Fillable PRELIMINARY CHANGE OF OWNERSHIP REPORT (County of Lake)

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PRELIMINARY CHANGE OF OWNERSHIP REPORT (County of Lake)

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BROWSE COUNTY OF LAKE (CA) FORMS

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F. ThistransactionistoreplaceaprincipalresidencebyapersonwhoisseverelydisabledasdenedbyRevenueandTaxationCode
section69.5.Withinthesamecounty?
E.
This transaction is to replace a principal residence owned by a person 55 years of age or older.
Withinthesamecounty?
STREETADDRESSORPHYSICALLOCATIONOFREALPROPERTY
MAIL
PROPERTYTAXINFORMATIONTO(ADDRESS)
SELLER/TRANSFEROR
STATECITY ZIP
CODE
ASSESSOR'S
PARCELNUMBER
BUYER’S
EMAILADDRESS
YES
YES
YES
NO
NO
NO
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
a partner, death of a partner, termination settlement, etc.).
N. Thisisatransfersubjecttosubsidizedlow-incomehousingrequirementswithgovernmentallyimposedrestrictions,orrestrictions
imposedbyspecifiednonprofitcorporations.
O. Thistransferistotherstpurchaserofanewbuildingcontaininganactivesolarenergysystem.
H. Therecordeddocumentcreates,terminates,orreconveysalender'sinterestintheproperty.
J. The
recordeddocumentsubstitutesatrusteeofatrust,mortgage,orothersimilardocument.
G.
This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage).
IfYES,pleaseexplain:
I. This
transactionisrecordedonlyasarequirementfornancingpurposesortocreate,terminate,orreconveyasecurityinterest
(e.g., cosigner).IfYES,pleaseexplain:
C. Thisisatransfer: between parent(s) and child(ren) from grandparent(s) to grandchild(ren).
BUYER’SDAYTIMETELEPHONENUMBER
( )
1. to/fromarevocabletrustthatmayberevokedbythetransferorandisforthebenetof
the
transferor,and/orthetransferor'sspouse registereddomesticpartner.
2. to/fromanirrevocabletrustforthebenetofthe
creator/grantor/trustor
and/or grantor's/trustor’sspouse grantor’s/trustor’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.
K. Thisisatransferofproperty:
*
*
*
*
YES NO
Thispropertyisintendedasmyprincipalresidence.IfYES,pleaseindicatethedateofoccupancy
orintendedoccupancy.
MO DAY YEAR
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.
BOE-502-A (P1) REV. 14 (05-18)
PRELIMINARY CHANGE OF OWNERSHIP REPORT
Tobecompletedby thetransferee (buyer)prior toa transferof subject
property,inaccordancewithsection480.3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.
NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE
(Make necessary corrections to the printed name and mailing address
D. Thistransferistheresultofacotenant’sdeath.Dateofdeath___________________________
*
YES NO
Areyouadisabledveteranoraunmarriedsurvivingspouseofadisabledveteranwhowas
compensatedat100%bytheDepartmentofVeteransAffairs?
P. Other.Thistransferisto____________________________________________________________
MAILPROPERTYTAXINFORMATIONTO(NAME)
PART 1. TRANSFER INFORMATION Please complete all statements.
Thissectioncontainspossibleexclusionsfromreassessmentforcertaintypesoftransfers.
* PleaserefertotheinstructionsforPart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
Remaining term in years (including written options):
BOE-502-A (P2) REV. 14 (05-18)
PART 2. OTHER TRANSFER INFORMATION
Check and complete as applicable.
A. Dateoftransfer,ifotherthanrecordingdate:
C. Onlyapartialinterestinthepropertywastransferred.
B. Cash
downpaymentorvalueoftradeorexchangeexcludingclosingcosts Amount$_______________
C. First
deedoftrust@______%interestfor ______years.Monthlypayment$_____________ Amount$_______________
D. Second
deedoftrust@______%interestfor ______years.Monthlypayment$_____________ Amount$_______________
E. Was
anImprovementBondorotherpublicnancingassumedbythebuyer? Outstandingbalance$_______________
If
YES,indicatethepercentagetransferred:
B. Typeoftransfer:
Purchase
Contract
ofsale.Dateofcontract:
Sale/leaseback
Fixed
rate
Fixed
rate
Balloon
payment$_____________
Due
date:_____________
Due
date:_____________
Creation
ofalease
Variable rate
Variable rate
Other.
Pleaseexplain:
Original term in years (including written options):
Assignment of a lease
Loan
carriedbyseller
Loan
carriedbyseller
Bank/Savings
&Loan/CreditUnion
Bank/Savings&Loan/CreditUnion
Inheritance.Dateofdeath:
Termination
ofalease.Dateleasebegan:
Foreclosure Gift Tradeorexchange Merger,stock,orpartnershipacquisition(FormBOE-100-B)
YES NO
%
PART 3. PURCHASE PRICE AND TERMS OF SALE
Check and complete as applicable.
$
$
PART 4. PROPERTY INFORMATION
Check and complete as applicable.
A. Type of property transferred
Single-family residence
Lease/rent
Multiple-family
residence.Numberofunits:
Co-op/Own-your-own
Contract
Manufactured
home
Condominium
Timeshare Commercial/Industrial
Mineral rights Other:
Unimproved
lot
Other.
Description:(i.e.,timber,mineral,waterrights,etc.)
B.
C.
D.
E.
YES
YES
YES
YES
YES
Good Average Fair Poor
NO
NO
NO
NO
NO
If
YES,enterthevalueofthepersonal/businessproperty:
If
YES,enterthevalueattributedtothemanufacturedhome:
If
YES,theincomeisfrom:
Personal/business
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.
Amanufacturedhomeisincludedinthepurchaseprice.
The
manufacturedhomeissubjecttolocalpropertytax.IfNO,enterdecalnumber:
Thepropertyproducesrentalorotherincome.
The
conditionofthepropertyatthetimeofsalewas:
Please
describe:__________________________________________________________________________________________________
I
t
CERTIFICATION
certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to
he best of my knowledge and belief.
SIGNATUREOFBUYER/TRANSFEREEORCORPORATEOFFICER
NAMEOFBUYER/TRANSFEREE/PERSONALREPRESENTATIVE/CORPORATEOFFICER(PLEASEPRINT)
TELEPHONE
EMAILADDRESSTITLE
DATE
TheAssessor’sofcemaycontactyouforadditionalinformationregardingthistransaction.
t
Phonenumber:G. Thepropertywaspurchased:
ain:Other.Pleaseexpl
Throughrealestatebroker.Brokername:
Direct from seller
From a family member-Relationship
( )
H. Pleaseexplainanyspecialterms,sellerconcessions,broker/agentfeeswaived,nancing,andanyotherinformation(e.g.,buyerassumedthe
existingloanbalance)thatwouldassisttheAssessorinthevaluationofyourproperty.
( )
Incentives
$
F. Amount,ifany,ofrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice $_______________
A. Total
purchaseprice $_______________
FHA(___DiscountPoints)
Cal-Vet
VA(___DiscountPoints)
Balloonpayment$_____________
BOE-502-A (P3) REV. 14 (05-18)
ADDITIONALINFORMATION
Pleaseanswerallquestionsineachsection,andsignandcompletethecerticationbeforeling.Thisformmaybeusedinall58California
counties.IfadocumentevidencingachangeinownershipispresentedtotheRecorderforrecordationwithouttheconcurrentlingofa
Preliminary Change of Ownership Report,theRecordermaychargeanadditionalrecordingfeeoftwentydollars($20).
NOTICE:ThepropertywhichyouacquiredmaybesubjecttoasupplementalassessmentinanamounttobedeterminedbytheCounty
Assessor.Supplementalassessmentsarenotpaidbythetitleorescrowcompanyatcloseofescrow,andarenotincludedinlender
impoundaccounts.You may be responsible for the current or upcoming property taxes even if you do not receive the tax bill.
NAMEAND MAILINGADDRESS OF BUYER: Please make necessary corrections to the printed name and mailing address. Enter
Assessor’sParcelNumber,nameofseller,buyer’sdaytimetelephonenumber,buyer’semailaddress,andstreetaddressorphysical
location of the real property.
NOTE: Your telephone number and/or email address is very important. If there is a question or a problem, the Assessor needs
to be able to contact you.
MAILPROPERTYTAXINFORMATIONTO:Enterthename,address,city,state,andzipcodewherepropertytaxinformationshouldbe
mailed.Thismustbeavalidmailingaddress.
PRINCIPALRESIDENCE:Tohelpyoudetermineyourprincipalresidence,consider(1)whereyouareregisteredtovote,(2)thehome
addresson yourautomobileregistration,and(3)whereyounormallyreturnafterwork.Ifafterconsideringthese criteriayou arestill
uncertain,choosetheplaceatwhichyouhavespentthemajorportionofyourtimethisyear.CheckYESifthepropertyisintendedas
yourprincipalresidence,andindicatethedateofoccupancyorintendedoccupancy.
DISABLED VETERAN: If you checked YES, you may qualify for a property tax exemption. A claim form must be led a nd all
requirements met in order to obtain the exemption. Please contact the Assessor for a claim form.
PART 1: TRANSFER INFORMATION
If you check YES to any of these statements, the Assessor may ask for supporting documentation.
C, D, E, F:IfyoucheckedYEStoanyofthesestatements,youmayqualifyforapropertytaxreassessmentexclusion,whichmayallow
youtomaintainyourproperty’sprevioustaxbase. A claim form must be led and all requirements met in order to obtain any of
these exclusions. ContacttheAssessorforclaimforms.NOTE:Ifyougivesomeonemoneyorpropertyduringyourlife,youmaybe
subjecttofederalgifttax.Youmakeagiftifyougiveproperty(includingmoney),theuseofproperty,ortherighttoreceiveincomefrom
propertywithoutexpectingtoreceivesomethingofatleastequalvalueinreturn.Thetransferor(donor)mayberequiredtoleForm709,
FederalGiftTaxReturn,withtheInternalRevenueServiceiftheymakegiftsinexcessoftheannualexclusionamount.
G:CheckYESifthereasonforrecordingistocorrectanamealreadyontitle[e.g.,MaryJones,whoacquiredtitleasMaryJ.Smith,
isgrantingtoMaryJones].Thisisnotforusewhenanameisbeingremovedfromtitle.
H: Check YES if the change involves a lender, who holds title for security purposes on a loan, and who has no other beneficial
interestin the property.
"Benecial interest" is the right to enjoy all the benets of property ownership. Those benets include the right to use, sell,
mortgage,orleasethepropertytoanother.Abenecialinterestcanbeheldbythebeneciaryofatrust,whilelegalcontrolofthe
trustisheldbythetrustee.
I: A "cosigner"isathirdpartytoamortgage/loanwhoprovidesaguaranteethataloanwillberepaid.Thecosignersignsanagreement
withthelenderstatingthatiftheborrowerfailstorepaytheloan,thecosignerwillassumelegalliabilityforit.
M:Thisisprimarilyforusewhenthetransferisinto,outof,orbetweenlegalentitiessuchaspartnerships,corporations,orlimitedliability
companies.CheckYESonlyiftheinterestheldineachandeveryparcelbeingtransferredremainsexactly the same.
N: Check YES only if this property is subject to a government or nonprofit affordable housing program that imposes restrictions.
Propertymayqualifyforarestrictedvaluationmethod(i.e.,mayresultinlowertaxes).
O:IfyoucheckedYES,youmayqualifyforanewconstructionpropertytaxexclusion.A claim form must be led and all requirements
met in order to obtain the exclusion. Contact the Assessor for a claim form.
PART 2: OTHER TRANSFER INFORMATION
A:Thedateofrecordingisrebuttablypresumedtobethedateoftransfer.Ifyoubelievethedateoftransferwasadifferentdate(e.g.,the
transferwasbyanunrecordedcontract,oraleaseidentiesaspecicstartdate),putthedateyoubelieveisthecorrecttransferdate.If
itisnotthedateofrecording,theAssessormayaskyouforsupportingdocumentation.
B:Checktheboxthatcorrespondstothetypeoftransfer.IfOTHERischecked,pleaseprovideadetaileddescription.Attachaseparate
sheet if necessary.
C. Ifthistransferwastheresultofaninhertiancefollowingthedeathofthepropertyowner,pleasecompleteaChange in Ownership
Statement, Death of Real Property Owner, formBOE-502-D,ifnotalreadyledwiththeAssessor’sofce.
“Mortgage insurance”isinsuranceprotectingalenderagainstlossfromamortgagor’sdefault,issuedbytheFHAoraprivate
mortgageinsurer.
B. Entertheamountofthedownpayment,whetherpaidincashorbyanexchange.Ifthroughanexchange,excludetheclosingcosts.
“Closing costs”arefeesandexpenses,overandabovethepriceoftheproperty,incurredbythebuyerand/orseller,which
includetitlesearches,lawyer’sfees,surveycharges,anddocumentrecordingfees.
C. EntertheamountoftheFirstDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested.
A “balloon payment”isthenalinstallmentofaloantobepaidinanamountthatisdisproportionatelylargerthantheregular
installment.
D. EntertheamountoftheSecondDeedofTrust,ifany.Checkalltheapplicableboxes,andcompletetheinformationrequested.
E. Iftherewasanassumptionofanimprovementbondorotherpublicnancingwitharemainingbalance,entertheoutstandingbalance,
andmarktheapplicablebox.
An “improvement bond or other public nancing” is a lien against real property due to property-specic improvement
nancing,suchasgreenorsolarconstructionnancing,assessmentdistrictbonds,Mello-Roos(aformofnancingthatcanbe
usedbycities,countiesandspecialdistrictstonancemajorimprovementsandserviceswithintheparticulardistrict)orgeneral
improvementbonds,etc.Amountsforrepaymentofcontractualassessmentsareincludedwiththeannualpropertytaxbill.
F. Entertheamountofanyrealestatecommissionfeespaidbythebuyerwhicharenotincludedinthepurchaseprice.
G. Ifthepropertywaspurchasedthrougharealestatebroker,checkthatboxandenterthebroker’snameandphonenumber.Ifthe
propertywaspurchaseddirectlyfromtheseller(whoisnotafamilymemberofoneofthepartiespurchasingtheproperty),checkthe
“Direct from seller”box.Ifthepropertywaspurchaseddirectlyfromamemberofyourfamily,orafamilymemberofoneofthepartieswho
ispurchasingtheproperty,checkthe“From a family member”boxandindicatetherelationshipofthefamilymember(e.g.,father,aunt,
cousin,etc.).Ifthepropertywaspurchasedbysomeothermeans(e.g.,overtheInternet,atauction,etc.),checkthe“OTHER”boxand
provide a detailed description (attach a separate sheet if necessary).
H. Describeanyspecialterms(e.g.,sellerretainsanunrecordedlifeestateinaportionoftheproperty,etc.),sellerconcessions(e.g.,
seller agrees to replace roof, seller agrees to certain interior nish work, etc.), broker/agent fees waived (e.g., fees waived by the
broker/agentforeitherthebuyerorseller),nancing,buyerpaidcommissions,andanyotherinformationthatwillassisttheAssessorin
determiningthevalueoftheproperty.
PART 4: PROPERTY INFORMATION
A. Indicatethepropertytypeorpropertyrighttransferred.Propertyrightsmayincludewater,timber,mineralrights,etc.
B. CheckYESifpersonal,businesspropertyorincentivesareincludedinthepurchasepriceinPart3.Examplesofpersonalorbusiness
propertyarefurniture,farmequipment,machinery,etc.Examplesofincentivesareclubmemberships(golf,health,etc.),skilifttickets,
homeowners’dues,etc.Attachalistofitemsandtheirpurchasepriceallocation.Anadjustmentwillnotbemadeifadetailedlistisnot
provided.
C. CheckYESifamanufacturedhomeorhomesareincludedinthepurchaseprice.Indicatethepurchasepricedirectlyattributable
toeachofthemanufacturedhomes.IfthemanufacturedhomeisregisteredthroughtheDepartmentofMotorVehiclesinlieuofbeing
subjecttopropertytaxes,checkNOandenterthedecalnumber.
D. CheckYESifthepropertywaspurchasedoracquiredwiththeintenttorentorleaseitouttogenerateincome,andindicatethesource
ofthatanticipatedincome.CheckNOifthepropertywillnotgenerateincome,orwaspurchasedwiththeintentofbeingowner-occupied.
E. Provideyouropinionoftheconditionofthepropertyatthetimeofpurchase.Ifthepropertyisin“fair” or “poor”condition,includea
brief description of repair needed.
BOE-502-A(P4)REV.14(05-18)
PART 3: PURCHASE PRICE AND TERMS OF SALE
Itisimportanttocompletethissectioncompletelyandaccurately.Thereportedpurchasepriceandtermsofsaleareimportantfactorsin
determiningtheassessedvalueoftheproperty,whichisusedtocalculateyourpropertytaxbill.Yourfailuretoprovideanyrequiredor
requestedinformationmayresultinaninaccurateassessmentofthepropertyandinanoverpaymentorunderpaymentoftaxes.
A. Enterthetotalpurchaseprice,notincludingclosingcostsormortgageinsurance.
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PRELIMINARY CHANGE OF OWNERSHIP REPORT (County of Lake)

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Completed 6 August 2020

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