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U� Tel* terra l* tsar raasrl Mns sarMad <br />1S County Tmoe etlM REAL ESTATE EXCISE TAX ay NeAMr. Par M Nrt w <br />Is .1 props" isle" eMdrNCMntytraaawM. <br />pWiill Y.N IIf,1T <br />OHAPT[11 48"1 WAC <br />6E Type OR PRINT _ n n .....axe malaa!•11E8 <br />ALL TAX PARCEL WAM"S <br />HIM obywR'6 None )Y <br />PERMANENT ADDRESS <br />FOR ALL PROPERTY a1rM <br />TAX RELATED _ <br />00xbmSPONG1INCE Cay/e1Me <br />LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED <br />COUNTY ❑ OR M City OF <br />Is this properly currently: YES NO <br />Classified or d**Ignsl*d as forest lard? ❑ <br />Chapter 04.33 RCW <br />Classified as current USa land (open Space, 1� <br />farm and agricultural. W fire")? Chapter 8e.34 RCW ❑ /'+ <br />Exempt from Pfgp*rtY tax under nonprofit ❑ <br />organitallons Chapter 84.36 RCW? <br />Receiving $Psctal vNusllon as historic ❑ <br />property under Chapter 84.26 RCW? <br />Type Property: Xand only ❑ land with new building. <br />❑ land with previously ❑ land with mobil* home <br />used building <br />SEE TAX OBLIGATIONS ON REVERSE SIDE <br />(1) NOTICE OF CONTINUANCE (RCW)84.33orRCW44.30 <br />If the now ow"r(s) of land that is classified Or doelgnsled as OWSM us@ or fora' <br />]And wlnh(M) fo Continue the Claaallloollon or designailon Of such lend, the new <br />nwnnr(a) mum sign below. II rho now owners) doles) not desire to confirmuch <br />I <br />clnnelticatlon or donlgn,lion, all compensating or addlllonal Is- calculated Pwa <br />In RCW Re 33. 120 end 140 m nCW 84.34.108 %hall be due and payable by the senor <br />o, tm,mforor at the time of eels. The county assessor moat dslsrml"O 11 the land <br />tr,nsfomed qualities to continue eludi"C2110A or designallon end must so Indicate <br />below. Slgnelnfeo do not nseesan,lly mean the land will remain In claxsnicailon or <br />designs tlon, II II no longer qualifies. II will be removed and the oOmP%nnimil Ism <br />will be epplled. All ew owners must alga. <br />This land ❑ does ❑ doesnolqusllfy 5FFn,Aseyssm <br />for continuance. <br />DAlr -� <br />(3) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) <br />If the new owns,(,) of properly with speclai valuation as historic property <br />,jshial <br />the nto conflnuo thin ow er(O do(es) not valuation below. <br />debits to continue such spacial vshmnorr, a <br />ew l sddl- <br />Ilonal tAx calculated pursuant to Chapter 84.26 RCW. Shell be due and Payable <br />by the antler or trencferor Of Ins Ilms of got*. <br />(3) OWNER(S) SIGNATURE <br />Deaodinflon el personal proWy N Included In sole ( "Wit. 60- <br />pliences, ate.) <br />N exemption gl*lowd, *Xpl*ln <br />Typo of Document <br />Dais of Dxum*nl <br />of"$ Sal* Price / / S <br />Personal Properly (deduct) 2/ <br />Taxable Sets PNc* <br />Exclw Tax: Slate <br />Local 31 <br />Delinquent Interest: a/Stale <br />Local <br />Delinquent Penalty:/ / Stale <br />Total Due <br />(SEE 1.6 ON REVERSE SIDE) <br />AFFIDAVIT <br />1 CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF <br />THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE <br />AND CORRECT (se@ N6 on raven* lor Pennines)• <br />SIGNATURE <br />NAME (Print)_A'J+-I��IJL---•'�—'-'�"""—� <br />DATE i PLACE OF SIGNING: G V P <br />SPECIFY (circle): grant IgranlNl sntor's aganl/graxtre's SOW <br />Address of r**Idsrrc* or Dlsc* of bsal*Saa of p*rSon algrrXtg (Spaclh): <br />r ZjL 1P u. e k < r <br />The lollewinp nplior,el questions are requested by RCW 82A6, i 20 YES 110 <br />.. _. __._. _ n���........wo.l*relve • bads. DMIet <br />