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Home My WebLink About201510130176 - Turnaround, Inc. - Contract Boundary Line Adjustment.. I Return Address: Nathaniel S. Strauss Karr Tuttle Campbell 701 Fifth Avenue, Suite 3300 Seattle, Washington 98104 FIDELITY NTL OF KITSAP COUNTY Boundary Line Adjustment Roo Fee: $ 77.00 10/13/2015 02:46 PM 111,111,IIIII,IIIIIIIIIIIIIIIIIIIIIIII1011IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII BOUNDARY LINE ADJUSTMENT Pursuant to RCW 58.04.007 GRANTOR: 201510130176 Page: 1 of 6 TURNAROUND, INC., as court -appointed receiver over real property owned by MICHAEL E. DAWSON, King County Superior Court Cause No. 11-2-14812-2 GRANTEES: DAVID L. JEFFCOAT AND DENISE C. JEFFCOAT, husband and wife ABBREVIATED LEGAL DESCRIPTION: LOTS 6 AND 7, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, IN KITSAP COUNTY, WASHINGTON. ASSESSORS TAX ACCOUNT NUMBERS: 4650-009-006-0109 4650-009-006-0208 PLEASE SEE A RECORD -OF -SURVEY FILED CONCURRENTLY WITH THIS DOCUMENT IN VOLUME � OF SURVEYS, PAGE A .5 UNDER AUDITOR'S FILE NO.2.0151Dl ?�Q 115 1 FOR A GRAPHICAL DEPICTION OF THIS BOUNDARY LINE ADJUSTMENT. KITSAP COUNTY TREASURER EXCISE 10/13/2015 #1005659 v1 / 40535-007 2015EX07382 Total; $10.00 Clerk's Initial C) �0 This declaration is made this -- - day of bcAtb& 20 At' TURNAROUND, INC., as court -appointed receiver over real property owned by MICHAEL E. DAWSON, King County Superior Court Cause No. 11-2-14812-2, as "Grantor" and the owner of the real property described hereinafter as "Parcel V; and by DAVID L. JEFFCOAT AND DENISE C. JEFFCOAT, husband and wife, as "Grantees" and the owners of the real property described hereinafter as "Parcel 2"; who wish to adjust the common property lines between said Parcels 1 and 2 without creating any additional lot, tract or site. 1. "Parcel 1" DAWSON (Tax account No. 4650-009-006-0208) is currently described as: SOUTHEASTERLY HALF OF LOT 6, EXCEPT THE SOUTHWESTERLY 3 FEET THEREOF, AND ALL OF LOT 7, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, IN KITSAP COUNTY, WASHINGTON; 2. "Parcel 2" JEFFCOAT (Tax account No. 4650-009-006-0109) is currently described as: THE NORTHWESTERLY HALF OF LOT 6, AND THE SOUTHWESTERLY 3 FEET OF THE SOUTHEASTERLY HALF OF LOT 6, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, IN KITSAP COUNTY, WASHINGTON. 3. Parcel to be transferred from "Parcel 1" to "Parcel 2" shall be described as: THE NORTHWESTERLY 5 FEET OF THE SOUTHEASTERLY HALF OF LOT 6, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, IN KITSAP COUNTY, WASHINGTON; EXCEPT THE SOUTHWESTERLY 3 FEET THEREOF. 4. Subsequent to execution of this document, "Resultant Parcel 1" shall be described as: THE SOUTHEASTERLY HALF OF LOT 6, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, IN KITSAP COUNTY, WASHINGTON; EXCEPT THE SOUTHWESTERLY 3 FEET THEREOF; ALSO EXCEPT THE NORTHWESTERLY 5 FEET THEREOF; TOGETHER WITH ALL OF LOT 7, BLOCK 9, S.M. STEVENS' TOWN PLAT OF SIDNEY, ACCORDING TO PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES I AND 2, IN KITSAP COUNTY, WASHINGTON. 5. Subsequent to execution of this document, "Resultant Parcel 2" shall be described as: THE NORTHWESTERLY HALF OF LOT 6; TOGETHER WITH THE SOUTHWESTERLY 3 FEET AND THE NORTHWESTERLY 5 FEET OF THE SOUTHEASTERLY HALF OF LOT 6, BLOCK 9, S.M. STEVEN'S TOWN #1005659 v1 / 40535-007 PLAT OF SIDNEY, AS PER PLAT RECORDED IN VOLUME 1 OF PLATS, PAGES 1 AND 2, KITSAP COUNTY, WASHINGTON. #1005659 v1 / 40535-007 f IN WITNESS WHEREOF, THE PARTIES HERETO HAVE EXECUTED THIS INSTRUMENT AS OF THE DATE FIRST ABOVE WRITTEN MILES STOV RESIDENT TURNAROUND,-INC. STATE OF VANS\ \(\� SS COUNTY OF --P(- 1e V THIS .IS TO CERTIFY THAT ON THIS DAY OF Cktil,- . , 20 AS_,.. . BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED MILES STOVER, President of TURNAROUND, INC. AND TO ME KNOWN TO BE THE INDIVIDUAL WHO EXECUTED THIS INSTRUMENT, AND ON OATH STATED THAT IT WAS HIS FREE AND VOLUNTARY ACT AND DEED FOR THE USES AND PURPOSES HEREIN STATED. WITNESS MY HAND, AND OFFICIAL SEAL THIS DAY AND YEAR FIRST ABOVE WRITTEN. E,Y PUBLIIE IN AU FOR THE STATE OF WASHINGTON ING AT #1066659 v1 / 40535-007 �� ) ,slillet�,�i. f '.�, '� '•,'.� ,. 'r'} �{ R � ih ., ,` �• „ +� ' I.r 'C;'IiY� ��` �D Is IN WITNESS WHEREOF, THE PARTIES HERETO HAVE EXECUTED THIS INSTRUMENT AS OF THE DATE FIRST ABOVE WRITTEN OC-Al r-I STATE OF tvftti 11u&—ToN SS COUNTY OF k-(--(-S iv jj �. DENISE C. JEFF THIS IS TO CERTIFY THAT ON THIS &'- DAY OF 120 1 �;- , BEFORE ME, THE UNDERSIGNED, A NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, DULY COMMISSIONED AND SWORN, PERSONALLY APPEARED DAVID L. JEFFCOAT AND DENISE C. JEFFCOAT, husband and wife, AND TO ME KNOWN TO BE THE INDIVIDUALS WHO EXECUTED THIS INSTRUMENT, AND ON OATH STATED THAT IT WAS THEIR FREE AND VOLUNTARY ACT AND DEED FOR THE USES AND PURPOSES HEREIN STATED. WITNESS MY HAND AND OFFICIAL SEAL THIS DAY AND YEAR FIRST ABOVE WRITTEN. Notary Public State of Washington CAROLE A. NEWTON COMMISSION EXPIRES NOTARY PUBLIC IN ND FOR THE STATE OF WASH GT October 29, 2015 RESIDING AT &p_-r C�Q.G-� i A YL� #1005659 v1 / 40535-007 AV 11% HICA:GO TI'I`IrE` COMPANY OF WASHINGTON CERTIFICATION OF NON -FOREIGN STATUS Date: September 22, 2015 Escrow No.: 0024360-OC-MC Section, 1445 of the Internal Revenue Code requires a transferee (buyer) of a U,S. Real Property interest to withhold' ten (10) percent of the gross sales price if the transferor (seller) is a foreign person or entity unless the. transferee receives a certification of non -foreign status from the transferor (seller). The certification must be signed under penalties of perjury, stating the transferor is not a foreign; person/entity and containing the transferor's name, address, and U.S: Taxpayer Identification Number.. Sellers who provide such a certification are exempt from withholding and the estimated tax cannot be collected from them unless the buyer or their agent have knowledge the certification is 'false. Certification of Nan -Foreign Status by Entity The undersigned hereby certifies the following, J7Jz_,NS Is not a foreign corporation, foreign partnership, foreign trust, or foreign estate (as defined in the Internal Revenue Code and Income Tax Regulations) or a disregarded entity as defined in-;§1,1445-2(b)(2)(iii) The' U.S. Employer Identification No. for this entity -is: The office address is: 2 The;transferor/seller understands this certification may be disclosed to the Internal Revenue Service by transferee and any false statement contained herein could be punished by fine, imprisonment, or both. Under penalties of perjury I declare I have completed this certification and to the best of my knowledge and belief it is true, correct, and complete, and 1 further declare that l have authority to sign this document on behalf of seller. IN WITNESS WHEREOF, Michaartd man, 'l- Title:�� ad have executed this document on the date(s) set forth below. his separate estate Seller, Buyer and Escrow Agent to maintain a copy for five (5).years FIRPTA- Seller's Certification of Non -Foreign Status. SSCQRP0043.0.doc"/ Updated: 04.29,15 C c�Q 1 . Date Page 1 Rev. 1128L2010 Printed: 09.22,15 @ 03:34 PM by MC WA-CT-FNSE-02150.624652-0024360-OC CHICAGO TITLE COMPANY OF WASHINGTON Morris Law PC 3304 Rosedale Street NW Suite 200 Gig Harbor, WA 98335 ATTN: Robin Mage Dear Robin, Date: Escrow No.: �Pr Buyer(s): p"a Seller(s): Property: OCT 2 20 Giry01` j ow. dF�L CRYCI.6hl(S n CFFHA o 701 5th Avenue, Suite 2300 Seattle, WA 98104 Phone: (206)628-5666 / Fax: (206)628-9737 October 16, 2015 0024360-OC-MC City of Port Orchard Michael E. Dawson, a married man, as his separate estate 640 Bay Street Port Orchard, WA 98366 The closing of the sale of the property involved in the above escrow has been completed with the recording of the appropriate documents. We enclose the following: • Refund Check No. 552003657 in the amount of $25.02 • Final Settlement Statement *Please keep this document for tax purposes • Copy of Certification of Non Foreign Status • Coypu of recorded Boundary Line Adjustment • Copy of recorded Receiver's Quit Claim Deed Any oriignal recorded document and/or policy of title insurance to which you may be entitled will be forwarded to you in the near future. We appreciate having this opportunity to be of service to you and hope you will again choose Chicago Title Company of Washington as your Escrow Agent and Title Insurer for any future sales or purchases. Sincerely, Sherri Obrastoff Commercial Escrow Administrator/ LPO Sherri.Obrastoff@ctt.com Enclosure(s) Closing Letter- Buyer/Borrower Printed: 10.16.15 @ 03:25 PM by SO SSCORPD1343.doc / Updated: 05.14.15 Page 1 WA-CT-FNSE-02150.624652-0024360-OC REAL ESTATE CLOSING **** Buyer/Borrower: City of Port Orchard Seller: Michael E. Dawson, a married man, as his separate estate Lender: Property: 640 Bay Street/Port Orchard 552003657 Settlement Date: October 9, 2015 Closer/Responsible Party: Michael Costello Disbursement Date: October 14, 2015 Printed By: Sherri Obrastoff Check Amount: $25.02 Pay To: City of Port Orchard For: Excess Cash to Close CASH TO BUYER (303) $25.02 uIOSS20036S?v 1:12S000109"s &S3595380423u1 U 0024360-OC Chicago Title Company of Washingt 701 5th Avenue, Suite 2300, Seattle, WA 98104 e Phone: (206)628-5666 1 FAX: (206)628-9737 ESTIMATED BUYER'S STATEMENT Settlement Date: October 9, 2015 Escrow Number: CSEA-4652-0024360-OC Disbursement Date: October 9, 2015 Escrow Officer: Michael Costello Buyer: City of Port Orchard Seller: Michael E. Dawson, a married man, as his separate estate 3415 A Street NW Gig Harbor, WA98335 Properly: 640 Bay Street Port Orchard, WA 98366 Tax/Map ID(s): FINANCIAL CONSIDERATION Contract sales price Deposit or earnest money TITLE & ESCROW CHARGES Escrow Fees Escrow Fees Sales Tax RECORDING CHARGES Deed MISCELLANEOUS CHARGES 2015 Second Half Property Taxes RE: Parcel 4650-009-006-0208 Subtotals Balance Due FROM Buyer $ DEBIT $ CREDIT 140,420.71 City of Port Orchard 5,000.00 Chicago Title Company of Washington 500.00 Chicago Title Company of Washington 48.00 Chicago Title Company of Washington 100.00 Kitsap County Treasurer 0.46 141,069.17 5,000.00 136,069.17 TOTALS 141,069.17 141,069.17 I have carefully reviewed the Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements to be made on my account or by me in this transaction. I further certify that I have received a copy of the Settlement Statement. BUYER: City of P rt Orchard ATTEST: BrndRi .earson, City Clerk Page 1 of 1 (0024360-OC/14) October 07, 2015 11:24 AM P t Depattrnent of Revenue �- REAL ESTATE EXCISE TAX AFFIDAVIT Washington State CHAPTER 82.45 RCW - CHAPTER 458-61A WAC This form is your receipt PLEASE TYPE OR PRINT when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) ❑ r:hwnk hnx if n—HA sates of nrnnortv If mi Ifinlo n—m list nomontnna of nwnarshin next to name 1 Michael E. Dawson, a married man, as his 2 Name separate estate by **See Exhibit A for Full Names Name City of Port Orchard Mailing Address 640 Bay Street a, Mailing Address 64fl^Baq�3tTBSt Q ft�Sf)Sf o, o z city/stabap Port Orchardr WA 98366 > m cllylsmemp Port Orchard, WA 98366 G Phone No. (Including area code) O Phone No. (Including area code) 3 Send all ro property tax correspondence to: 0 Same as Buyer/Grantee List all real and personal property tax parcel account numbers - check box if personal property ssed valuet a ssses List ( ) Name 4650-009-006-0208 11 $0.00 Mailing Address ❑ ❑ City/StateMp ❑ Phone No. (Including area code) ® Street address of properly: 640 Bay Street, Port Orchard, WA 98366 The property is located In ❑ unincorporated County OR Within RI city of Port Orchard ❑ Check box If any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged. Legal description of property (if more space Is needed, you may attach a separate sheet to each page of the affidavit) SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF J Select Land Use Code(s): 11 Enter any additional codes: (See back of last page for Instructions) YES NO Was the seller receiving a property tax exemption or deform) under ❑ �/( chapters 84.36, 84.37, or84.38 RCW (nonprofit organizaton, senior citizen, or disabled person, homeowner with limited Income)? YES NO Is this property designated as forest land per chapter 84.33 RCW? ❑ H Is this property classified as current use (open space, farm and ❑ agricultural, or dmber) land per chapter 84.34 RCW? Is this property receiving special valuation as historical property per ❑ d chapter 84.26 RCW? If any answers are yes, complete as instructed below. (1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S): To continue the current designation as forest land or classification as current use (open space, farm and agriculture, or timber) land, you must sign on (3) below. The county assessor must then determine If the land transferred continues to qualify and will Indicate by signing below. If the land no longer qualifies or you do not wish to continue the designation or classification, it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale. (RCW 84.33.140 or RCW 84.34.108). Prior to signing (3) below, you may contact your local county assessor for more Information. This land ❑ does 0 does not qualify for continuance. DEPUTYASSESSOR DATE (2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY) NEW OWNER(S): To continue special valuation as historic property, sign (3) below. If the new owner(s) does not wish to continue, all additional tax calculated pursuant to Chapter 84.28 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE PRINT NAME List all personal property (tangible and Intangible) Included in selling price. If claiming an exemption, list WAC number and reason for exemption: WAC No. (Secdon/Subsection) WAC 458-61A-208(1) Reason for exemption Coveyance made pursuant to order of sale by a court Type of Document Quit Claim Deed Date of Document Gross Selling Price $ 140,420.71 *Personal Property (deduct) $ 0.00 Exemption Claimed (deduct) $ 140,420.71 Taxable Selling Price $ 0.00 Excise Tax: State $ Local $ *Delinquem Interest State $ Local $ *Delinquent Penalty $ Subtotal $ 'State Technology Fee $ 5.00 *Affidavit Processing Fee $ 5.00 Total Due $_ 10.00 A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX *SEE INSTRUCTIONS 81 1 CERTIFY UNDER PENALTY OF PERJURYTHAT THE FOREGOING 15 TRUE AND GGRRECT. Signature of Signature of Grantor or Grantor's Agent Grantee or Grantee's Agent 1. Name (print) Name (print) 1 L� Date & city of signing Date & city of signing 't Perjury: Perjury Is a class C felony which Is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, ,or by a fine In an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both Imprisonment and fine (RCW 9A.20.020 (IQ. REV 84 0001a (6126/14) Escrow No.: 0024360-OC-MC THIS SPACE -TREASURER'S USE ONLY ❑ County Treasurer ❑ County Assessor ❑ Dept. of Revenue 0 Taxpayer