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PLEASE TYPE OR PRIM' REAL ESTATE EXCISE TAX AFFIDAVIT Thu Iona rlav tempt `heat Rasped <br />PLEASE SEE REVERSE by cashkr. <br />CHAFFER Una <br />RCW - T essu PA Office <br />WAC <br />11hs o r Carr Tlerrin Omra <br />(UR For,nTH No. teL WI fa RepaningL NOT BE ACC d ComeNL E AL d RaAS OwraA E w L DRa MPL T Power) <br />_ THIS AFPOWP WILL NOT tR ACCEPTED IIf11dS9 ALL ARRAS 1-7 ARE PRJ.Y COMPLETED <br />Name fjJS.IME RTIr rnMISOCIAZKgRg <br />a Not m <br />A?" PROPaaTr M. <br />u <br />StreetA%26 ffEDEWAr. Ann <br />Sued i]nn CPTTtaa C <br />Y <br />wO <br />r of <br />v <br />CitylSluNZip EVEU3 r VA-9=3—.— <br />City/SWNLp ARm�yA <br />aRMI <br />_ <br />ADDRESS TO SEND ALL PIIDPFRrY TAX RELATED CORRE90NDPNE'B <br />ALL TAX PARCEL NUMBERS <br />Pnvrrfm M <br />PI <br />stm SM'71~In 153111)Q <br />i17Ons]J117J1M] <br />':�. <br />w <br />�^ <br />CitYl$We/Zio <br />LEGAL DESCRIPTION QF PROPERLY SITUATED IN ❑ UNINCORPORATED <br />StM Address (if pmpcny is imp omi): MIA <br />SEE REVERSE <br />Is this property =ready: YES NO <br />Classified or designated as (oral lad'( ❑ 10 <br />Chapter ee.31 RCW <br />Clmified as tarred use land (open space, farm ❑ [E] <br />and agricultural, or timber)? Chapu fa.7A RCW <br />Exempt from property tax As a aprofft ❑ �] <br />organisation? Chapter $4.36 RCW <br />Seller', Esetpt Reg. No. _ _ _ _ _ _ _ _ <br />Roecivisq special wlustion as, historic❑ fl <br />properly? Chapter 84.26 RCW Y <br />Props y Type:93 Wad only ❑ land with tea building <br />❑ lad with pm,iousty used building O lad with mobile More <br />❑ timber only ❑ building only <br />Principal Use. ❑ Apt. (e + unit Q residential <br />O timber ❑ agricultunl a mmmeseialfiduttial <br />❑ other <br />101 NOTICE OF CONTINUANCE (RCW 84.33 or RC'VN 94.34) <br />If the raw owner(s) Wand In* is class(Red or designated as currou use <br />or fxem lad wish to continue the classification or designson of such <br />Wad, the new ownens) must sign below. Ifthe new owner(]) do an desire <br />to continue such ciaaiftcatiun or designation, all compensating or sM. <br />thaal tas calculated pusuad to RCW $4.33.120 and 140 or RCW <br />14.34. LOB shall be due and pat by the RAW or transistor a the time <br />dsale.Theooumya mrnamdckmnniftklandumsfu glatDfies <br />to continue tlmif¢Rion or designation mild moat an indicate below. <br />Signatures do not necessarily mean Use Wad will remain in classification <br />or designation. If it -o longer qualifies, it will be removed and the unto- <br />pensating taxer will be applied. AD new owners most sign. <br />This lad O does ❑ does trot qualify ler wdinuance. <br />Due <br />DEPUTY ASSESSOR <br />(2) NOTICE OF COMPIJANCE (Chapter 54.26 RCW) <br />wthe new owner(s) of pmpeny with special valuation as historic property <br />wish to continue this special valuation the new owner(s) mat sign below. <br />If the new owwAs) do not detim to continue such special valuation. W <br />additional sex aleulatod pursuant to Chapter B4.26 RCW, shall be due <br />ad payable by the Rller of uansferor a the time of sale. <br />(3) OWNER(S) SIGNATURE <br />and fine <br />REV a tQtj+'°g6i 5) IP,D 6.1945) <br />1y:,D <br />® SOA DANIIHI. SnahcMIsh County ire Suar <br />Deouty <br />Ey��ty <br />COUNTY W OR IN CITY OPZqgggl <br />of tangible penad oap arty R Installed la sale (rardtare. <br />ek.) <br />N/A i <br />N a empdon disband, Ile WAC number and apsenallm <br />WAC Mm (Sdfab) 45t 6[ I In <br />EmAneadost COITlaNIOOiT TNANSYMS <br />�l-ISS L-ORCONDEMIIAT . <br />TM of Document STA'I43gIRT QALIANTF Dg® <br />Data of DocmeeN _OC OB91146. k996 <br />Groat Sale Price f <br />Personal Property (deduct) f <br />'Oaoble Sala Prig f <br />Eau i►x: Sale!, f <br />LAW It <br />Delinquent InmM: Stile 11- <br />IAnI f <br />Dataquest M1aalN: Shut f <br />Toh1 Dow f <br />DIE 1S A $2.09 FEZ FOR PROCESSING TILLS FORM R NO TAR 3 DUE <br />a AFFIDAVIT <br />I eertlfy under penally of per try under the laws of the date of <br />Wuhingtoo that the foregoing true anal touter (See hack of this <br />teem). / <br />Signature of <br />Name (lMbQ 4�/ <br />Date k Place of Signing <br />GranbWAgent' <br />Name (print) — e. <br />Dam A Place of Signing y' r' I <br />is punishable by imprisonment in a state conectioal institution for a maximum term of not <br />t fixed by the can of not more than file dtousad dollars (i3,000.00), or by both imprisonment <br />FOR TREASURER'S USE ONLY <br />336916 PENT le/21/% FEE <br />W <br />TAXPAYER <br />