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Depanmentat� I�' <br /> Revenue� <br /> w�_n���;o�sm;: R�AL ESTATE E�TAX AI'FIDAVIT This form is yow receipt. <br /> PLEASE TYPE OR PRINT CHAPTER 82.�5 RC iAPTER 498-6IA WAC when stamped by cashier. � <br /> TffiS.AFFIDAVIT 1VILL VOT BE ACCEPTED UVLESS ALL AREAS ON ALL PAGES ARE FULLY C0�IPLETED �� <br /> (See back of Izst page for instructions) �� <br /> ❑ Chzck box if partial sale of properry [f multiple owners,list percentaee of o�enership next ta namz. �� <br /> name: Premier Communities,LL.C.,a Washington Name: Lennar Northwest,Inc.,a Delaware corporation <br /> limited liability company I <br /> � II <br /> �z hiailine Address 12815 Canyon Road E.SUite F -,Z Mailin�Address 25 Ente rise <br /> ;—�'` Ciry/State/Zip PUydlluPi WA 98373 �� City/S�am/Zip Alixo Vie'o.CA 92656 I�:���'. <br /> u �.. <br /> Phone No.(including area cude) <br /> Phone Na(including�rea code) <br /> Send ali pro�erry rax cnrres�on�e�,ce in: ❑X Same as Buyer/Graneee Lise zll rcal and per onai pro�eny�ax�arc�l accoun� List assesscd valuc(s) <br /> numbers-chcck�ox if personal property <br /> Name I�1 <br /> I I <br /> Mailing Addrus n <br /> i i <br /> City/Sta[e Zip n <br /> Phone No.(including area code) n ' <br /> � Screecacldressotpn,peny: Greenfield Park,Everett,WA li <br /> � Th❑is property is located in Evucu ' <br /> Check box if any of the listed parcds are being segre�ated from another parcel,are pan of n boundary line adjustment oc parcels being mereed. <br /> Legal descrip6on of property(if more space is nzeded,you may z[tach a separste sheet to cach paGe of�he atfidavit) . <br /> UNITS 1 THROUGH 25,INCLUSIVE AND UNITS 48 THROUGH 59,INCLUSIVE AND UNITS 62 THROUGH 74,INCLUSIVE ' <br /> GREENFIELD PARK,A SINGLE FAMILY CONDOMINIUM,ACCORDING TO THE DEGLARATION RECORDED UNDER <br /> RECORDING NUMBER 200709110693 AND IN SURVEY MAP AND PLANS RECORDED UNDER RECORDING NUMBER <br /> 200709115002,AND ANY AMENDMENTS THERETO,RECORDS OF SNOHOMISH COUNTY WASHINGTON. <br /> j <br /> Select Land tise Code(s): [.ist all personal property(tangible and in[angible)included in sellin� � <br /> 91 price. <br /> enter any additional codes: <br /> (Sze back of last pa�e of insmictions) YES NO '��I <br /> Is[his propetty exemp[hom properry tas per chup[er � C ' <br /> 84.36 RCW(nan profit organization)? �. <br /> ' YES \O If claiming�an exemp[ion,list WAC number and reason for exemption: �� <br /> Is this properzy designated as forest la�d per chapter 84.33 RCW?� � ', <br /> Is[his proper[y classified as curten[use(open space,farm and � �X pJpC No.(SectionlSubsectionl � <br /> aericul[ural,or[imber)land per Chapter 8434? � <br /> Is[his property receiving special valuation as historical property � �X Reason for exemption <br /> per Chaprer 84.26 RCW? <br /> If any answers aze yes,complete as insvuceed beluw. <br /> (1)NOTICE OF CONTINUAlFCF,(FOREST LAND OR CURRENT USE) <br /> NEW OWNER S To continuc Ihe cu¢ent designa[ion as fores[ lund or Type of Document �2C101 W0R0�Yy DEEd ', <br /> ()� <br /> classiFcation as cu�ren[use(open space,fm-m and agriculturc,or timber)land,you Da�e of Docume�t December_,2011 � <br /> must sign on(3)below. The county asscssor most then deteimine if the land �.I <br /> 4�ansferred coneinues to quaiify and will indicate by signing below. If lhe land no Gross Selling Price $ 2 841 445.00 <br /> Ionger qualifies or you do not wish to continuc the designa[ion or dassification,i[ *Personal Property(deduc[) 5 �I <br /> will be removcd and the compensnting or addieional[axes will be d�c and payable Exemption Claimed(deduct) $ � <br /> by the seller or transferor at thc time of sale. (RCW 8433.140 or RCW ' <br /> 8434.IOS). Prior m signing(3j below,you may conwct your locul county assessnr Taxal?le Selling Price $ _ 2,841 445.00 �� <br /> for more in(ormation. Excise Tax: State S 36 370.50 ' <br /> This land � does � docs nut qualify for continuance. .005 Local 5 l4 20�.�$ I <br /> 'Dzlinquent InteresC State S i <br /> DL-PUTY ASSESSOR lla7E Local $ � <br /> (2)NOTICE OF CO'�IPLIAtiCE(IiISTORIC PROPERTI� *Dclinqucni PcnaLy $ <br /> NEW OWIYER(S):To rontinue speciul valuation as historic property,sign(3) � <br /> below.ff the new owner(s)do not wish to conlinue,.ill additional[ax enlcula[ed Subtotal S 50.577 73 � <br /> pursuam co chepter 84Z6 RCW,shell be due an�3 pnyable 6y[he seller oc crans@ror °Sta[e Technology Fce 5 5 00 � <br /> at[he time oFsale *Affidavit Pmccssing Fee S I, <br /> (3)O�VNCR(5)SIG\ATIJRIi Total Due $ 50 582J3 I <br /> PRINT N AM E A M7NIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX '� <br /> 'SEEINSTRUCTIONS <br /> ' I CERTII'Y UNUER PENALTY OF PERJURY THAT THC NOREGOING IS TRiJ�AND CORRECT. <br /> Signa[ure of � <br /> Signature of <br /> Grantor or Grantor's Ag '� Grantee or Grantee's Agent <br /> Name(prin[) R an C.McGowan Name(pdn[) , <br /> Date&city of si,o,nin�: Sea[Ile Dale&<iry of si�ning Seat[le �� <br /> Perjury:Perjury is a class C felony which is punishable by imprisonment in ehe state correc[ional ins[iwtion for a mazimum term of not more[han five years,or <br /> by a fine in an amount fixed 6y the court of mt more than Fve[housand dollazs(55,000.00),or by b<rth imprisonment and fine(RCW 9A.20.0?0(1C)). <br /> REv 34 OOOIae(9/2/11) THIS SPACE-TREASliR�R'S USE OIVLY <br />