HomeMy WebLinkAboutMobile Home Bill of SaleMOBILE HOME BILL OF SALE
Buyer's Info Seller's Info
Buyer's Name: City of Auburn Seller's Name: Flewelling, Stanley James
Buyers Address:
City of Auburn
25 W. Main St.
Auburn, WA 98001
Description of Mobile Home Being Sold:
Seller's Address:
28728 Green River Rd
Kent, WA 98030-8300
1994 Fleetwood Broadmore Single -wide, 69' x 14'
Vin #: ORFLR48A 18377BM
Disclosm•e and Warranty:
This Mobile Home is being sold "As Is", meaning there is no warranty for any defect and
all repairs are the responsibility of the BUYER unless the SELLER indicates any repairs
for which they will pay for here: NONE
SF,LLER certifies to the BUYER that the SELLER has the authority to sell this Mobile
Home and transfer the title to the BUYER. The SELLER further certifies that the title is
free of liens.
SELLER acknowledges receiving the following payment from the BUYER to transfer•
ownership of this vehicle.
Selling Price of Mobile Home: $18,500,00
SELLER and BUYER agree that to the best of their• knowledge, all the information on
this Bill of Sale is correct. The SELLER has received payment from the BUYER and
hereby transfers ownership of this Mobile Home to the BUYER.
B y is S' n e Seller's Signature
Peter B. Lewis, Mayor i I -a' I p Stanley glewelling V 2/ O 61
City of Auburn
CITY OF AUBURN, STATE OF WASHINGTON 98001 ACCnI INTR PAVARI P CI-IPOW
INVOICE NUMBER
DATE
P.O. NUMBER
DESCRIPTION
DISCOUNT
AMOUNT
3222059032
04/09/2010
10-002307
RE EXCISE TAX ON MODULAR HOME PUCHA
0.00
334.30
CITY OF AUBURN, STATE OF WASHINGTON 98001 ACCOUNTS PAYABLE CHECK NO, 394300
I INVOICENU BER
LEASE
DATE
P.O. NUMBER
DESCRIPTION
DISCOUNT
AMOUNT
TITLE TRANSFER
04/16/2010
10-002452
transfer title on purchase of Modular
0.00
134.00
DETACH tltFUHE UEPGBITING
oe„aKaa MOBILE HOME
Vie REAL ESTATE EXCISE TAX AFFIDAVIT
Submit to County Treasurer of the county Chapter 82,45 RCW This form is your receipt when stamped
in which property is located. Chapter 458-61A WAC b cashier.
PLEASE OR PRINT' C'OR USE WHEN TRANSFERRING TITLE TO MOBILE HOME ONLY
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Name
Flewelling, Stanley James
ERSONAL PROPERTY
Street
28728 Green River Road
city
Kent
State
WA
Zip Code
98030
Name
Street
28728 Green River Road
City
Kent
Stale
WA
Zip Code
98030
PARCEL or ACCOUNT NO, 3
LIST ASSESSEO VALUE(S):
MAKE I YEAR
Date of Sale
25
Ci
Au
PARCELor ACCOUNTNO. '�NA�(7yQ(i�K
LIST ASSESSED VALUE(S)'
MODEL SIZE SERIAL NO. or I.D, REVENUE TAX
CODE NO.
oadmore 89' x 14' 0RFLR48A18377BM
O
Taxable Salo Price ...........................................
Excise Tax: State .................................... .....
Location Local ................................... .....
Delinquent Interest: State ........................ .....
Local....................... .....
Delinquent Penalty .........................................
Subtotal...........................................................
State Technology Fee, ................................_....
Affidavit Processing Fee ............................ .....
TotalDue ................................................... .....
]f exemption claimed, WAC number & tith
WAC No, (SedSub)
WAC Title
18,500.00 AFFIDAVIT
236,80 I Certify Under Penally Of Perjury Under Tha Laws Of The State Of
Washington That The Foregoing Is True And Correct.
# Signature of
Grantor/Agent (el
Name (print) ivy LEYvc t�//�/�i""'',�,,''
Dale and Pla ff 6�/19
5,00
Signature of
Grantee/Agernt�
Name (print)
Date&PlaceofSigning: VI91Irs �Obuonsl.?�
A MINIMUM OF $10.00 IS DUE IN FEES) AND/OR TAX.
I hereby certify that property taxes uo Ln
County on tha mobile home described heroin have en paid to
including the year
�
Dale ounty Treasurer or Denutv
CONFORMED COPY
E2436218
04/12/2010 IS:24
SALE $334,30
$18,500.00 PAGE-001 OF 001
REV 84 0003e (a) (10/03/06) COUNTY TREAT
KING CDUNTY RECDRDER
500 4TH AVENUE, RDDN 311
SEATTLE, NA 95104
206-296-1570
ISSUED TD:CITY DF RUDURtd
RECEIPT # 1896833
04/12/2010 11:24:49 At•i
------------------------------
DESCRIPTION FEE
------------------------------
24:49 2436216
E-Tax 1 PG 329.30
E-Tax 1 PG 5.00
Total
Rmourrt
Due
�334.30
Total
Number
Docs:
1
CHECK 0393957 334,30
Total PaYMeRtS: $334.30
VISIT US AT
YDUR.KINGGDUPlTY.GOU
/RECELEC/RECORDS/
Deputy: TIFFANYF