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HomeMy WebLinkAbout20170718001243 PARTIAL RECONVEYANCE 071817 Instrument Number: 20170718001243 Document:FR Rec: S75.00 Page-1 of 3 20170713001243.001 Record Date:7/18/2017 5:28 PM King County, WA s - ° -D1 - oS CHICAGO TI ENC REF# After recording return document to: City of Auburn 25W. Main St. H II Auburn, WA 98001 I 1111111111111111 iIIU I1I II III�Ii�llhl III1I II. 20170718001243 FULL RECONVEYANCE Rec:$75.00 Pages:3 7!1612017 5:28 PM KING COUNTY,WA Document Title: Partial Reconveyance Reference Number of Related Document: AF 20150731001321 Grantor: Mary Lou Payment Grantee: J&J West Brothers, LLC Legal Description: Ptn Gov't Lot 3 SE 1/4 of Section 30-21-5, King County, WA Additional Legal Description is on Page 3 of Document. Assessor's Tax Parcel Number: 3021059012 PARTIAL RECONVEYANCE The undersigned Trustee under that certain Deed of Trust, Assignment of Rents and • Security Agreement, and Financing Statement (Fixture Filing) dated July 28, 2015, in which J&J West Brothers, LLC, a Washington limited liability is Grantor, and Mary Lou Payment, individual and as personal representative of the Estate of Victor Payment, deceased, is the Beneficiary, recorded on July 31, 2015 as Auditor's File No. 20150731001321, in King County, Washington, having received a written request to reconvey a portion of the real property described in said Deed of Trust, does hereby reconvey, without warranty, to the person entitled thereto the right, title and interest now held by said trustee in and to that portion of the real property described in said Deed of Trust, situated in King County, Washington, as follows: For legal description and additional conditions See Exhibit A attached hereto and made a part hereof. LPA 31I FA No.1-1911,-1069(007) 10E2014 Page 1 o13 Pages Parcel No. 302105-9012 Instrument Number: 20170718001243 Document:FR Rec: S75.00 Page-2 of 3 2017071 800 24 2oC2 Record Date:7/18/2017 5:28 PM King County, WA PARTIAL RECONVEYANCE This reconveyance shall not be construed as in any manner affecting any property other than the property and property rights specifically described herein. Dated 7-6 -zOI7 sOP , i Chicago Title Insurance Company, Trustee By: Name: i,(hti4 b-. 1 Sc`1 Title: 0 C¢ Pre- By: Name: Title: On this l9 day of �` r Loll bef re me personally appeared Lq n to me known tb be the V Cy 4Ac,So—I' of the corporation that executed the foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that Le . S authorized to execute said instrument. GIVEN under my hand and official seal the day and year last above written. (SEAL) \\s,SCHItq Ilial h v V e <e0SAR} tt% % Name: c)(.171 ASA ° o ' Notary Public in and for the State of Washington, Nct'ST " ',, 9-19" � _ residing at Vita-it, eA na F'urn" O `VP,' My commission expires 4)/(/(1( y LPA-31 I Parcel No.302105-9012 10(2014 Paget ar3 Pages Instrument Number: 20170718001243 Document:FR Rec: S75.00 Page-3 of 3 20170718001243003 Record Date:7/18/2017 5:28 PM King County, WA • EXHIBIT A PARCEL NO. 302105-9012 RIGHT OF WAY ACQUISITION ALL THAT PORTION OF THE HEREINAFTER DESCRIBED PARCEL 'A'LYING SOUTHWESTERLY OF THE FOLLOWING DESCRIBED LINE; BEGINNING AT THE INTERSECTION OF'A'STREET SOUTHEAST AND 37TM STREET SOUTHEAST AS SHOWN ON SURVEY RECORDED IN VOL 342 OF SURVEYS AT PAGE 71 UNDER RECORDING NUMBER 20160426900014,KING COUNTY, WASHINGTON; THENCE SOUTH 89' 11'49'EAST ALONG THE CENTERLINE OF SAID 37^'STREET SOUTHEAST, 76.09 FEET; THENCE NORTH 0'48'11'EAST, 25.00 FEET TO THE NORTH MARGIN OF SAID 37TM STREET SOUTHEAST AS SHOWN IN SAID SURVEY,AND THE TRUE POINT OF BEGINNING; THENCE NORTH 61' T2'36'WEST, 28.82 FEET; THENCE NORTH 23'42'47'WEST, 40.46 FEET TO THE EAST MARGIN OF SAID'A'STREET SOUTHEAST AS SHOWN IN SAID SURVEY,AND THE TERMINUS OF SAID LINE DESCRIPTION. CONTAINING 577 SQUARE FEET, MORE OR LESS. PARCEL'A': (PER CHICAGO TITLE INSURANCE COMPANY ORDER NO. 0057305-06 DATED DECEMBER 21,2015) THE WEST HALF OF THE SOUTH 16.09 ACRES OF GOVERNMENT LOT 3 IN SECTION 30 OF TOWNSHIP 21 NORTH,RANGE 5 EAST, WILLAMETTE MERIDIAN,IN THE CITY OF AUBURN,KING COUNTY, WASHINGTON; EXCEPT THE SOUTH 33 FEET THEREOF FOR 37TH STREET S.E.; AND EXCEPT THE WEST 40 FEET THEREOF AS CONVEYED TO KING COUNTY FOR'A'STREET S.E.(84TH AVE. S.,AUBURN-PIERCE CO. CONNECTION LINE RD.)UNDER KING COUNTY RECORDING NOS. 1654666 AND 1655524; AND EXCEPT THAT PORTION THEREOF AS CONVEYED TO THE CITY OF AUBURN FOR WIDENING OF SAID 'A'STREET S.E.UNDER RECORDING NO.8003050624; AND EXCEPT THAT PORTION THEREOF AS CONVEYED TO THE CITY OF AUBURN FOR WIDENING OF SAID 37TH STREET S.E. UNDER RECORDING NO. 9408040874. . QOREL POO y `�, of ssksy,lr 0.1, f �Co 7 i < tft Y z ,cfr +4 44754 ..p 03 I ISI Zo 17- 3021059012 ROW.docx TACOMA-SEATTLE LPA-311 Parcel No.302105-9012 1012014 Page 3 of 3 Pages Form W111 9 Request for Taxpayer Give Form to the (Rev.December 2014) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service 1 Name(as shown op your income tax returTi) Name i uired on this line:do not leave this me bion N 2 Business name/disregarded entity name,if different from above m rT N a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to certain entities,not individuals;see o ❑Individuaysole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership [1] Trust/estate u instructions on page 3): O c single-member LLC Exempt payee code(if any) .41 F IfU Limited liability company.Enter the tax classification(C=C corporation,5=5 corporation,P=partnership)► !� Exemption from FATCA reporting a 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for c H the tax classification of the single-member owner. code(if any) ▪ c 0. u ❑Other(see instructions)► Wcowmaccounts maintained outside the U.S.) 5 AQQress(�mber,gjrpet np,a"poor sure Requester's name and address(optional) a Z� 1c[f�I1v3 m 6 Cityhstate,and IjP code A- (/,3 tO 7 List account number(s)here(optional) Wean Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals,this is generally your social security number(SSN).However,for a - resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3. For other - entities, it is your employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. Or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. 4(o - 1(091 j1 ?fl -Part II Certification �t1 Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form Of any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured properly,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of L`` �- Here U.S.person /ale ✓l/GAC Date► n51 7' General Instru tions •Form 1098(home mortgage interest).1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject retum with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2. which may be your social security number(55N),individual taxpayer identification By signing the filled-out form,you: number(TIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information retums include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Farm 1099-INT(interest eamed or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat No.10231X Form W-9(Rev,12-2014) "" REAL ESTATE CLOSING ."'" 552008576 • Buyer/Borrower: City of Auburn Seller: J &J WEST BROTHERS LLC Lender: Property: 3602 A St SE/Auburn Approved by: Default Admin Account Settlement Date: July 18, 2017 Disbursement Date: July 19, 2017 Closer/Responsible Party: Mark Schwarz Check Amount: $67.00 Printed By: Mark Schwarz Pay To: City of Auburn 0102885-06 For: Excess Cash to Close CASH TO BORROWER (303)$67.00 • `,THIS.yCHECK IS;VOID WITHOUT A,PURPLE&BLUE BORDERR AND BACKGROUND PLUS A ZSECURE WATERMAKD:ON,THE BACK-HOLD AT.ANGLE-TOIVIEW n:` ,.� Ok+Y1"'�4'atfit W tat 3A. • •'F'-,CIL Sr f ,._•' :.. _''. r�r CHICAGO TITLE COMPANY OF WASHINGTON US Bank 552008576-5�' ,.I. CTI.WA Seattle/Tacoma Trust'Account-CSEA-4652 '� 535 Westminster Mall• 4,--. , Westminster,CA 92683 - July 19,2017 i ii Hwj +"' 701 5th AvenueSuLLe 2700ll" SE s 'T Seattle WA98104'" Escrow No 0102885-06• `•`" • . '19-10 '4' i A "11.-." ® (2061638- 6667. . + - I 1250 iI tear +3 . . , p • * Sixty-Seven arid00/100 - tA Dollars N�.. ) •- = - '`' ' - - AMOUNT $ **67.00 t CUSTODIAL'ESCROW ACCOUNT Ij PAY City of Auburn •• ^ VOID AFTER 90 DAYS TWO SIGNATURES REQUIRED I51 ]TO THE \" ` i; Attn: Luis Barba, P.E., Project Engineer •i ORDER 25 W Main Street - - of Auburn, WA 98001 ®I:' I ',,MEMO:••.,Excess,Cash to.Close,.. v, „,- �,. - ,-, - ,, k . ' - . ,• ,:. ••. , • ••,,i,!•• ,si tb,. s. EC,; b, ' 40, 11.0 9 9 2008 5 760 I: L 29000 L051: 153E953807 230 Chicago Title Company of Washington 701 5th Avenue, Suite 2700, Seattle, WA 98104 Phone: (206)628-5666 I FAX: (206)628-9737 FINAL BUYER'S STATEMENT Settlement Date: July 18, 2017 Escrow Number: 0102885-06 Disbursement Date: July 18, 2017 Escrow Officer: Mark Schwarz Buyer: City of Auburn Attn: Luis Barba, P.E., Project Engineer, 25 W Main Street Auburn, WA 98001 Seller: J & J WEST BROTHERS LLC Property: 3602 A St SE Auburn, WA 98002 $ DEBIT $ CREDIT FINANCIAL CONSIDERATION Contract sales price 18,900.00 Buyer's funds to close City of Auburn 19,584.79 TITLE & ESCROW CHARGES • Settlement or closing fee Chicago Title Company of Washington 250.00 • Owner's policy premium Chicago Title Company of Washington 204.79 Policies to be issued: Owners Policy Coverage: $17,310.00 Premium: $186.00 Version: ALTA Owner's Policy 2006 RECORDING CHARGES City/County tax/stamps Chicago Title Company of Washington 10.00 Deed Chicago Title Company of Washington 77.00 Partial Reconveyance Chicago Title Company of Washington 76.00 Subtotals 19,517.79 19,584.79 Balance Due TO Buyer 67.00 TOTALS 19,584.79 19,584.79 SAVE THIS STATEMENT FOR INCOME TAX PURPOSES Page 1 of 1 (0102885-06/25)July 19,2017 8:21 AM P CERTIFICATION OF CHICAGO TITLE NON-FOREIGN STATUS COMPANY OP WASHINGTON Date: July 12, 2017 Escrow No.: 0102885-06-MSS Section 1445 of the Internal Revenue Code requires a transferee (buyer) of a U.S. Real Property interest to withhold fifteen percent (15%) of the gross sales price if the transferor (seller) is a foreign person or entity unless the transferee receives a certification of non-foreign status from the transferor (seller). The certification must be signed under penalties of perjury, stating the transferor is not a foreign person/entity and containing the transferor's name, address, and U.S. Taxpayer Identification Number. Sellers who provide such a certification are exempt from withholding and the estimated tax cannot be collected from them unless the buyer or their agent have knowledge the certification is false. Certification of Non-Foreign Status by Entity The undersigned herebyrpccertiffi leIs thefollowing: 51 5 (,✓G8 - F'tuJ c / LLC. is not a foreign corporation, foreign partnership, foreign trust, or foreign estate (as defined in the Internal Revenue Code and Income Tax Regulations) or a disregarded entity as defined in §1.1445-2(b)(2)(ili): The US. Employer Identification No. for this entity is: 416 - 3 6 77 / The office address is: The transferor/seller understands this certification may be disclosed to the Internal Revenue Service by transferee and any false statement contained herein could be punished by fine, imprisonment, or both. Under penalties of perjury I declare I have completed this certification and to the best of my knowledge and belief it is true, correct, and complete, and I further declare that I have authority to sign this document on behalf of seller. IN WITNESS WHEREOF, the undersigned have executed this document on the date(s) set forth below. J & J \NEST :ROTHERS LLC BY: _ i�•s✓ y — —l — /7 Date Rev.1/28/2010 FIRPTA-Sorers Catlifica:!on of Non-Forolgn Status Printed: 07.12.17©12:10 PM by M55 • SSCORP00'30.doc/Updated: 07.01.16 Page 1 WA-CT-FN5E-02150.62'652-0102e85-06