the person(e) whose
name(s `s�1 re subscribed to the within instrument and acknowledged to me that
e he/they executed the same ir�her/their authorized capacity(a�), and that
byg�her/their signature(s} on the instrument the person(sj, 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 my hand and official seal.
(Sign urI La
OATU GISSON
NoYry PubMo • CNBornlo
Son UMICCood
Com r"sw M 2183829
mycqmm. koo Sep 28.2020
(Affix Seal)
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
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 L 0
County of
On "cJE�%�/y%i R �'. Ai before me, Y � 'E � �1�7 Notary Public,
(here insert name and title of the officer)
personally appeared E= /-I? �a ,
who proved to me on the basis of satisfactory evi ence 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 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.
WI ESS m r nd and off I seal.
Signature
(Seal)
Grant Deed
SCA0000129.doc l Updated: 11.20.17
TERESA R. MCELANEY
7 Notary Public • California
i • `� San Diego County Z
Commlaalon r 2175882
M Comm. Ea rel Jan 12, 2021
xPtv�e s l P2, t al
printed: 09.12.18 @ 02:27 PM
CA -CT -F W DO -02180.055834-73718008523
NOTARY ACKNOWLEDGMENT
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 California )
County of {*N
On gXp),1 8 before me, 413Solj I107)1-"Pdg1-��
(insert name and title of the officer), personally appeared
who proved to me on the basis of satisfactory evidence.to be the person(s) whose
nameare subscribed to the within instrument and acknowledged to me that
e/ e/ffiey executed the same i is/ r/their authorized capacitykies), and that
by'1 her/their signature(s)-on the instrument the person(e), 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 my hand and official seal.
GAYLE GIBSON
(Si tat ee)\�%Mg
Noury Pubue • CUuornle
Stn DNpo County
Commleelon N 2163829
Comm. Expires Sep 26.2020
R I (Affix Seal)
NOTARY SEAL CERTIFICATION
(Government Code 27361.7)
I CERTIFY UNDER PENALTY OF PERJURY THAT THE NOTARY SEAL
ON THE DOCUMENT TO WHICH THIS STATEMENT IS ATTACHED
READS AS FOLLOWS:
Name of the Notary:
Commission Number .d� Date Commission Expires: 00
County Where Bond is Filed:
Manufacturer or Vendor Number:
S
on both sides of the notary
applicable)
Place of Execution: San Diego Date: q / (�7- /_18_
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
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 vA�113tf\
County of JPUW I A
On Alwl I e
before me, C• I " , r bby 1 PKmtcic,
` HAM �� (here insert name and title of the officer)
personally appeared JLA�tn I u I��FC-t WN
who proved to me on the basis of satisfac£ory' evidence to be the personXwhose nameX is/subscribed to the
within instrument and acknowledged to me that Wshe/tpey executed the same in qWlherltt it authorized capacity(ie 1,
and that by cher/tfjefr signatureX on the instrument the person(4,, or the entity upon behalf of which the person(4
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
f y hand and official seal.
Signature
Grant Deed
SCA0000129.doc /Updated: 11.20.17
E. MCKEE
Notary Public - California
(Seal) Santa Clara County
Commission p 2255052
6My Comm. Expires Aug 19, 2022
Printed: 09.12.18 Q 02:27 PM
CA -CT -F W DO -02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(s): 321-100-22 and 321-100-24
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 oft Y/ l nnr \\ //��4
Countyyof�G,� M/% MC -GJ �/ ,_/
On ! ?q
before me, P6K1%4' �[� L, G • -,Notary Public,
(here insert name and title of the officer)
personally appeared f/— i �/ `%/h /�� H��6V ,
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 person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALT PERJURY under the laws of the State of California that the foregoing paragraph is true and
correct.
• DEANA COULTER
Notary Public - California z
(Seal) San Diego County >
Commission a 2234280
My Comm. Expires Apr 8, 2022
Grant Deed Printed: 09.12. 18 @ 02:27 PM
SCA0000129.doc / Updated: 11.20.17 CA -CT -F W DO -02180.055834-73718008523
GRANT DEED
(continued)
APN/Parcel ID(S): 321-100-22 and 321-100-24
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 CALIP-OR✓Jiuq
County of xf eyva0 jq
On .eCpr,4vnbc✓ 2,1 2-0t2 before me, aoAO.hU�SM11'�1 Notary Public,
(here insert name and title of the officer)
personally appeared J q, 1-IJ11 VA (VW I
who proved to me on the basis of satisfactory evid nce to be the persorA whose name is/are subscribed to the
within instrument nd acknowledged to me that he h1Sy executed the same in h�at�gtt authorized capacity(i
and that by� er 4 signatureN-on the instrument the personz;h, or the entity upon behalf of which the person(
acted, executed to instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and
correct.
WIT =Shd official seal.
am.
Signat re
(Seal)
AMANDA SMITH
Commission # 2113595
Z Notary Public - California
Z Placer County
M Comm. Ex ires Jun 27, 2019'
Grant Deed Panted: 09.12.18 Q 02:27 PM
SCA0000129.doc / Updated: 11.20.17 CA -CT -FW DO -02180.055834-73718008523
CERTIFICATE OF ACCEPTANCE
This is to certify that the interest in real property, Assessor's Parcel Numbers 321-100-22-00 and
321-100-24-00, conveyed by the Grant Deed dated October 1, 2018, from HIDDEN VALLEY
PARTNERS to the CITY OF POWAY, a municipal corporation, is hereby accepted by the
undersigned officer on behalf of the City of Poway pursuant to authority conferred by the City
Council through Resolution No. 17-007 adopted on April 18, 2017, and the Buyer consents to
recordation thereof by its duly authorized officer.
"BUYER"
CITY OF POWAY,
a municipal corporation
Dated: qI;KI�2Le By:
Robert J. Manis,
Director of Development
UOE-502-A IN) REV 13(06-17)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
To be completed by the transferee (buyer) prior to a transfer of subject
property, in accordance with section 400.3 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.
FOR ASSESSOR'S USE ONLY
r
The City of Poway, a municipal corporation ASSESSOR'S PARCEL NUMBER
13325 Civic Center Dr. 321.10042 and 321-100-24
Poway, CA 92064 SELLER/TWSFEROR
DYES � NO This
or in
as my principal residence. It YES, please indicate the date of occupancy
El YES k NO Are you a disabled veteran or an unmarried surviving spouse of a disabled veteran who was
compensated at 100% by the Department of Veterans Affairs?
MAIL PROPERTY TAX INFORMATION TO (NAME)
MAIL
TRANSFER INFORMATION Please complete all statements.
This section contains possible exclusions from reassessment for certain types of transfers.
ZIP CODE
YES NO
H.
❑
A.
This transfer Is solely between spouses (addition or removal of a spouse, death of a spouse, divorce settlement, etc.).
❑
B.
This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal of
(e.g., cosigner). If YES, please explain:
❑
a partner, death of a partner, termination settlement, etc.).
❑
C.
This is a transfer: ❑ between parent(s) and child(ren) ❑ from grandparent(s) to grandchild(ren).
❑
' D.
This transfer is the result of a cotenant's death. Date of death
❑
,�I ' E.
This transaction is to replace a principal residence by a person 55 years or age or older.
❑ the translator, and/or ❑ the transferor's spouse ❑ registered domestic partner.
❑
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
❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor'sltrustor's registered domestic partner.
❑
section 69.5. Within the same county? ❑ YES ❑ NO
O
G.
This transaction is only a correction of the name(s) of the persons) holding title to the property (e.g., a name change upon marriage).
This Is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel
-
If YES, please explain:
❑I
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-.
yp
1. to/from a revocable trust that may be revoked by the transferor and is for the benefit of
1
❑ the translator, and/or ❑ the transferor's spouse ❑ registered domestic partner.
❑
2. to/from an irrevocable trust for the benefit of the
❑ creator/grantor/trustor and/or ❑ grantor's/trustor's spouse ❑ grantor'sltrustor's registered domestic partner.
❑
,�( L.
This property is subject to a lease with a remaining lease term of 35 years or more including written options.
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.
❑
`Of N.
This is a transfer subject to subsidized low-income housing requirements with governmentally imposed restrictions, or restrictions
✓C
imposed by specified nonprofit corporations.
❑,}uuu�('
O.
This transfer is to the first purchaser of a new building containing an active solar energy system.
❑
W P.
Other. This transfer is to
' \ Please refer to the instructions for Pad 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
Preliminary Change of Ownership (PCOR - Al Pages) Printed: 09.12.18 (x103:22 PM
SCA0002835.doc / Updated: 12.28.17 Page 1 CA -CT -F WDO-02180.055834-73718008523
BOE -502-A (P2)REV. 13(08-t7)
PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable.
A. Dale 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. Dale 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 XNO If YES, Indicate the percentage transferred: %
PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable.
A. Total purchase price.
B. Cash down payment or value of trade or exc excluding closing costs Amount $a 40,i (_f7 • CV
C. First deed of (rust % sl for years. Monthly payment $ Amount $
❑ FHA (Discount Points) ❑ Cal -Vet frbySelle",count Points) ❑ Fixed rate O Variable rate
❑ BanklSavin s & LoaNC t Un n ❑ Lo ar
❑ Balloon payment $ ue 1
D. Second deed of trust ° t est fo ars, Monthly payment $ Amount $
❑ Fixed rate ❑ Variable rale Bank/Savin aNCredit Union ❑ Loan carded by seller
❑ Balloon payment $ e dale:
E. Was an Improvement Bond or other p c financing assumed by the buyer? ❑ YES ❑ NO Outstanding balance $
F. Amount, If any, of real estate com salon fees paid by the buyer which are not included in the purchase price $
G. The property was purchased: O Through real estate broker. Broker name:
>,Dlrect from seller ❑ From a family member -Relationship
❑ Other. Please explain:
Phone number:
H, Please explain any special terms, seller concessions, brokeriagent fees walved, 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 ❑ Manufactured home
❑ Multiple -family residence, Number of units: _ ❑ Condominium ❑ Unimproved lot
X017e1. De , (e. limber, mineral, water rights, etc.) ❑ Timeshare ❑ Commercial/industrial
B. ❑ YES NO Personallnusiness 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 personagbusiness property: $ Incentives $
C. ❑ YES XNO A manufactured home Is Included In the purchase price.
If YES, enter the value attributed to the manufactured home: $
❑ YES �d.NO The manufactured home is subject to local property lax. If NO, enter decal number:
D. ❑ YES XNO The property produces rental or other Income.
If YES, the Income is from: 13 Leasetrent ❑ Contract ❑ Mineral rights ❑ Other:
E. The condition of the \p Karl a�hti � a y+as: i�Good ❑ Average ❑ Fair ❑ Poor
Pleas edescri-- �i/i(� � -
CERTIFICATION
I certify (or declare) that the foregoing and all Information hereon, Including any accompanying statements or documents, Is true and correct to the
best of my knowledge and belie/
aIONATUREOl'BUYEWRAAfS
Ef.OR
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(�/�V)TELEP N �IY5..`T...i/i
NAMEOFBUY SFER
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RF�R Jr4ATIV RPORATE OFFICER (PLEASE PRINT)
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The Assessofs office may contact you for additional InformaileA regarding thlAransaction. 1J
Preliminary Change of Ownership (PCOR - All Pages) - Pdnled: 09.12.18 003:22 PM
SCA0002835.doc I Updated: 12.28.17 Page 2 CA-CT.FWDO-02180.055834-73718008523
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