HomeMy WebLinkAbout200707270110
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Return Address:
City of Bremerton
345 6th Street, Suite 600
Bremerton, WA 98337
:li~?~ERTON ClT~
07/27/~~lm Deed R OF -
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AUDITOR/RECORDER'S INDEXING FORM
Document Title(s): 1. Quit Claim Deed
Reference Number(s) of Documents assigned or
released:
Grantor(s): 1. Han Kim
2. Mihyung Kim
o Additional names on page of document.
Grantee(s): 1. City of Bremerton
o Additional names on page of document.
Legal Description: Ptn. Gov't Lot 3 (SW ~, SW ~), SEC. 13, T24N, R1E, W.M., Kitsap County, W A
(abbreviated)
o Additiona11ega1 is on pages 2 of document.
Assessor's Property Tax Parcel/Account Number: Ptn 3718-007-014-0006
QUIT CLAIM DEED
THE GRANTOR(S) Han Kim and Mihyung Kim, for mutual benefit and good and valuable
consideration convey and quit claim for roadway and other public purposes, to the City of
Bremerton the following described real estate, situated in the County of Kitsap, state of .
Washington, together with all after acquired title of the grantor(s) therein:
KITSAP COUNTY TREASURER EXCISE
07/27/2007
rV
-~--------~
~007EX05674
Total $10 .0~ .
Clerk's Initial
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The westerly 20 feet of Lot 14, Block 7 of the Plat of the Town
of Brernerton, as recorded in Volume 2, of plats Page 030,
records of Kitsap County, Washington, situate in Government
Lot 3, Section. 13, Township 24 North, Range 1 East,
Willarnette Meridian, Kitsap County, Washington.
Dated:
/7 / / Jf / 0 ~
-;7~
HANG. KIM
~~
MIHYUN .
STATE OF WASHINGTON
)
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Han G. Kim is the person who appeared before
me, and said person acknowledged that he signed this instrument, on oath stated that he was
authorized to exec~te the instrument, and aclmowledged it to be his free and voluntary act for the uses
and purposes mentioned in the instrument.
. '. ( . \,' ' ~
DATED: 7(/8}O7-
I I
NO Y PUBLIC in and for the State of
W hington, residing at S e>\ +H~
y commission expires5"l1llt.
STATE OF WASHINGTON )
) ss.
COUNTY OF K1NG )
I certify that I know or have satisfactory evidence that Mihyung. Kim is the person who appeared
before me, and said person acknowledged that she signed this instrument, on oath stated that she was
authorized to execute the instrument, and acknowledged it to be her free and voluntary act for the uses
and purposes mentioned in the instrument.
DATED: 7 JIg-IDr
I I
NOT UBLIC in and for the State of
W ington, residing at S'f!JJ.tt J~
My commission expires ')It III.
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CITY OF 200707270110
BREMERTO~ d Ree Fee' $ 41,00 Page 2 of 2
. fi~if ;li~I\11,\\~il~iiillll"II\lli ~I\~~I 11111111\1 IIIII IIIII IIII1111I 1\11
..
It~ven(ue
Name Han Kim and Mihyung Kim
po: po:
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Mailing Address 226 Aurora Avenue N
City/State/Zip Seattle, WA 98109
Phone No. (including area code)
Send all property tax correspondence to: [2] Same as Buyer/Grantee
Name
MaIling Address
City/State/ZIp
Phone No. (including area code)
This form is your receipt
next to name
p;<
~ ~ Mailing Address 345 6th Street, Suite 600
~~
P:l ~ City/State/Zip Bremerton, WA 98337
Phone No. (including area code) (360) 473-2345
List all real and personal property tax parcel account
numbers - check box if personal property
List assessed val ue( s)
ptn 3718-007-014-0006
n
D
D
n
II Street address of property
This property is located in Bremerton
[2] Check box if any of the listed parcels are being segregated from a larger parcel.
Legal descnption of property (if more space is needed, you may attach a separate sheet to each page of the affidavit)
The westerly 20 feet of Lot 14, Block 7 of the plat of the Town of Bremerton, as recorded in Volume 2 of plats Page 030, records of Kitsap
County, Washington, situate in Government Lot 3, Section 13, Township 24 North, Range 1 East, Willamette Meridian, Kitsap County,
Washington.
Select Land Use Code s):
45 N Highway and street right of way
enter any additional codes:
(See back of last page for instructions)
Is this property exempt from property tax per chapter
84.36 RCW (nonprofit organization)?
YES NO
D [2]
YES
Is this property designated as forest land per chapter 84.33 RCW? D
Is this property classified as current use (open space, fann and D
agricultural, or timber) land per chapter 84.34?
Is this property receiving special valuation as historical property D
per 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 qualiJy and will indicate by signing below.
If the land no longer qualifies or you do not wish to continue the designation
or cla~sification, 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 0 does [2] does not qualiJy for continuance.
DEPUTY ASSESSOR
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 84.26 RCW, shall be due
and payable by the seller or transferor at the time of sale.
(3) OWNER(S) SIGNA HiRE
PRINT NAME
List all personal property (tangible and intangible) included in selling
price.
none
NO
If claiming an exemption, list WAC number and reason for exemption:
[2]
[2]
WAC No. (Section/Subsection) 458-61A-205
[2]
Reason for exemption
Transfer for roadway and other public purposes
Type of Document Quit Claim Deed
Date of Document
Gross Selling Price $
* Personal Property (deduct) $
Exemption Claimed (deduct) $
Taxable Selling Price $
Excise Tax: State $
0.0050 I Local $
*Delinquent Interest: State $
Local $
* Delinquent Penalty $
Subtotal $
* State Technology Fee $
* Affidavit Processing Fee $
Total Due $
A MINIMUM OF $10.00 IS DUE IN FEE(S) AND
'SEE INSTRUCTIONS
I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE
Signature of
Grantor or Grantor's Agent
Name (print)
Date & city of signing:
Signature of
Grantee or Grantee's Agen
Name (print) Cary Bozeman, Mayor
Date & city of signing: '"l Bremerton, WA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.00
5.00
10.00
Perjury: PeIjul)' 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 tine 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 (I C)).
REV 84000lae (a)(05/08/07) THIS SPACE - TREASURER'S USE ONLY TAXPA YE