HomeMy WebLinkAbout202107150106Return Address
City Clerk
City of Bremerton
345 61" Street, Ste. 100
Bremerton, WA 98337
BREMERTON CITY OF 202107150106
Quit Claim Deed Rec Fee: $ 105.50 Page: 1 of 3
07l15/2021 10 42 AM
Paul Andrews; Kitsap Co Auditor
AUDITOR/RECORDER'S INDEXING FORM
DocumentTitle(s): 1, Quit Claim Deed
Reference Number(s) of Documents assigned
or released: 202002100203
Grantor(s): 1. Paije Properties LLC
Additional names on page
of document.
Grantee(s): 1. City of Bremerton
Additional names on page
of document.
Legal Description: RESULTANT PARCEL B OF SURVEY FOR BOUNDARY LINE ADJUSTMENT
(abbreviated) RECORDED UNDER AUDITOR'S FILE NO, 2019121701215 IN VOLUME 90 OF
SURVEYS, PAGE 81, RECORDS OF ICITSAP COUNTY, WASHINGTON
❑x Additional legal is on page 3
of document.
Assessor's Property Tax Parcel/Account Number: 122301-2-031-1005
QUlT CLAYIVI 13EEH
THE GRANTOR, PAIJE PROPERTIES LLC, a Washington limited liability company, for and in
consideration of clearing title, conveys and quit claims to CITY OF BREMERTON, a Washington
municipal corporation, the following described real estate, previously dedicated with Kitsap County
Auditor Recording Number 202002100203, situated in the County of Kitsap, state of Washington,
together with all after acquired title of the grantor(s) therein::
SEE EXHIBIT "A" ATTACHED
1
KITSAP COUNTY TREASURER EXCISE
2021 EX05731
Total: $10.00
07/14/2021
Clerk's Initial_
GRANTOR:
PAIJE
Dated:
STATE OF WASHINGTON
-ss
COUNTY OF KITSAP
I certify that I know or have satisfactory evidence that Stan B. Palmer is the person who appeared
before me, and said person acknowledged that he signed this instrument, on oath stated that he is
authorized to execute the instrument and acknowledged it as the Manager of Paije Properties LLC, a
Washington limited liability company that executed the foregoing instrument, and acknowledged it to
be the free and voluntary act of said limited liability company for the uses and purposes mentioned in
this instrument. j
Ac;�/31�0
Dated:
�,� NI 9
e� �oT44A 2
Accepted on behafOA# 1 �gginertt
By _
Greg
Approved as to form;
City Attorney
Public in and for the state of
My appointment expires:
this 12T�day of M �' y, 2021
EXHIBIT "A"
RESULTANT PARCEL B OF SURVEY FOR BOUNDARY LINE ADJUSTMENT
RECORDED UNDER AUDITOR'S FILE NO. 201912170121, IN VOLUME 90 OF
SURVEYS, PAGE 81, RECORDS OF KITSAP COUNTY, WASHINGTON, BEING A
PORTION OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF
SECTION 12, TOWNSHIP 23 NORTH, RANGE 1 WEST, W.M., IN KITSAP COUNTY,
WASHINGTON; SUBJECT TO AND TOGETHER WITH EASEMENTS OF RECORD.
q�.
Identify R95uitF _
akMayer PhJE PROPERTIES LLG
3 s Accaunt No —
i Acca%�nt4D 2645992 f
Site Address S ADDRESS FOUUD
7 5 SW
i0 BREE DR SW
'.�, %-a✓ y �;!„jx Mail Address RRfJwIER=OM WA. 99312 488'
-_>Staiom6nt P�* ica r ¢y tth�e ��
Pa*caS fruta?Is Tax Cc Lssti A*%g3lns0rts
�7.,: rand C 4osa n Eiji! . a�sv�.(._¢rvyonae+lx €j
:.1 n'#ems Nstary DCo Per.nlit 2n#a. .�
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SI {
EXHIBIT "A"
RESULTANT PARCEL B OF SURVEY FOR BOUNDARY LINE ADJUSTMENT
RECORDED UNDER AUDITOR'S FILE NO. 201912170121, IN VOLUME 90 OF
SURVEYS, PAGE 81, RECORDS OF KITSAP COUNTY, WASHINGTON, BEING A
PORTION OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF
SECTION 12, TOWNSHIP 23 NORTH, RANGE 1 WEST, W.M., IN KITSAP COUNTY,
WASHINGTON; SUBJECT TO AND TOGETHER WITH EASEMENTS OF RECORD.
\\
,` Id4ntify Resu3ks
Taxpayer
Acccint NO
Accavrit iG
Site Address
Mail Address
.sa �LSt8nl5 nt
PxacnS Cata!is
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L"�ieri a
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kn
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`7E PROPERTIES LLC
1
2v45992
tv.O nD®RESS FO IUD
ig26 PR£E OR SWLRElZER
ON WA 96312 4§6';
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Department ofrReal Estate Excise Tax Affidavit (RCW 82,45 WAC 458-61A)
Revenue C Only for sales in a single location code on or after January 1, 2020.
e accepted unless all areas on all pages are fully completed.
Washington State This affidavit will not b
This form is your receipt when stamped by cashier. Please type or print.
Form 84 0001
❑ Check box if partial sale, indicate % sold.
❑ Check box if the sale occurred in more than one location code. List percentage of ownership acquired next to each name.
.- Buyer/Grantee
Seller/Grantor
PAIJE PROPERTIES LLC Name CITY OF BREMERTON
Name
Mailing address 7510 BREE DR SW Mailing address 345 6TH STREET SUITE 100 ATTN: JOE KELLER
City/state/zip BREMERTON WA 98312 City/state/zip BREMERTON WA 98337
Phone (including area code)
Phone (including area code) 5343
Assessed
List all real and personal property tax Peorse f all values)
Send all property tax correspondence to: ❑ Same as Buyer/Grantee parcel account numbers p P Y
Name 122301-2-031-1005 0 $1998000
❑ $000
Mailing address El $ 0 00
City/state/zip
°> Street address of properrBre
NO ADDRESS ASSIGNED
This property is located in mm
merton (for unincorporated locations please select your county/
❑ Check box if any of the ld parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged,
i voni rin<rrintion of property (if you need mores ace, attach a separate sheet to each page of the affidavit .
45 - HlghWay and Street fight of Way /List all personal property (tangible and intangible) included in selling
price.
Enter any additional codes
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral If claiming an exemption, list WAC number and reason for exemption.
under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior g 458 61A-205(4)
citizen or disabled person, homeowner with limited income)? ❑ Yes ❑ No WAC number (section/subsection)
Is this property predominantly used for timber (as classified Reason for exemption
under RCW 84.84 and 84.33) or agriculture (as classified ❑ Yes ❑ No TRANSFER FOR A PUBLIC PURPOSE PUBLIC RIGHT OF WAY
under RCW 84.34.020)? See ETA 3215.
If yes, complete the predominate use calculator (see instructions for
section 5).
I Is this property designated as forest land per RCW 84.33? ❑Yes ❑ No Type of document OUIT CLAIM DEED
Is this property classified as current use (open space, farm ❑ Yes ❑ No Date of document MAY 5TH 2O21
and agricultural, or timber) land per RCW 84.34? Gross selling price 0.00
Is this property receiving special valuation as historical 0,00
property per RCW 84.26? ❑Yes El No *Personal property (deduct)
0.00
If any answers are yes, complete as instructed below. Exemption claimed (deduct)
0.00
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) Taxable selling price
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or Excise tax: state 0.00
timber) land, you must sign on (3) below. The county assessor must then Less than $500,000.01 at 1.1%
determine if the land transferred continues to qualify and will indicate 0,00
by signing below. If the land no longer qualifies or you do not wish to From $500,000.01 to $1,500,000 at 1.28% 0.00
continue the designation or classification, it will be removed and the From $1,500,000.01 to $3,000,000 at 2,75%
compensating or additional taxes will be due and payable by the seller 0.00
or transferor at the time of sale (RCW 84.33.140 or 84.34.108), Prior to Above $3,000,000 at 3% 0.00
signing (3) below, you may contact your local county assessor for more Agricultural and timberland at 1.28%
infor rnation. Total excise tax: state 0,00
This land: ❑ does 0 does not qualify for Local 0,00
0.0050
continuance. 0.00
*Delinquent interest: state
Deputy assessor signature
Date Local 0.00
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY) *Delinquent penalty
0.00
NEW OWNER(S): To continue special valuation as historic property, sign Subtotal 0.00
(3) below. If the new owner(s) doesn't wish to continue, all additional tax 5.00
calculated pursuant to RCW 84,26, shall be due and payable by the seller *State technology fee
or transferor at the time of sale. 5.00
(3) NEW OWNER(S) SIGNATURE Affidavit processing fee
Total due 10.00
Signature Signature A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
*SEE INSTRUCTIONS
Print name Print name
I CERTIFY UNDER PENALTY OF PE Y THA T F GO)15 5� RU AND CORRECT
J Signature of grantee or agent
Signature of grantor or agen
l Ino I�Pt(eja
Name (print)
Name (print) )
C—� 17!I(/ Date &city of signing
Date & city of signing 7in the state
PerjufiVe yesrsYor by aafine inanfelonywhich
fined by the ourtlof Isonmel not more than $SOOO�or by bothlimprisonment and fine (RCW 9A.20 020(lc)),t an
To ask about the availability of this pub
users may alternate
WA Relay Serviceibyacalling impaired, please call 360-705 6705,Teletype
THIS SPACE TREASURER'S USE ONLY TAXYPAYER
REV 84 0001a(11/06/2020) 1
Print on legal size paper.
Page 4 of 6
Instructions
Note: To report a transfer of a controlling interest in real property, please use the Real Estate Excise Tax Affidavit Controlling
Interest Transfer Return, Revenue Form No. 84-00018. This form is available online at dor.wa.gov.
Section 1:
If the sale involves property in more than one location code, use the Multiple Location Real Estate Excise Tax Affidavit.
If sale is less than 100%, check the box "Check if partial sale" and fill in the percentage sold.
Enter the name(s) of seller/grantor, This is the person(s) conveying interest in the property.
Section 2:
Enter the name(s) of buyer/grantee. This is the person(s) receiving interest in the property. List the percentage acquired after
each name.
Section 3:
• Enter the name and address where you would like all future property tax information sent.
• Enter the tax parcel number and current assessed value for real and personal property being conveyed in this county.
Check the box to indicate personal property.
Section 4:
• Enter the street address of the property.
• Enter the county if in unincorporated area. Enter city name if located within a municipality.
• Enter the legal description of the property.
Section 5:
Enter the appropriate land use code for the property. Please list all codes that apply on the lines provided in section 5.
See WAC 458-53-030(5) for a complete list.
9 - Land with mobile home 26 - Paper and allied products 64 Repair services
10 - Land with new building 27 - Printing and publishing 65 - Professional services
11- Household, single family 28 - Chemicals (medical, dental, etc.)
units 29 - Petroleum refining and related 71- Cultural activities/nature
12 - Multiple family residence industries exhibitions
(24 Units) 30 - Rubber and miscellaneous 74 - Recreational activities
13 - Multiple family residence (5+ plastic products (golf courses, etc.)
Units) 31- Leather and leather products 75 - Resorts and group camps
14 - Residential condominiums 32 - Stone, clay and glass products 80 - Water or mineral right
15 - Mobile home parks or courts 33 - Primary metal industries 81- Agriculture (not in current use)
16 - Hotels/motels 34 - Fabricated metal products 83 - Agriculture current use
17 - Institutional Lodging 35 - Professional scientific RCW 84.34
(convalescent homes, nursing and controlling instruments; 86 - Marijuana grow operations
homes, etc.) photographic and optical goods; 87 - Sale of Standing Timber
18 - All other residential not watches/clocks manufacturing 88 - Forest land designated
coded 39 - Miscellaneous manufacturing RCW 84.33
19 - Vacation and cabin 50 - Condominiums -other than 91- Undeveloped Land (land only)
21- Food and kindred products residential 94 - Open space land RCW 84.34
22 -Textile mill products 53 - Retail Trade - general 95 - Timberland classified
23 - Apparel and other finished merchandise 54 - Retail Trade - food RCW 84.34
products made from fabrics, 58 - Retail trade - eating & drinking 96 - Improvements on leased land
leather, and similar materials (restaurants, bars)
24 - Lumber and wood products 59 -Tenant occupied, commercial
(except furniture) properties
25 - Furniture and fixtures
• Check yes if the seller was receiving a property tax exemption or deferral under RCW 84.361 84.37, or 84.38 (nonprofit
organization, senior citizen, or disabled person, homeowner with limited income).
• Check yes if the land is primarily used for timber as defined by RCW 84.34 and 84.33 or agriculture as defined by RCW
84.34.020, See ETA 3215 for additional information. If the sale involves multiple parcels with different land use codes,
complete the predominate use worksheet.
Section 6:
Indicate whether the property is designated as forest land per chapter 84.33 RCW, classified as current use (open space, farm,
agricultural, or timber) per chapter 84.34 RCW, or receiving special valuation as historic property per chapter 84.26 RCW.
Section 7:
• List personal property included in the selling price of the real property. For example, include tangible (furniture,
equipment, etc.) and intangible (goodwill, agreement not to compete, etc.).
• Use Tax is due on personal property purchased without payment of the sales tax. Report use tax on your Combined Excise
• Tax Return or a Consumer Use Tax Return, both available at dor.wa.gov.
• If you are claiming a tax exemption, cite the specific Washington Administrative Code (WAC) number, section and
subsection and provide a brief explanation. Most tax exemptions require specific documentation. Refer to the appropriate
WAC to determine documentation requirements. WAC 458-61A is available online at dor.wa.gov.
Enter the type of document (quit claim deed, statutory warranty deed, etc.), and date of document (MM/DD/YYYY).
Enter the selling price of the property. Enter only the portion of selling price assigned to this county. This should equal the
selling price reflected on the worksheet, step 3, column C.
• Selling price: For tax purposes, the selling price is the true and fair value of the property conveyed. When property is
conveyed in an arm's length transaction between unrelated persons for valuable consideration, there is a presumption that
the selling price is equal to the total consideration paid or contracted to be paid, including any indebtedness. Refer to RCW
82,45,030 for more information about selling price.
• Deduct the amount of personal property included in the selling price. Print on legal size paper.
Deduct the amount of tax exemption claimed per WAC 458-61A. Page 5 of 6
Instructions Continued
• Calculate the state excise tax:
The state portion of excise tax is calculated using a graduated tax rate structure. The amount of tax increases as the
amount of the transaction increases. Each portion of the sales amount is taxed at a different rate,
Exception: Property designated as farm and agriculture or timberland is taxed at 1.28% per 83.34 RCW.
Instructions:
1. Enter the sale amount that falls within the specific threshold in column A.
2. Multiply the amount in column A by the state rate in column B. Enter the results in column C.
3. Enter the amount in column C on the appropriate threshold line on page 1 of the affidavit.
Example: This is how the state REET tax would be calculated on a sale totaling $1,600,000:
Column A Column B Column C
Threshold Amount within threshold State rate Tax
0 to $500,000
500,000 1.1% 51500
500,000.01-1,500,000
1110001000 1.28% 12,800
500,000401 to 3,000)000 100,000 2.75% 21750
3,000,000,01 and above 0 a 3.0% 0
Totals $1,600,000 $21,050
Calculate the state excise tax due using this chart:
Column AWIN
Column B
Column C
Threshold
Amount within threshold
State rate
Tax
0 to $500,000
500,000.01-11500,000
1.28%
1,500,000.01 to 3,000,000
2475%
3,000,000.01 and above
3.0%
Totals
Enter the total tax due amount on the Excise Tax: State line on the first page of the affidavit.
Due Date, interest and penalties: Tax is due at the time of sale/transfer. If tax is not paid within one month of the date
of sale/transfer, interest and penalties will apply. The interest rate is variable and determined per RCW 82.32.050.
Delinquent penalties are 5% one month after the due date; 10%two months after the due date; and 20% three months
after the due date. (RCW 82.45.100)
State technology fee: A $5,00 Electronic Technology Fee that is due on all transactions. (82.45.180)
Affidavit processing fee: A minimum of $5.00 shall be collected in the form of tax and processing fee. A processing fee
is due on all transactions where no tax is due and on all taxable transactions where the tax due is less than $5,00, (RCW
82.45.180)
Section 8:
Both grantor (seller) and grantee (buyer), or the agent of each, must sign this form, certifying that all the information
provided is correct. Note: Original signatures required on the "County Treasurer" copy. Signatures may be required on the
"Assessors" copy. Check with your county.
Audit:
Information you provide on this form is subject to audit by the Department of Revenue. Underpayments of tax will result in
the
issuance of a tax assessment with interest and penalties. Note: in the event of an audit, it is the taxpayer's responsibility to
provide documentation to support the selling price or any exemption claimed. This documentation must be maintained for
a minimum of four years from date of sale. (RCW 82,45,100)
Ruling requests:
You may request a ruling on the taxability of the property transfer. Go to our website at dor.wa.gov/rulings or fax your
request to
360-705-6655.
Where to send completed forms:
Completed forms must be submitted to the County Treasurer's or Recorder's Office where the property is located.
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705
may use the WA Relay Service by calling 711.
Print on legal size paper.
Page 6 of 6
Teletype (TTY) users
1-19T �zf `, /0 PROPERTY TAX STATEMENT
Meredith Green, CPA Kitsap Counce State of Wash�ir ton
MAKE REMITTANCES PAYABLE TO: eNoticesOnline. com
Kitsap County Treasurer Authorization Codes KIT-ANPEQSVX
PO Box 169, Part Orchard, WA 98366 PALMER STAN B CARIA
7510 BREE DR
W�,wte a, 360 337-7135 BREMERTON WA083124081 Printed: 01/22121
v°�vaw.6titsata�o�r.c:o§Ttltre:as
-- — BRING ALL PARTS WHEN PAYING IN PERSON GENERAL TAX DISTRIBUTION
Parcel/Account Number 2645992
[Tupayer Remo:
122301.2.03101005 PALMERSTA 2020 2021
PALMER STAN CARLA STATE GENERAL 50.53
—' REGIONAL LIBRARY 7,38
Tax Property Description LocaLscHooL 01.66
_.._._.._.»....._.,.,v,v.__,,..._..-......._.._._,- .--__.,...=y.,.-. --- COUNTY 17,41
12231 W 58.60
RESULTANT PARCEL B OF SURVEY FOR BOUNDARY LINE ADJUSTMENT RECORDED CITY
UNDER AUDITORS FILE NO, 201012170121, IN VOLUME 90 OF SURVEYS, PAGE 81, PORT 6,40
RECORDS OF KITSAP COUNTY, WASHINGTON* BEING A PORTION OF THE SOUTHEAST PUD 1.10
QUARTER OF THE NORTHWEST QUARTER OF SECTION 12, TOWNSHIP 23 NORTH, RANGE
1 WEST, W.M., IN KITSAP COUNTY, WASHINGTON; SUBJECT TO
"" more Information on file'**
VALUE INFORMATION
FOR TAX
Lelld: 19,980
Buildings, Etc: 0
TOTAL VALUE: t 9,fl60
TOTAL TAXABLE VALUE: (Land +Improvements minus Qualifying Exsmplions)
19,980
2020 Total:
Total:
D Assessments
0 2020 2021
0 Assessment Total 2,00 000
2021 FGeneral Property Tax +
_ Assessments 00
0
Tax Code Area 0195 General Levy Rate per $1000 10.2013
Voted Rate •• 33A % Voter Approved
Locate detailorl information 24 hours per day at: wwW.kRsapgov.comltreas
Account Number: 122301-2•D31.1005
Statoment printed: 01122121
If you did not make a first heU payment or
pay the delinquent taxes listed, ff any, you
can go to www.kitsapgov.comllroas or call
(360) 337.7135 for delinquent tax, interest and
penalty due. Delinquent payments received
without Interest and penalty will be returned.
1 "�y_o1"_PoQtii?a= Ec 11; etc t4 of rLrr_34
Twpayor Nam: PAIJE PROPERTIES LLC
Mallto: 10278'43"G50"1.402"5/6""""'AUT05•DIGIT 9B310
PALMER STAN & CARLA
7510 BREE DR
' BREMERTON WA 98312-4987
lquent Section
Year Taxes InUPen to 4121 Total
2020 105.60 14.71 120.31
Total Delinquent Amount Due: 120,31
.OD
T� $120.31�
Amo
unt
—
2645992 Parcel Location: No address on file
IIIIIII�IIII�III�IIII�IIIIIIIIIIIIIII�IIIIIIdI��IIII�IIII�IIIINIIIII�IIII�IIII�IIII�NII�I
Account Number: 122301-2.031.1005
Statoment printed: 01122121
Payments of prior year faxes must Include all
interest and penally duo. Delinquent payments
received without Interest and penally will be
returned.
r'�igr Et" {oGP,ti�@tsi31 i�tf ;,,irrif �itl
Texpxyer Nm e' PAIJE PROPERTIES LLC
Mail to: PALMER STAN &CARLA
7510 BREE DR
BREMERTON WA 98312-4987
TAX
YEAR
_ TOTAL
Prev Tux IPenaltU
Owing snalty Full Hell
Current:
2021
.0000
122507,203110051
2645992 Parcel Location: No address on Ole
TAX
YEAR
TOTAL
Prev Tax InlerosU
Owing Penally 4121 Full Hall
Current:
2021
.00
.00
2020
105,60
14,71
120,31
I a��tl�9�� �9 $120.31 S
D , 1223012D3110051