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E3387487 Recorded REETA
Instrument Number: E3387487 Document:EXTX Conveyance: 20260720000294 Tax Amount:$10.00 Record Date: 7/20/2026 12:41 PM King County,WA . Departnient rat (IQ Real Estate Excise Tax A'':' ,:iclavit (ROW 82 45 WAC 458-61A) Revenue c- Wrishington Store This affidavit will not be accepted unless all areas on all pages are fully and accurately comp e ,,c This form is your receipt when stamped by cashier. Please type or print. 0 Check box if partial sale,indicate St sold. List percentage of ownership acquired next to each norm.,. 1 Seller/Grantor 2 Buyer/Grantee Name Kimberly Kay Skapen. as her sePerate estate Name Morris W. Skagen as his seperate estate Mailing address 29317 140th Ave SE ' Mailing address 29308 132nd Ave SE City/state/zip Auburn WA 98092 Phone(including area code) a 5-1) - 1 0'1-i 11(p City/state/zip Auburn.,WA 98092 Phone(including ar ea code) 253-631-3292 3 Send all property tax correspondence to:0 Same as Buyer/Grantee List all real and personal property tax Personal Assessed parcel account numbers property? value(s) Name — ' 032105-9076 — S 499.600.00____ Levy Code 0133 El $o or, ..... Mailing address El S 0 00 ..____.. City/state/zip 4:Street address of property 29317 140th Ave South,Auburn, WA 98092 This property is located in [Auburn (King) 0 Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adiustment or parcels being merged Legal description of property(if you need more space,attach a separate sheet to each page of the affidavit) A portion of tax parcel 032105-9076;see Exhibit A attached hereto for complete legal description. 5 191 - Undeveloped land (land only) I 7 List all personal property(tangible and intangible)included in selling price. Enter any additional codes (see hack of last page for instructions) N/A Was the seller receiving a property tax exemption or deferral under RCW 84.36,84.37,or 84 38(nonprofit org,senior If claiming an exemption.enter exemption(ode and ir:,a,hr Hi citizen or disabled person, homeowner with limited income)?0 Yes 0 No i • . exemption. *See dor w(.ii.goy/REE 1 for exemption coo, Is this property predominately used for timber(as classified Exemption No (sec/subl VVAC 458-61A-201(b02 under RCW 84.34 and 84.33)or agriculture(as classified under Reason for exemption RCW 84.34 020)and will continue in it's current use?If yes and the transfer involves multiple parcels with different classifications, DyesEa No Gift,no consideration complete the predominate use calculator(see instructions) 6 Is this property designated as forest land per RCW 84.33? Eles 0No Type of document Quit Claim Deed Is this property classified as current use(open space,farm and agricultural,or timber)land per RCW 84 34? 0 Yes,0 No Date of document 06-19-2026 Is this property receiving special valuation as historical Gross selling price 0 00 property per RCW 84.26? 0 Yes 0 No 0.00 *Personal property(deduct) If any answers are yes,compiete as instructed below. Exemption claimed(deduct) 0.00 (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) NEW owNER(s).To continue the current designation as forest land Taxable selling price 0,-classification as current use(open space,farm and agriculture,or Excise tax:state timber)land,you must sign on(3)below. The county assessor must then determine if the land transferred continues to qualify and will indicate Less than$525,000.01 at 1. 1% 0 It'i by signing below. If the land no longer qualifies or you do not wish to From$525,000 alto 51,525,000 at 1.28% Cii liQ continue the designation or classification,it will be removed and the compensating or additional taxes will be due and payable by the seller From$1,525,000 01.to$3,025,000 at 2.75% or transferor at the time of sale(RCW 84.33 140 or 84.34 108). Prior to Above$3,025.000 at 3%_ signing(3)below,you may contact your local county assessor for more information Agi iculturai and timberland at 1 23% 11 Lk This land. 0 does 0 does not qualify for Total excise tax:state continuance. (:),; (; Local 'Delinquent interest state Deputy assessor signature Date Local_ 0,(,i0 (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) NEW OVVNER(S):To continue special valuation as historic property,sign 'Delinquent.penalty ______0.00' (3)below. If the new owner(s)doesn't wish to continue,all additional tax 0 00 Subtotal calculated pursuant to RCW 84.26,shall be due and payable by the seller or transferor at the time of sale. 'State technology fee. (3)NEW OWNER(5)SIGNATURE Affidavit processing fee Signature Signature Total due 10.00 A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX Print name Print name "SEE INSTRUCTIONS .. .... ., .., 8 I CERTIFY UNDER PENALTY OF PERJ RY THAT THE FOR TANG IS TRUE AND CORRECT Signature of grannii c?r agent ,ij 6..._ _ . • 1.. ) Signature of grante, flor agent.,, .,. ././.1'..., Name(print) inkl,biiel'i/1 e c. ..,e'oi ,,,g..-„ Name(print) I ' ii' t_t..-- ,.e Date&city of signing 4,1,47(im 1.-0,,--).....L0 Date&city of signing -' ">14', i, Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of 4.',/ ',,,,ai a fine in an amount fixed by the court of not mote than$10,000,or by both such confinement and fine(RCW 9A./2.030 and R(.VV qA.i1i.(.5;":1(.(ili ,. To ask about the availability of this publication in an alternate format for the visually impaired,please call 360-705-6705 Teln.,rypf, (TTY)users may use the WA Relay Service by calling 711, FluOS;()(101r{ .1''.V21,1 THIS SPACE TREASURER'S USE ONLY CO Li N TY T R.EA")!,...i F.:.:', Instrument Number: E3387487 EXHIBIT A LEGAL DESCRIPTION OF PROPERTY CONVEYED VIA QUIT CLAIM DEED THAT PORTION OFTHE NORTH HALF OFTHE NORTHWEST QUARTER OFTHE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 3, TOWNSHIP 21 NORTH, RANGE 5 EAST, W.M., IN KING COUNTY, WASHINGTON, LYING WEST OFTHE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHWEST CORNER OF SAID SUBDIVISION, THENCE ALONG THE NORTH LINE THEREOF SOUTH 88°44' 20" EAST, 262.85 FEET TO THE POINT OF BEGINNING; THENCE DEPARTING SAID NORTH LINE SOUTH 01°28'40"WEST, 329.55 FEET TO THE SOUTH LINE OF SAID SUBDIVISION AND THE TERMINUS OF THIS DESCRIBED LINE. (CONTAINING A TRANSFER AREA OF 86,617 SQUARE FEET(1.99 ACRES), MORE OR LESS, AS GRAPHICALLY DEPICTED ON CITY OF AUBURN BOUNDARY LINE ADJUSTMENT BLA26- 0005, RECORDED ON JUNE 12, 2026, UNDER KING COUNTY RECORDING NO. 20260612900002). AULEN cl., ©p T444 Nay o .es, �'8 L�f'9 ' CAST;R31�vq ! �Q�L LAt�gj' 06,1612026 Instrument Number: E3387487 rila ,):,R.,f"a,1,,,1,,,,,, Rf'.A L ESTATE EXCISE ISF. TAX Department ai a\'w w, SU P P L F M F:N'T A L STATEMENT ylC., r„alla�,i,nn lae,,, „n Iv,I,,,...17 1'7 „1,oust(\\ \"tiro 7. I"' lids form must he submitted with the Real i'state .\cise 'I a\ .11t iday It (1 tar deeded 'transfers ,Had I 'r 11 ' fin'controlling interest transters) for clam!,atta\ e\eltlption a, provided l.lel,o (.onlplruon of this loyal I, required 161'the types of real property transfers listed in numbers 1-3 below. (tnly the lint page of this form needs atre rail d1;rlatiue, AUDIT: Inlurnlation you pros ide an this horm is subject to audit hy the I)ep;rrunent of Rey entre. la the event of sin audit, it is the ta\payers° responsibility to pros ide documentation to support the.ellini price or any esemptiorr claimed. 'Ibis d,>eunld.Ma tl.o t ii s la must be maintained (Or a 1111n1n1u111 01 ldltir"year !rom date of sale. I'. :' I.ailrlre to ploy ide supporting d o)...nlneirttlr t+'IIr when requested may result in the assessment of tax, penalties.and interest .\liy riling dirt t-,determined to be fraudulent 1\ail .',a"fy ,I 0°o eva,uul penalty in addition to any other accrued penalties or interest when the tl\ is assessed. Perjury in the second det,ree is a class ( felony \\hick is punishable by eontirrenlent in a state correctional institution tar a Ilra\urinal term ochic years,or by a lots in an amount lied by the court ornot more than y,I0,0Ou,or by both such confinement and tine iRC\\ 9\ "'_'.l)tt and R(.'\\' a,'\.20.02r( i )le!). i he persons signing below do hereby declare under penalty of perjury that the following is true(eheek appropriate statement).. . ......, RE i)A'FF OF SNLE: I.(print name) certily that the _ Hy pe.,r instrument),dated , was deiio erect to me in cserow h, (seller's name).e). NOTE::.\dent named here most sign below and indicate name or I irnt. l ile' play meat u1 the hi\ is eost,idered d alms ill i I it is not to re than 90 days beyond the date shown on the Inst'tunent It it is post 90 days. interest and penalties aptly to the date l r1 the instrument. Reasons held in escrow Signature firm Name 2. GiF'I'S 1 The gift orequuy is lion-ta\able;however.any conside.r,rtior)received is 1104 a girt.utd Is iti`tal•,It.'. I ht.' \attle e\changed or paid for equity plus the amount d,1 debt equals the amble 1,iniattar l)I'le k r the hoses hel,,w' Ia11>.I ne epic°.r.d,' ()rancor(seller)kilts equity valued at S. 97.440.0(Q__.__ . _„ rt., irantee(hay er). I NOTE: I'8fliples of different transfer types are provided on the back. This is to assist you with correctly completing this form and paying your tat. "('onsideration" means money ar any thing or value,,calmer tangible(boats,mucus homes.,etc)or intangible,paid or deli\cued.t,r contracted to be paid or delivered, including pertiurrnrlrrtee oh se ices, in return tar the transferal real property i he tern) includes the amount of any lien, mortgage,contract indebtedness,or other encumbrance,given to ,realre the purchase price,or any r,,u-t rilt.i, It or remaining unpaid on the property at the time al sale. "Consideration" ineludm the assumption at an underlying debt an die Inc Teo), by the haver at the time of transfer. A. Gift,with consideration 1. E Grantor(seller)has made and will continue to make till payments suer this transfer on the total derl,l ,,1 $ :utd has reeeiyi'd (runt the grantee (buyer)`; (iili:liidc in this liu'tird.'iitL alder o1 ❑try items reeely'ed in "hang': Id,1'piliperty'). \r11 ed)trsider'atlt,rl I'eii:i`.'i'ti i,; gratllar I,la.\able. 2. ❑ Grantee(buyer) will make payment,on "o or total debt o1 $ For which ;grantor(.;'Iles is liable and pay grantor(seller)$ (include in this figure the value al arty items reeerucd rn e\e(lange for property I. \try exmsidertaioll r'eeei\ed by rtrantor is tao,thle, B. Gifts without consideration I 0 11 here is no debt on the property: (irant) r(seller) has not reecived any consideration toward:,equity. No ta\ is due. 2. ® Grantor(seller)has made and will continue to make IUO"o nl the payments on the total debt orS 55,000.00__,__,_.... and has trill reeeiyed any consideration towards equity, No Io.\ is due. 0 (irantee(buyer) has (Wade and sotsI eontinue to make Iti(?"),of the payments an total debt at and has not paid grantor(seller)any consideration towards equity. No, ti\ is due. I. El ()minor(seller)and grantee(buyer)hay( made and yyill cr,lrlttlrle to make payments from llitti account ..,rl rant.' debt beti,re anti alter the transfer. Grantee(buyer)has not paid grantor(seller)any consideration toward°,ego..titt,. No ta\ is due, I las there been or will there he a refinance oldie debt" Ezi 1 1.5 ® INO(Iryes, please(:ill t60-70-4-590S to see ir(his transfer i, taxable). i f grantor(seller)was on title as eo-signor only. please see for e\eurptioit requirements. The undersigned acknowledge this transaction may be subject to audit and have read the above information regarding record-keeping requirements and evasion penalties. All Grantors(sellers)and Grantees(buyers)must sign below.(',spies nrthis statement ntay he eountersigned.l t„ accommodate multiple signatures. ,..---:' i /r itk'-:, 7- /1'4"1 1-)-..-' 10 41„‘..1,44....._},L_ ,;,:i.,,r,- (, rotor,' Signal yes I)ate (I°,utlees'Stgntttire,, al)cite 4 ivy �c'ff S kCQ.v�•F a, �,, ._ Grantors'Nantes(print) trainees'Names print) . [] iR •'T N\ DEFERRED" E:\( Ii,kNCE. /// I.(print name) , eerliiy than I and acting as t.in I \change Facilitator in transferring, rcai property n1 .._...... pursuant to IRI, ,section 10.3 I,and in aced,rdtrtlee with l " NO'I'F: I.\rh,ru,ae P a;.ilit,rh+r itllrst sign belay\. Ft\change Facilitator's Signature Date I \shiny e I'aeilitator's Name(print) or :).1,u01,v1 the u1:ni;11,1111\ ul Ion,puhh,:tit,n lust,,,Ile'rn,lic i„rus,h Iw lil,' ,I,u.ills nrll,,Mr,l boss,,.,'i,,ll Z.,r0 ',ri a,-III'C Laic!'.!c I 1 I 1 I,c..l•,r°I r u• 'Ip' ll:rhuo.'i,, I":I,:\',,er\Ice I,\ (,.Ilya.•71 1 H\ t.iiorII ,^, 'II- , (4)I'NI't' Ittl \s, RI k