HomeMy WebLinkAbout201105120108 L ! 1
When recorded return to
City of Bremerton
Attn Roger Lubovich
345 6th St #600
Bremerton, WA 98337 LAND TITLE 201105120108
Deed Rec Fee $ 63 00 p d9e 1 of 2
05/12/2011 10 25 AM
Walt,, Washington, l K Illi itsap Co Auditor
I illilll iillli III III► 1111111 lill IIII IIII' I!III 1111111 III Illli lilll illli Illi IIII
STATUTORY WARRANTY DEED
Escrow No E- 239800CA _
THE GRANTOR(S)
Alan G Cady and Carla M Cady, husband and wife
for and in consideration of TEN DOLLARS AND OTHER VALUABLE CONSIDERATION in hand paid,
conveys, and warrants to
City of Bremerton, a Washington Municipal Corporation
the following described real estate, situated in the County of Kitsap, State of Washington
LEGAL DESCRIPTION ATTACHED HERETO AS EXHIBIT W ON PAGE 2
Abbreviated Legal (Required if full legal not inserted above)
GL6 11-24N-1E
Tax Parcel Number(s) 112401 -3- 076 -2007 112401 -3- 077 -2006
Dated May 8, 2011
Alan G Cady KITSAP COUNTY TREASURER EXCISE 05/12/2011
2011 EX02408
Carla M Cady
Total $587900 Clerk s Initial �
STATE OF WA, COUNTY OF Kitsap
On `�L 2-0 , I certify that I know or have satisfactory evidence that
/, , the person(s) who
appeared before me, and said erson(s) acknowledged at he /she a igned this instrument and
acknowledged it to be his /he r ee and voluntary act for the uses an purposes mentioned In this
instrum
ra--o I - I -- 0# )
Cathie Ames - Notary Public in and for the State of Washington `��• A �� �•
Residing at Poulsbo My Comm Expires 12/09/12 : q. �� 7r •
LPB 10 -05
1
' EXHIBIT "A"
PARCEL I
PART OF GOVERNMENT LOT 6, SECTION 11, TOWNSHIP 24 NORTH, RANGE 1 EAST, W M, IN
KITSAP COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS
BEGINNING 753 40 FEET EAST AND 30 FEET NORTH OF THE SOUTHWEST CORNER OF SAID
SECTION 11, THENCE NORTH 100 FEET, THENCE EAST TO MEANDER LINE, THENCE SOUTH
ALONG SAID MEANDER LINE TO A POINT DUE EAST OF THE POINT OF BEGINNING, THENCE
WEST TO THE POINT OF BEGINNING,
EXCEPT THE EAST 60 FEET THEREOF,
TOGETHER WITH THAT PORTION OF VACATED TAFT AVENUE WHICH ATTACHES BY OPERATION
OF LAW PER ORDINANCE NO 4659, RECORDED UNDER AUDITOR'S FILE NO 3201486
PARCEL II
THAT PORTION OF GOVERNMENT LOT 6, SECTION 11, TOWNSHIP 24 NORTH, RANGE 1 EAST,
W M, IN KITSAP COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS
BEGINNING AT A POINT 753 40 FEET EAST AND 130 FEET NORTH OF THE SOUTHWEST CORNER
OF SAID GOVERNMENT LOT 6, BEING THE TRUE POINT OF BEGINNING, THENCE NORTH 50
FEET, THENCE EAST 291 FEET, MORE OR LESS, TO GOVERNMENT MEANDER LINE, THENCE
SOUTHERLY ALONG SAID MEANDER LINE TO A POINT EAST OF THE TRUE POINT OF
BEGINNING, THENCE WEST TO THE TRUE POINT OF BEGINNING,
TOGETHER WITH THAT PORTION OF VACATED TAFT AVENUE WHICH ATTACHES BY OPERATION
OF LAW PER ORDINANCE NO 4659, RECORDED UNDER AUDITOR'S FILE NO 3201486
Subject to
1 Easement, including its terms, covenants and provisions as disclosed by instrument,
Recorded July 1, 1983
Recording No 8307010067
In Favor of City of Bremerton
For sewer
Affects West 40 feet of said premises
2 Easement, including its terms, covenants and provisions as disclosed by instrument,
Recorded August 18, 1999
Recording No 3201486
In Favor of City of Bremerton
For utilities
Affects vacated portion of said premises
OMB NO 2502 -0265
A B TYPE OF LOAN
U S DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1 []FHA 2 E]FmHA 3 E]CONV UNINS 4 E]VA 5 []CONY INS
6 FILE NUMBER 7 LOAN NUMBER
FINAL E- 239800CA
SETTLEMENT STATEMENT 8 MORTGAGE INS CASE NUMBER
C NOTE This form is furnished to give you a statement of actual settlement costs Amounts paid to and by the settlement agent are shown
Items marked 'TPOCJ" were paid outside the closing, they are shown here for informational purposes and are not included in the totals
10 3198 (E 239800 PFD /E 239800/52)
D NAME AND ADDRESS OF BORROWER E NAME AND ADDRESS OF SELLER F NAME AND ADDRESS OF LENDER
City of Bremerton Alan G Cady
, a Washington Municipal Corporation Carla M Cady
345 6th St #600 P O Box 1535
Bremerton, WA 98337 Silverdale, WA 98383
G PROPERTY LOCATION H SETTLEMENT AGENT 91- 0825837 1 SETTLEMENT DATE
2310/2314/2316/2320 19th Street Land Title Escrow
Bremerton, WA 98312 May 12, 2011
Kitsap County, Washington PLACE OF SETTLEMENT
9657 Levin Road NW, #110
Silverdale, WA 98383
J SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
100 GROSS AMOUNT DUE FROM BORROWER 400 GROSS AMOUNT DUE TO SELLER
101 Contract Sales Price 1 330,000 00 401 Contract Sales Price
102 Personal Property 402 Personal Prope
103 Settlement Charges to Borrower Line 1400 1,90633 403
104 Payoff 1 st Deed of Trust 404
105 Payoff 2nd Deed of Trust 405
Adjustments For Items Paid By Seller in advance Adjustments For Items Paid By Seller in advance
106 Cit crown Taxes to 406 City/Town Taxes to
107 County Taxes to 407 County Taxes to 1
108 Assessments to 408 Assessments to
109 Homeowners Assoc Dues 409
110 410
111 ! 411
112 412
120 GROSS AMOUNT DUE FROM BORROWER 331,906 33 420 GROSS AMOUNT DUE TO SELLER
200 AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500 REDUCTIONS IN AMOUNT DUE TO SELLER
201 Deposit or earnest money 501 Excess Deposit See Instructions 1
202 Principal Amount of New Loans 502 Settlement Charges to Seller Line 1400
203 Existing loans taken subject to 503 Existing loans taken subject to
204 Deposit to Escrow 331,906 33 504
205 505
206 Deposit from Buyer 506
207 507
208 ! 508
209 Cr toward buyer closing costs 509
Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
210 City/Town Taxes to 510 Cit rrown Taxes to
211 County Taxes to 511 County Taxes to
212 Assessments to 512 Assessments to
213 513
214 514
215 515
216 516
217 517
218 518
219 519
220 TOTAL PAID BY /FOR BORROWER 331,906 33 520 TOTAL REDUCTION AMOUNT DUE SELLER
300 CASH AT SETTLEMENT FROM/TO BORROWER 600 CASH AT SETTLEMENT TO /FROM SELLER
301 Gross Amount Due From Borrower Line 120 331,906 33 601 Gross Amount Due To Seller Line 420
302 Less Amount Paid By/For Borrower Line 220 ( 331,906 33)11 602 Less Reductions Due Seller Line 520
303 CASH ( FROM) ( TO) BORROWER 0 00 603 CASH ( X TO) ( FROM) SELLER
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein
I HAVE CAREFULLY REVIEWED THE HUD -1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY MEIN THIS TRANSACTION I FURTHER CERTIFY
THAT I HAVE RECEIVED A COPY OF THE HUD -1 SETTLEMENT STATEMENT
Borrower City of Bremerton,
a Washington Municipal Corporation
By Patty Lent, Mayor
Read, accepted and approved
By Roger A Lubovich, City Attorney
TO THE BEST OF MY KNOWLEDGE, THE HUD -1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE
FUNDS WHICH WERE RECEIVED AND HAVE BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION
Land Title Escrow
Settlement Agent Date
WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAILS SEE TITLE 18 US CODE SECTION 1001 & SECTION 1010
HUD 1 (3-86) RESPA HB43052
L SETTLEMENT CHARGES
700 TOTAL COMMISSION Based on Price $ @ % PAID FROM PAID FROM
Division of Commission (line 700) as Follows BORROWER S SELLERS
701 $ to FUNDS AT FUNDS AT
702 to SETTLEMENT SETTLEMENT
703 Commission Paid at Settlement
704 to
800 ITEMS PAYABLE IN CONNECTION WITH LOAN
801 Loan Origination Fee % to
802 Loan Discount % to
803 to
804 to
805 to
806 to
807 to
808
809
810
811
900 ITEMS REOUIRED BY LENDER TO BE PAID IN ADVANCE
901 Interest From to @ $ /day ( days %)
902 Mortgage Insurance Premium for months to
903 Hazard Insurance Premium for years to
904
905
1000 RESERVES DEPOSITED WITH LENDER
1001 Hazard Insurance per
1002 Mortgage Insurance @ $ per
1003 Cl /Town Taxes @ $ per
1004 County Taxes @ $ per
1005 Assessments @ $ per
1006 @ $ per
1007 @ $ per
1008 per
1100 TITLE CHARGES
1101 Settlement or Closing Fee to Land Title Company 95000
1102 Abstract or Title Search to
1103 Title Examination to
1104 Title Insurance Binder to
1105 Document Preparation to
1106 Endorsements to
1107 Attorney's Fees to
(includes above item numbers
1108 Title Insurance to Land Title Company 80907
(includes above item numbers
1109 Lender's Coverage $
1110 Owner's Coverage $ 330,000 00 80907
1111
1112 Sales Tax/Owners Premium Land Title Company 000
1113 Sales Tax/Escrow Fee to Land Title Company 81 70
1114
1115
1116
1117
1118
1200 GOVERNMENT RECORDING AND TRANSFER CHARGES
1201 Recording Fees Deed $ 63 00, Mortgage $ Releases $ 6300
1202 City/County Tax/Stamps Excise $ Local $
1203 State Tax/Stamps Excise $ State $
1204 to
1205
1300 ADDITIONAL SETTLEMENT CHARGES
1301 Survey to
1302 Pest Inspection to
1303 to
1304 to
1305 See addit'I disb exhibit to 256
1400 TOTAL SETTLEMENT CHARGES Enter on Lines 103 Section J and 502 Section K 1,906 33
By signing page 1 of this statement the signatories acknowledge receipt of a completed copy of page 2 of this two page statement
( E 239800CA / E 239800 / 52 )
HUD -1, Page 3
Borrowers) City of Bremerton , a Washington Municipal Corporation
345 6th St #600
Bremerton, WA 98337
Settlement Agent Land Title Escrow
(360)692 -4033
Place of Settlement 9657 Levin Road NW, #110
Silverdale, WA 98383
Settlement Date May 12, 2011
Property Location 2310/2314/2316/2320 19th Street
Bremerton, WA 98312
Kitsap County, Washington
GL6 11 -24N -1 E
Additional Disbursements
Payee /Description Note /Ref No Borrower
Kltsap County Treasurer 256
Prorata 2011 RE Prop Tax/Weed thru 5/12/2011
Total Additional Disbursements shown on Line 1305 $ 2.56
1 have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction I further certify
that I have received a copy of the HUD -1 Settlement Statement
City of Bremerton,
a Washington Municipal Corporation
By Patty Lent, Mayor
Read, accepted and approved
By Roger A Lubovich, City Attorney
WARNING It is a crime to knowingly make false statements to the United States on this or any similar form Penalties upon conviction can
Include a fine and Imprisonment For details see Title 18 U S Code Section 1001 and Section 1010
(E- 239800 PFD /E- 239800/52)
LAND TITLE ESCROW
9657 Levin Road NW, #110, Silverdale, WA 98383
Phone (360)692 -4033 Fax (360)692 -8669
BUYERS ESTIMATED SETTLEMENT STATEMENT
Date: May 6, 2011
Settlement Date: May 12, 2011 Escrow No.: E- 239800
Buyer: City of Bremerton, a Washington Munw4pal Escrow Officer: Cathie Ames
Corporation
Seller: Alan G Cady and Carla M Cady, husband
and wife
Property: 231012314/231612320 19th Street
Bremerton, WA 98312
DEBIT CREDIT
Purchase Price 330,000 00
Loan Charges
TitielEscrow Charges
Settlement or Closing Fee 95000
Sales Tax/Escrow Fee 8170
Title Insurance 80907
Recording Charges
Recording Fees 6300
Prorata 2011 RE Prop Tax/Weed thru 5/12/2011 256
Subtotals 331,906 33
Balance Due FROM Buyer 331,906 33
TOTALS 331,906 33 331,906 33
City of Bremerton,
a Washington Municipal Corporation
By Patty Lq6 Mayor
Read acce ted and approved
y oger A. Lubovich, City Attorney
(E- 239800 PFUE- 23980022)
REAL ESTATE PURCHASE AND SALE AGREEMENT
WITH EARNEST MONEY PROVISION
This agreement controls the terms of the sale of real property
(Please read carefully before signing.)
This Agreement is entered between the CITY OF BREMERTON, a Washington
municipal corporation ( "Buyer "), and ALAN G. CADY and CARLA M. CADY, ( "Seller "), for
the sale and purchase of real property as follows:
1. PROPERTY. The property, including all improvements and appurtenances
situated thereon, which Buyer agrees to buy and Seller agrees to sell, is commonly known to be
located at 19 Street and Taft Avenue in Anderson Cove, Bremerton, Washington (the
"Property"), and which Property is legally described in Exhibit A, attached hereto and
incorporated herein by this reference A map indicating the location of the Property is also
attached as Exhibit B, incorporated herein by this reference.
2. EARNEST MONEY. None
3. PURCHASE PRICE. The total purchase price for the Property is THREE
HUNDRED THIRTY THOUSAND AND NO /100 DOLLARS ($330,000.00) payable on
closing.
4. CONTINGENCIES. This agreement is contingent upon:
(a) Acceptance of its terms by the Bremerton City Council.
(b) Buyers review and approval of the title report on the property prior to
Closing.
(c) Buyer's review and approval of Seller's information contained in the Real
Property Transfer Disclosure Statement as set forth in Exhibit C.
(d) A Feasibility Study as follows:
(1) Buyer shall have the opportunity to conduct a feasibility study to
determine if, in Buyer's sole and absolute discretion, the Property is
feasible for investment and/or development by Buyer.
(2) Buyer's feasibility study may include (but is not limited to) a Phase
I and/or Phase II environmental assessment, utilities availability
and capacity, access availability, zoning, preliminary architectural
and engineering studies, marketing feasibility
(3) A Phase I environmental assessment generally will consist of a
review of title of ownership and land use, review of geologic and
hydrologic maps of the area, review of federal and state databases
for known hazardous water generators or contaminated sites and a
site visit If the Phase I review reveals the potential of a
contaminated site, a Phase II environmental assessment may be
conducted which generally will consist of on -site sampling,
REAL ESTATE PURCHASE AND SALE AGREEMENT Anderson Cove Property
Page 1 of 5
r
including the digging or boring of test holes for soil samples. By
executing this agreement, Seller hereby authorizes Buyer a right of
entry on to the property for the purpose of conducting this
feasibility study including a Phase I, and f necessary, a Phase H
environmental assessment Seller will be notified if a Phase II
environmental assessment is to be conducted
(4) Buyer agrees to conduct its feasibility study at its sole cost and
expense, and if Buyer does not remove the feasibility contingency
on or before the expiration of the feasibility period, then Buyer also
agrees, if requested by Seller, to deliver to Seller copies of all
information and documentation obtained by Buyer in connection
with its feasibility study
(5) For any on -site activity performed by Buyer during the feasibility
study, Buyer agrees to return the Property to its original state (i.e.,
fill all boring holes, etc.)
Should any of these contingencies not be met by May 4, 2011, then this
Agreement shall terminate and neither Buyer nor Seller shall have any further rights, duties or
obligations hereunder, except that the Earnest Money held in escrow shall be immediately
returned to Buyer.
5. CONVEYANCE AND CONDITION OF TITLE. The title to the real property
shall be conveyed by Seller to Buyer at closing by Statutory Warranty Deed, free and clear of all
liens, encumbrances or defects except those described in Paragraph 6 below
6. TITLE INSURANCE. At Closing, Seller shall cause Land Title Company,
whose address and telephone number is 9657 Levin Road NW, Silverdale, WA 98383, 360 -692-
2233, to issue a standard form owner's policy of title insurance to Buyer in an amount equal to
the total purchase price of the Property The cost of this policy shall be paid by Buyer at Closing
For purposes of this Agreement, the following shall not be deemed encumbrances or defects.
rights reserved and federal patents or state deeds, building or use restrictions consistent with
current zoning, and utility and road easements of record. If title cannot be made so insurable
prior to the Closing date called for herein, unless, Buyer elects to waive such defects or
encumbrances, this agreement shall terminate.
7. CLOSING COSTS AND PRO - RATIONS. The cost of escrow shall be paid by
Buyer, except those fees which are expressly limited by Federal Regulation Seller shall pay for
excise tax and revenue stamps. Taxes for the current year, rents, interest, Association,
Condominium and/or Homeowner's fees, water and other utility charges, if any, shall be pro-
rated as of date of closing unless otherwise agreed
8. CLOSING OF THE SALE. With the understanding that time is of the essence
for this agreement, this sale shall be closed by May 12, 2011 which shall also be the termination
date of this agreement unless said closing date is extended in writing by mutual agreement of the
parties When notified, the Buyer and Seller will deposit, without delay, in escrow with Land
REAL ESTATE PURCHASE AND SALE AGREEMENT Anderson Cove Property
Page 2 of 5
Title Company, all instruments and monies required to complete the transaction in accordance
with this agreement Closing, for the purpose of this agreement, is defined as the date that all
documents are executed and the sale proceeds are available for disbursement to the Seller
9. CASUALTY LOSS. If prior to closing, improvements on said premises shall be
destroyed or materially damaged by fire or other casualty, this agreement, at option of the Buyer,
shall become null and void
10. POSSESSION. Buyer shall be entitled to possession on closing.
11. SELLER'S REPRESENTATIONS. Seller represents that.
(a) Seller will maintain the Property in present or better condition until time
of agreed possession,
(b) Seller has no knowledge or notice from any governmental agency of any
violation of laws relating to the subject Property except.
(c) The Property is not encumbered by any leases.
12. SELLER'S ENVIRONMENTAL REPRESENTATIONS. Seller represents
that to the best of his/her knowledge that he /she is not aware of existence of, or has caused or
allowed to be caused, any environment condition (including, without limitation, a spill, discharge
or contamination) that existed as of and/or prior to the closing date or any act of omission
occurring prior to the closing date, the result of which may require remedial action pursuant to
any federal, state or local law or may be the basis for the assertion of any third party claims,
including claims of governmental entities except- N r--
This provision shall survive the closing and be in addition to Seller's obligation for
breach of a representation or warranty as may be set forth herein.
13. DEFAULT AND ATTORNEY'S FEES.
(a) Buyer's Default. If Buyer defaults hereunder, Seller's sole remedy shall
be limited to damages against Buyer in the liquidated amount of the earnest money previously
paid the Buyer. Buyer and Seller intend that said amount constitutes liquidated damages so as to
avoid other costs and expenses to either party in connection with potential litigation on account
of Buyers' default. Buyer and Seller believe said amount to be a fair estimate of actual damages.
(b) Seller's Default. If Seller defaults hereunder, Buyer shall have all the
rights and remedies available at law or in equity.
(c) Attorney's Fees and Costs. In the event of litigation to enforce any of the
terms or provisions herein, each party shall pay all its own costs and attorney's fees.
14. NOTICE TO SELLER. This form contains provisions for an agreement for the
purchase and sale of real estate Buyer makes no warranty or representation of any kind that this
form, or any of its provisions, is intended to meet the factual and legal requirements of a
particular transaction, or that it accurately reflects that laws of the State of Washington at the
time you enter the agreement This agreement has significant legal and financial consequences
By signing this agreement, Seller acknowledges that Seller has or has had the opportunity to
REAL ESTATE PURCHASE AND SALE AGREEMENT Anderson Cove Property
Page 3 of 5
consult with an attorney regarding Sellers rights and obligations in this agreement.
15. BROKERS FEES /COMMISSIONS. Seller agrees to indemnify, defend and
hold harmless Buyer with respect to any claim by any person or entity claiming through Seller to
be entitled to a commission with respect to the transaction contemplated by this agreement.
16. NON - MERGER. The terms, conditions, and provisions of this Agreement shall
not be deemed merged into the deed, and shall survive the Closing and continue in full force and
effect.
17. NOTICES. All notices required or permitted to be given hereunder shall be in
writing and shall be sent U.S. certified mail, return receipt requested, or by facsimile
transmission addressed as set forth below -
(a) All notices to be given to Buyer shall be addressed as follows -
Mayor
City of Bremerton
345 6th Street, Suite 600
Bremerton, Washington 98337 -1873
(b) All notices to be given to Seller shall be addressed as follows:
Alan G. and Carla M. Cady
P.0. - A t53,5
Either party hereto may, by written notice to the other, designate such other
address for the giving of notices as being necessary. All notices shall be deemed given on the
day such notice is personally served, or on the date of the facsimile transmission, or on the third
day following the day such notice is mailed in accordance with this paragraph.
18. ENTIRE AGREEMENT. This agreement, including all incorporated exhibits,
constitutes the full understanding between seller and buyer There have been no verbal or other
agreements that modify this agreement.
19. BINDING EFFECT AND SURVIVAL. This Agreement shall be binding upon
parties hereto and their respective heirs, successors and assigns, and the terms, conditions and
provisions of this Agreement shall survive the closing of this transaction
20. DATE OF MUTUAL ACCEPTANCE. For the purposes of this Agreement, the
date of mutual acceptance of this Agreement shall be the last date on which the parties to this
Agreement have executed this Agreement as indicated below.
REAL ESTATE PURCHASE AND SALE AGREEMENT Anderson Cove Property
Page 4 of 5
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
set forth below.
BUYER: SELLER:
CITY OF BREMERTON ALAN G CADY
By.
Patty I&Nfay&
Dated•
Dated
CARLA M CADY
Dated:
APPROVED AS TO FORM.
By.
Rog r A. Lubovich, City Attorney
R \l egal\Lega1\Files \Current Active Files\Anderson Cove Property Purchase\REPSA -19th & Taft doc
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REAL ESTATE PURCHASE AND SALE AGREEMENT Anderson Cove Property
Page 5 of 5
i
t
EXHIBIT "A"
DESCRIPTION:
PARCELI:
PART OF GOVERNMENT LOT 6, SECTION 11, TOWNSHIP 24 NORTH, RANGE 1 EAST, W M., IN
KITSAP COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
BEGINNING 763.40 FEET EAST AND 30 FEET NORTH OF THE SOUTHWEST CORNER OF SAID
SECTION 11; THENCE NORTH 100 FEET; THENCE EAST TO MEANDER LINE; THENCE SOUTH
ALONG SAID MEANDER LINE TO A POINT DUE EAST OF THE POINT OF BEGINNING; THENCE
WEST TO THE POINT OF BEGINNING;
EXCEPT THE EAST 60 FEET THEREOF;
TOGETHER WITH THAT PORTION OF VACATED TAFT AVENUE WHICH ATTACHES BY
OPERATION OF LAW PER ORDINANCE NO. 4669. RECORDED UNDER AUDITOR'S FILE NO.
3201486.
PARCEL 11:
THAT PORTION OF GOVERNMENT LOT 8, SECTION 11, TOWNSHIP 24 NORTH, RANGE 1 EAST,
W M, IN KITSAP COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT 763 40 FEET EAST AND 130 FEET NORTH OF THE SOUTHWEST
CORNER OF SAID GOVERNMENT LOT 6, BEING THE TRUE POINT OF BEGINNING; THENCE
NORTH 50 FEET; THENCE EAST 291 FEET, MORE OR LESS, TO GOVERNMENT MEANDER LINE;
THENCE SOUTHERLY ALONG SAID MEANDER LINE TO A POINT EAST OF THE TRUE POINT OF
BEGINNING; THENCE WEST TO THE TRUE POINT OF BEGINNING;
TOGETHER WITH THAT PORTION OF VACATED TAFT AVENUE WHICH ATTACHES BY
OPERATION OF LAW PER ORDINANCE NO 4869, RECORDED UNDER AUDITOR'S FILE NO
3201488.
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{ EXHIBIT C
REAL PROPERTY TRANSFER DISCLOSURE STATEMENT FORM
INSTRUCTIONS TO THE SELLER
Please complete the following form. Do not leave any spaces blank If the question clearly does not apply to the
property write "NA ". If the answer is "yes" to any * items, please explain on attached sheets. Please refer to the line
number(s) of the question(s) when you provide your explanation(s) For your protection you must date and sign
each page of this disclosure statement and each attachment. Delivery of the disclosure statement must occur not
later than five business days, unless otherwise agreed, after mutual acceptance of a written contract to purchase
between a buyer and a seller
NOTICE TO THE BUYER
THE FOLLOWING DISCLOSURES ARE MADE BY SELLER ABOUT THE CONDITION OF THE
PROPERTY LOCATED AT 2 7 o, 1y_ t 4 PG,13 l l —Sri . c( 9a l'L ( "THE
PROPERTY "), OR AS LEGALLY DESCRIBED ON ATTACHED EXHIBIT A
SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL
DEFECTS TO BUYER BASED ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME
SELLER COMPLETES THIS DISCLOSURE STATEMENT UNLESS YOU AND SELLER OTHERWISE
AGREE IN WRITING, YOU HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S
AGENT DELIVERS THIS DISCLOSURE STATEMENT TO YOU TO RESCIND THE AGREEMENT BY
DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR
SELLER'S AGENT IF THE SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT,
THEN YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO
A SALE AGREEMENT
THE FOLLOWING ARE DISCLOSURES MADE BY SELLER AND ARE NOT THE REPRESENTATIONS OF
ANY REAL ESTATE LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY
AND IS NOT INTENDED TO BE A PART OF ANY WRITTEN AGREEMENT BETWEEN BUYER AND
SELLER
FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY
YOU ARE ADVISED TO OBTAIN AND PAY FOR THE SERVICES OF QUALIFIED EXPERTS TO INSPECT
THE PROPERTY, WHICH MAY INCLUDE, WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAND
SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING INSPECTORS, ON -SITE
WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST INSPECTORS THE PROSPECTIVE
BUYER AND SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE
PROPERTY OR TO PROVIDE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH
RESPECT TO ANY ADVICE, INSPECTION, DEFECTS OR WARRANTIES
Seller is/ En) occupying the property
I. SELLER'S DISCLOSURES:
*If you answer "Yes" to a question with an asterisk ( *), please explain your
answer and attach documents, if available and not otherwise publicly recorded
If necessary, use an attached sheet
1 TITLE
[�1 Yes [ ] No [ ] Don't know A Do you have legal authority to sell the
property? If no, please explain
I
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[)[J Yes [ ] No [ ] Don't know *B Is title to the property subject to any of
the following?
(1) First right of refusal
(2) Option see,
(3) Lease or rental agreement /,1 Y es, 0^ e 5
(4) Life estate? 1 Aa d CC e"
[ ] Yes No [ ] Don't know *C. Are there any encroachments, boundary
agreements, or boundary disputes?
[ ] Yes No [ ] Don't know *D Are there any rights of way, easements, or
access limitations that may affect the
Buyer's use of the property?
[ ] Yes No [ ] Don't know *E. Are there any written agreements for joint
maintenance of an easement or right of way?
[ ] Yes [ ] No Don't know *F Is there any study, survey project, or
notice that would adversely affect the
property?
[ ] Yes W No [ ] Don't know *G. Are there any pending or existing
assessments against the property?
[,(] [ ] No [ ] Don't know *H. Are there any zoning violations,
X314 �s akeser* - o +Le- ba-y CMMMMorming uses or any unusual
i I�o�n cu r fc.�'�t7 a \dam a restrictions on the property that would
affect future construction or remodeling?
[ ] Yes [ No [ ] Don't know *I. Is there a boundary survey for the
property?
[ ] Yes [rNo [ ] Don't know *J Are there any covenants, conditions, or
restrictions which affect the property?
2 WATER
A Household Water
(1) The source of water for the property
is
[' Private o publicly owned ater
System
[ ] Private well serving only the subject
property
*[ ] Other water system
Yes [ ] No [ ] Don't know *If shared, are there any written
agreements?
WIA [ ] Yes [ ] No [ ] Don't know *(2) Is there an easement (recorded or
unrecorded) for access to and /or
maintenance of the water source?
[ l Yes VNo [ ] Don't know *(3) Are there any known problems or
repairs needed?
[)(J Yes [ ] No [ l Don't know (4) During your ownership, has the source
provided an adequate year round supply
of potable water? If no, please
explain
[ ] Yes ( J No [ ] Don't know *(5) Are there any water treatment
systems for the property> If yes, are
they
[ ] Leased [ ]owned
B Irrigation
[ ] Yes No [ ] Don't know (1) Are there any water rights for the
property, such as a water right,
permit, certificate, or claim?
[ ] Yes (�] No [ l Don't know *(a) If yes, have the water rights been
used during the last five years?
[ ] Yes No [ j Don't know *(b) If so, is the certificate available?
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C. Outdoor Sprinkler System
[ ] Yes [ No [ ] Don't know (1) Is there an outdoor sprinkler system
for the property?
[ ] :B� [ o [ ] on't know (2) If yes, are there any defects in the
system?
[ ] [ ] [ ] Don't know *(3) If yes, is the sprinkler system
connected to irrigation water?
3 SEWER /ON -SITE SEWAGE SYSTEM
A. The property is served by k Public sewer
system, [ ] On- site sewage system (including
pipes, tanks, drainfields, and all other
component parts) [ ] Other disposal system,
please describe:
y Yes [ ] No [ ] Don't know B If public sewer system service is available
to the property, is the house connected to
the sewer main? If no, please explain.
[ ] No [ ] Don't know C Is-the-property subject to any sewage system
fees or charges in addition to those covered
in your regularly billed sewer or on -site
sewage system maintenance service?
D If the property is connected to -site
sewage system:
cno *(1) Was a permit i ed for its
construction nd was it approved by
the loc ealth department or district
fol ing its construction?
When was it last pumped
.. . .. . . . . . ...... ..
[ ] Yes [ ] No [ ] Don't know *(3) Are there any de is in the
operation of on -site sewage
system?
[ ] Don't know (4 n was it last in ected
By Whom
. [ ] Don't know (5) For how any bedrooms was the on -site
wage ystem approved ?
bedrooms
[ ] Yes [ ] No [ ] Don't know r a plumbing fixtures, including laundry
ai , connected to the sewer /on -site sewage
m If no, please explain.
[ ] Yes [ ] No [ ] Don't know Ha a there been any changes or repairs to
the on -site sewage system?
( ] Yes [ ] No [ ] Don't now G Is the on -site sewage system, including the
drainfield, located entirely within the
boundaries of the property? If no, please
explain
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[ ) Yes [ ) No [ on't know H. Does the on -site sewW system require
monitoring and ma' enance services more
frequently tha nce a year? If yes, please
explain
.. . . . . .. . .. . .... .....
NOTICE IF THIS RESIDENTIAL REAL PROPERTY DISCLOSURE STATEMENT IS BEING
COMPLETED FOR NEW CONSTRUCTION WHICH HAS NEVER BEEN OCCUPIED, THE SELLER IS
NOT REQUIRED TO COMPLETE THE QUESTIONS LISTED IN ITEM 4 STRUCTURAL OR ITEM 5
SYSTEMS AND FIXTURES
4. STRUCTURAL L-111-61,q S p .rn -c-
[ ] Yes [ ] No Don't know *A Has the roof leaked? DR I PS.
[9d Yes [ ] No [ l Don't know *B. Has the basement flooded or leaked? ?.3 v
[ ] Yes No [ l Don't know *C. Have there been any conversions,
additions, or remodeling?
[ ] Yes [ ] No [V] Don't know *(1) If yes, were all building permits
obtained?
[ ] Yes [ ] No [ Don't know *(2) If yes, were all final inspections
obtained?
[�(1 Yes [ ] No [ ] Don't know D Do you know the age of the house? If yes,
year of original construction.
[ Yes [ J No [ ] Don't know *E. Has there been any settling, slippage,
or sliding of the property or its
improvements
[ ] Yes [ ] No [ ] Don't know *F Are there any defects with the
following
(If yes, please check applicable items and
explain )
[xl Foundations a.3lb [ ] Decks [ ] Exterior Walls
[ ] Chimneys [ ] Interior Walls [ ] Fire Alarm
[ l Doors [ ] Windows [ ] Patio
[ ] Ceilings [ ] Slab Floors [ ] Driveways
[ J Pools [ ] Hot Tub ( ] Sauna
fk] Sidewalks �`" [ ] outbuildings [ ] Fireplaces
a5iy
[ ] Garage Floors [ ] Walkways [ ] Siding
[ ] other [ ] Wood Stoves
[ J Yes No [ ] Don't know *G Was a structural pest or "whole house"
inspection done? If yes, when and by whom
was the inspection completed
[x] Yes [ ] No [ ] Don't know H During your ownership, has the property
had any wood destroying organism or pest
infestation?
[ ] Yes [ ] No Don't know I Is the attic insulated)
[ ] Yes [ ] No ] Don't know J Is the basement insulated?
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5 SYSTEMS AND FIXTURES
*A If any of the following systems or
fixtures are included with the transfer,
are there any defects? If yes, please
explain
[ ] Yes [ ] No (Kf Don't know Electrical system, including wiring,
switches, outlets, and service
[ ] Yes [ ] No [k]" Don't know Plumbing system, including pipes,
faucets, fixtures, and toilets
[ ) Yes [ ] No [A' Don't know Hot water tank
• -E-� "--=- r]-��e - Garbage disposal— 1rd-K4S
[ ] Yes [ ] No [XT Don't know Appliances
-' w' tom. Sump pump -- MO T'& 4
[ ] Yes [ ] No [x]' Don't know Heating and cooling systems
Security system - 9& L
[ ] Owned [ ] Leased
Other
*B. If an he following fixtures or
pro e-fty is included with the transfer,
re they leased? (If yes, please attach
copy of lease.)
[ ] Yes [ ] No [ ] Don' n w Security system .
[ ] Yes [ ] No [ on't know Tanks (type) ..
[ ) Yes [ ] [ ] Don't know Satellite dish
Other ..
6 COMMON INTERESTS
[ ] Yes No [ ] Don't know A Is there a Home Owners' Association? Name
of Association
[ ] Yes No [ ]*Don't* know B Are there periodic assessments:
r $ per [ ] Month [ ] Year
[ ] Other
[ ] Yes [ /No [•] Don't *C. Are there any pending special
assessments?
( ] Yes 5l No [ ] Don't know *D Are there any shared "common areas" or
any point maintenance agreements
(facilities such as walls, fences,
landscaping, pools, tennis courts,
walkways, or other areas co -owned in
undivided interest with others)>
7 GENERAL
[ ] Yes Od"No [ ] Don't know *A Have there been any drainage problems on
the property?
>er Yes [ ] No [ ] Don't know *B. Does the property contain fill materials f
[ ] Yes [ No [ ] Don't know *C Is there any material damage to the
property from fire, wind, floods, beach
movements, earthquake, expansive soils, or
landslides?
[ ] Yes [ ] No Don't know D Is the property in a designated flood
plain?
[ ] Yes [ ] No Don't know *E Are there any substances, materials, or
products on the property that may be
environmental concerns, such as asbestos,
formaldehyde, radon gas, lead -based paint,
5 of 7
fuel or chemical storage tanks, or
contaminated soil or water?
[ J Yes [ No [ ] Don't know *G Has the property ever been used as an
illegal drug manufacturing site?
[ ) Yes 0 No [ ] Don't know *H Are there any radio towers in the area
that may cau interference with telephone
reception?
8 MANUFA ED AND MOBILE HOMES
If the roperty includes a manufactured or
m le home,
[ ] Yes [ ] No [ ] Don't know * . Did you make any alterations to the
home?
If yes, please describe the alterations
[ ] Yes [ ] No [ ] D 't know *B Did any previous owner make any
alterations to the home? If yes, please
describe the alterations ..
[ ] Yes [ ] [ ] Don't know *C. If alterations were made, were permits
or variances for these alterations
obtained?
9 FULL DISCLOSURE BY SELLERS
A Other conditions or defects:
Yes k-l"
o Don't know *Are there any other existing material
�' defects affecting the property that
prospective buyer should know about 7
B Verification:
The foregoing answers and attached
explanations (if any) are complete and
correct to the best of my /our knowledge
and I /we have received a copy hereof I /we
authorize all of my /our real estate
licensees, if any, to deliver a copy of
this disclosure statement to other real
estate licensees and all prospective
buyers of the property
DATE ���1� SELLER
SELLER. f
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NOTICE TO THE BUYER
INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW
ENFORCEMENT AGENCIES THIS NOTICE IS INTENDED ONLY TO INFORM YOU OF WHERE TO
OBTAIN THIS INFORMATION AND IS NOT AN INDICATION OF THE PRESENCE OF REGISTERED SEX
OFFENDERS
II BUYER'S ACKNOWLEDGMENT
A Buyer hereby acknowledges that. Buyer has a duty to pay diligent
attention to any material defects that are known to Buyer or can be
known to Buyer by utilizing diligent attention and observation
B The disclosures set forth in this statement and in any amendments to
this statement are made only by the Seller and not by any real
estate licensee or other party
C. Buyer acknowledges that, pursuant to RCW 64 06.050(2), real estate
licensees are not liable for inaccurate information provided by
Seller, except to the extent that real estate licensees know of
Such inaccurate information
D This information is for disclosure only and is not intended to be a
part of the written agreement between the Buyer and Seller
E Buyer (which term includes all persons signing the "Buyer's
acceptance" portion of this disclosure statement below) has
received a copy of this Disclosure Statement (including
attachments, if any) bearing Seller's signature
DISCLOSURES CONTAINED IN THIS DISCLOSURE STATEMENT ARE PROVIDED BY SELLER BASED
ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS
DISCLOSURE STATEMENT UNLESS BUYER AND SELLER OTHERWISE AGREE IN WRITING, BUYER
SHALL HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS
DISCLOSURE STATEMENT TO RESCIND THE AGREEMENT BY DELIVERING A SEPARATELY SIGNED
WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT IF THE SELLER DOES NOT
GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO
RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT
BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS DISCLOSURE STATEMENT AND
ACKNOWLEDGES THAT THE DISCLOSURES MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND
NOT OF ANY REAL ESTATE LICENSEE OR OTHER PARTY
DATE BUYER
R \Legal \Legal\Files \Current Active Files \Victono - property purchase\Seller's Disclosure Statement doc
7 of 7
OMB NO. 2502-0265
A B TYPE OF LOAN
U S DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1 []FHA 2 []FmHA 3 ❑CONV UNINS 4 []VA 5 C]CONV INS
6 FILE NUMBER 7 LOAN NUMBER
FINAL E- 239800CA
SETTLEMENT STATEMENT 8 MORTGAGE INS CASE NUMBER
C NOTE This form is fumished to give you a statement of actual settlement costs Amounts paid to and by the settlement agent are shown
Items marked 7POC)" were paid outside the closing, they are shown here for informational purposes and are not included in the totals
10 3/88 E- 239800 PFDIE- 239800/42
D NAME AND ADDRESS OF BORROWER E NAME AND ADDRESS OF SELLER F NAME AND ADDRESS OF LENDER
City of Bremerton Alan G Cady
345 th St Washington
#600 Municipal Corporation Carla 0 Box 1535 SAVE FOR OUR TAX RECORDS
Bremerton, WA 98337 Silverdale, WA 98383
G PROPERTY LOCATION H SETTLEMENT AGENT 91 -0825837 1 SETTLEMENT DATE
2310/231412316r2320 19th Street Land Title Escrow
Bremerton, WA 98312 May 12, 2011
Kdsap County, Washington PLACE OF SETTLEMENT
9657 Levin Road NW, #110
Silverdale, WA 98383
J SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
100 GROSS AMOUNT DUE FROM BORROWER 400 GROSS AMOUNT DUE TO SELLER
101 Contract Sales Price 330,000 00 401 Contract Sales Price
102 Personal Property 402 Personal Prope
103 Settlement Charges to Borrower Line 1400 1 1 90633 403
104 Payoff 1 st Deed of Trust 404
105 Payoff 2nd Deed of Trust 405
Adjustments For Items Paid By Seller in advance Adjustments For Items Paid By Seller in advance
106 Citvrrown Taxes to 406 City/Town Taxes to
107 County Taxes to 407 County Taxes to
108 Assessments to 408 Assessments to
109 Homeowners Assoc Dues 409
110 410
111 411
112 412
120 GROSS AMOUNT DUE FROM BORROWER 331,906 33 420 GROSS AMOUNT DUE TO SELLER
200 AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500 REDUCTIONS IN AMOUNT DUE TO SELLER-
201 Deposit or earnest money 501 Excess Deposit See Instructions
202 Principal Amount of New Loans 502 Settlement Charges to Seller Line 1400
203 Emstin loans taken subject to 503 Ewstin loans taken subject to
204 Deposit to Escrow 3-3-1 33 504
205 505
206 Deposit from Buyer 506
207 507
208 508
209 Cr toward buyer closing costs 509
Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
210 City/Town Taxes to 510 City/Town Taxes to
211 County Taxes to 511 County Taxes to
212 Assessments to 512 Assessments to
213 513
214 514
215 515
216 516
217 517
218 518
219 519
220 TOTAL PAID BY/FOR BORROWER 331,906 520 TOTAL REDUCTION AMOUNT DUE SELLER
300 CASH AT SETTLEMENT FROMITO BORROWER 600 CASH AT SETTLEMENT TOIFROM SELLER
301 Gross Amount Due From Borrower Line 120 331906313 601 Gross Amount Due To Seller Line 420
302 Less Amount Paid BY/For Borrower Line 220 ( 331,906 602 Less Reductions Due Seller Line 520
1 303 CASH ( FROM) ( TO) BORROWER 000 603 CASH( X TO) ( FROM) SELLER
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of this statement & any attachments referred to herein
I HAVE CAREFULLY REVIEWED THE HUD -1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY MEIN THIS TRANSACTION I FURTHER CERTIFY
THAT I HAVE RECEIVED A COPY OF THE HUD -1 SETTLEMENT STATEMENT
Borrower City of Bremerton,
a Washington Municipal Corporation
By Patty Lent, Mayor
Read, accepted and approved
By Roger A Lubovich, City Attorney
TO THE BEST OF MY KNOWLEDGE, THE HUW SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE
FUNDS WHICH WERE R B EJ4 OR Z LL BE DISBURSED BY THE ND R IGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION
_r=2021 _ Land Title Escrow
Settlement Agent Date
WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAILS SEE TITLE 18 U S CODE SECTION 1001 & SECTION 1010
HUD-1 (3-98) RESPA HB43052
Page 2
L. SETTLEMENT CHARGES
700 TOTAL COMMISSION Based on Price $ @ % PAID FROM PAID FROM
Division of Commission (line 700) as Follows BORROWERS SELLER S
701 $ to FUNDS AT FUNDS AT
702 to SETTLEMENT SETTLEMENT
703 Commission Paid at Settlement
704 to
800 ITEMS PAYABLE IN CONNECTION WITH LOAN
801 Loan Origination Fee % to
802 Loan Discount % to
803 to
804 to
805 to
806 to
807 to
808
809
810
811
900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901 Interest From to @ $ /day ( days %)
902 Mort a e Insurance Premiumfor months to
903 Hazard Insurance Premium for years to
904
905
1000. RESERVES DEPOSITED WITH LENDER
1001 Hazard Insurance per
1002 Mortgage Insurance @ $ per
1003 C /Town Taxes @ $ per
1004 County Taxes @ $ per
1005 Assessments @ $ per
1006 @ $ per
1007 @ $ per
1008 $ per
1100 TITLE CHARGES
1101 Settlement or Closing Fee to Land Tale Company 95000
1102 Abstract or Title Search to
1103 Title Examination to
1104 Title Insurance Binder to
1105 Document Preparation to
1106 Endorsements to
1107 Attorney's Fees to
(includes above item numbers
1108 Title Insurance to Land Title Company 80907
(includes above (item numbers
1109 Lender's Coverage $
1110 Owner's Coverage $ 330,000 00 80907
1111
1112 Sales Tax/Owners Premium Land Title Company 000
1113 Sales Tax/Escrow Fee to Land Title Company 8170
1114
1115
1116
1117
1118
1200 GOVERNMENT RECORDING AND TRANSFER CHARGES
1201 Recording Fees Deed $ 63 00, Mortgage $ Releases $ 6300
1202 City/County City/County TaxlStam s E xcise $ Local $
1203 State Tax/Stamps Excise $ State $
1204 to
1205
1300 ADDITIONAL SETTLEMENT CHARGES
1301 Survey to
1302 Pest Inspection to
1303 to
1304 to
1305 See addd9 disb exhibit to 2 56
1400 TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 1,906 33
By signing Page 1 of On siatenwt are signatones admWedge reoeipt of a completW copy of page 2 of flue two page statement.
( E- 23=OCA / E- 239800 / 42 )
HUD -1, Page 3
Borrower(s) of Bremerton, a Washington Municipal Corporation
345 6th St #600
Bremerton, WA 98337
Settlement Agent: Land Title Escrow
(360)6924033
Place of Settlement: 9657 Levin Road NW, #110
Silverdale, WA 98383
Settlement Date: May 12, 2011
Property Location: 2310/2314/2316/2320 19th Street
Bremerton, WA 98312
Kitsap County, Washington
GL611 -24N -1 E
Additional Disbursements
Payee /Description Note /Ref No. Borrower
Kitsap County Treasurer 256
Prorata 2011 RE Prop Tax/Weed thru 5/12/2011
Total Additional Disbursements shown on Line 1305 $ 2.56
1 have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction I further certify
that I have received a copy of the HUD -1 Settlement Statement
City of Bremerton,
a Washington Municipal Corporation
By Patty Lent, Mayor
Read, accepted and approved
By Roger A Lubovich, City Attorney
WARNING It is a crime to knowingly make false statements to the United States on this or any similar form Penalties upon conviction can
Include a fine and imprisonment. For details see Title 18 U S. Code Section 1001 and Section 1010
(E- 239800 PFD/E- 239800/42)
LAND TITLE ESCROW
9657 Levin Road NW, #110, Silverdale, WA 98383
Phone (360)692 -4033 Fax (360)692 -8669
BUYER'S FINAL SETTLEMENT STATEMENT
Date: May 16, 2011
Settlement Date: May 16, 2011 Escrow No.: E- 239620
Buyer: City of Bremerton, a Municipal Corporation Escrow Officer: Cathie Ames
Seller: Kitsap County, a Washington Politial
Subdivision
Property: 91417th Street
Bremerton, WA 98337
DEBIT CREDIT
Purchase Price 75,000 00
Purchase Money Note /DOT 35,000 00
Loan Charges
Settlement or Closing Fee 43440
Recording Charges
Government recording charges 13000
Subtotals 75,564 40 35,000 00
Balance Due FROM Buyer 40,564 40
TOTALS 75,564 40 75,564 40
City of Bremerton,
a Municipal Corporation
By Patty Lent, Mayor
Read, accepted and approved
By Roger A Lubovich, City Attorney
(E- 239620 PFD/E- 239620/55)