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Home My WebLink About*Other - BOCCDepartment of.' I. Rleallstate Excise Tax Affidavit (RCW 82.45 WAC 458-61A) RPVPn��P . Washington State Only for sales in a single location code on or after January 1, 2023. This affidavit will -`not be -'accepted unless all areas on all pages are fully and accurately completed. For" ,4 0001 a This form is yourreceipt when stamped by cashier: Please type or print. ❑ Check box if partial sale; indicate % sold. List percentage of ownership acquired next to each name. I Seller/Grantor 14 Name &Z6� ( `"... Mailingaddress42-' 1115 City/state/zips Phone (including area code)" 2 Ruyer/Grantee a Name �'� L)p", I Mailing address fo City/state/zips Phone (including area code) 1 -- -7 S -- :D 0 3 Send all property tax correspondence W ❑ Same as Buyer/Grantee List all real and personal property tax Personal Assessed Name GCe, U A: �.-- �.,,�� L.I C... (,'O, I,C5 parcel account numbers property? value(s) }/000 x-00` ❑ dd ess Mailing a r e_0 - Oy_ E]� � City/state/zip y -1-,Z_ 3 El s 4 Street address of property This property is located in (for unincorporated locations please select your county) El Check box if any of the listed parcels are being segregated.from another parcel, are part of a boundary line adjustment or parcels being merged. Legal description of property (if you need more space, attach a separate sheet to each page of the affidavit). S Land use code Enter any additional codes (see back of last page for instructions) Was the seller receiving a property tax exemption or deferral under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior citizen or disabled person, homeowner with limited income)? ❑ Yes ❑ No Is this property predominately used for timber (as classified under RCW 84.34 and 84.33) or agriculture (as classified under RCW 84.34.020) and will continue in it's current use? If yes and the transfer involves multiple parcels with different classifications, complete the predominate use calculator (see instructions) 0 -Yes ❑ No 6 Is this property designated as forest land per RCW 84.33? ❑ Yes ❑ No Is this property classified as current use (open space, farm and agricultural, or timber) land per RCW 84.34? ❑ Yes ❑ No Is this property receiving special valuation as historical property per RCW 84.26? ❑ Yes ❑ No If any answers are yes, complete as instructed below. (1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE) NEW OWNER(S): To continue the current designation as forest land or classification as current use (open space, farm and agriculture, or timber) land, you must sign on (3) below. The county assessor must then determine if the land transferred continues to qualify and will indicate by signing below. If the land no longer qualifies or you do not wish to continue the designation or classification, it will be removed and the compensating or additional taxes will be due and payable by the seller or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to signing (3) below, you may contact your local county assessor for more information. This land: ❑ does ❑ does not qualify for continuance. Deputy assessor signature Date (2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY) NEW OWNER(S): To continue special valuation as historic property, sign (3) below. If the new owner(s) doesn't wish to continue, all additional tax calculated pursuant to RCW 84.26, shall be due and payable by the seller or transferor at the time of sale. Signature Print name (3) NEIN OWNER(S) SIGNATURE Signature Print name 7 List all personal property (tangible and intangible) included in selling price. If claiming an exemption, list WAC number and reason for exemption. WAC number (section/subsection) Reason for exemption Type of document Lct. Date of document %-- -d o a Gross selling price *Personal property (deduct) = Exemption claimed (deduct) Taxable selling price Excise tax: state Less than $525,000.01 at 1.1% From $525,000.01 to $1,525,000 at 1.28% From $1,525,000.01 to $3,025,000 at 2.75% Above $3,025,000 at 3% Agricultural and timberland at 1.28% Total excise tax: state Local *Delinquent interest: state Local *Delinquent penalty S u biota I *State technology fee _. Affidavit processing fee Total due 6 A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX *SEE INSTRUCTIONS CERTIFY UNDER PENALTY OF PERJ YR AT THE FOREGOING IS TRUE AND CORRECT Signature of grantor or agent Signature of grantee or agent Name (print) ,� , ',, Name (print) �,, 6 3 01 �" Date &cit of signing Date & city of signing y g g - 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 five years, or by a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021(1)(c)). Ta ask about the a.vailabil�t of this ublicat�on:in. an aiternate..format,forthe visuall' ' ::im aired; lease, ca11360 705-X6705: Telet e Y :p Y p p Yp TTY ;users ma us`e the;WAReIa :Service b ca.l in i ) Y Y: Y g . REV 84 0001a (09/08/22) THIS SPACE TREASURER'S USE ONLY COUNTY TREASURER Print on legal size paper. Page 1 of 6 WHEN RECORDED RETURN TO: Name - Address, City, State, Zip: UIT CLAIM DEED THE GRANTOR A;11 Of Z ford in consideration of conveys and quit claims to the following described real estate, situated in the County of 6---rV-A1'.JT State of W-ashington: se -c Tax Account Nun-ibers: Q Dated: 203 A"o $7 STATE OF - tAJ yk COUNTY OF T certify that I know or have satisfactory evidence that, : .0- aJV1"V-4V-' cpe-- i4AtQ the, person(s) who appeared before me 2a 1-,e), ,e/they -i is instrument and acknowledged it to ,qnd said person(s) acknowledged th ley sig -i ed t ed b eN% for Je US Adtll�ir free and voluntary act uses and purposes mentioned in the instrument. Mo DAUIT'% low T� -4 .00 Zvl' WW 1�4 'BAR -A -J VAS 0AM QUEZ 123481 Notary Public 00 i!!�/ NOTARY PUBLIC 123484 My AppAltment Expires MENT EXPIRES: JOAO-26 4� M AMMT 10.21� 8 : 10042111 LEGAL DESCRIPTION The east 30 feet of the following described parcel The Southwest quarter of the Northwest quarter of Section 10, Township 19 North, Range 28, E.W.M., Grant County, Washington, EXCEPT that portion, described as follows: Beginning at the Northeast comer of said subdivision; thence South along the East line of Ski Subdivision, a distance of 485 feet to the True Point of Beginning; thence Westerly parallel to the North line of said Southwest quarter of the Northwest quarter, a distance of 555 feet; thence Southerly parallel to the East line of said Subdivision, a distance of 410 feet; thence Easterly parallel to the North line of said subdivision, a distance of 555 feet to the East line of said Southwest quarter of the Northwest quarter; thence Northerly along said East line, a distance of 410 feet to the True Point of Beginning. EXCEPT Beginning at the Northeast comer of said subdivision; thence Southerly along the East line of said subdivision, a distance of 445 feet; thence Westerly parallel to the North line of said subdivision, a distance of 515 feet to the True Point of Beginning; thence continuing Westerly parallel to the North fine of said Southwest quarter of the Northwest quarter, a distance of 510 feet, more or less, to a point on the East line of the USBR Drain, as shown on page 222-116-31616-3 8 of the Plat of Irrigation Block 40, Columbia Basin Project; thence North 07°4' East, along the East line of said Drain, and the extended East line of said drain, a distance of 450 feet, more or less, to the North line of said Southwest quarter of the Northwest quarter, this point being hereby designated point "A". Beginning again at the True Point of Beginning; thence Northerly parallel to the East line of said subdivision, a distance of 445 feet to the North line of said subdivision; thence Westerly along the North line of said subdivision; thence Westerly along said North line, a distance of 450 feet, more or less, to said point "A". AND EXCEPT Beginning at the Northeast comer of said subdivision; thence Westerly along the North line of said subdivision, a distance of 515 feet; thence South parallel to the East line of said subdivision, a distance of 445 feet; thence East parallel to the North line of said subdivision, a distance of 515 feet to the East line of said subdivision; thence North along said East line, a distance of 445 feet to the Point of Beginning. AND EXCEPT Beginning at the Northwest comer of said subdivision; thence South along the West line of said subdivision, a distance of 100 feet; thence Easterly parallel to the North line of said subdivision, a distance of 350 feet, more or less, to a point on the East line of the USBR Drain, as shown on page 222-116-31616-38 of the Plat of Irrigation Block 40, Columbia Basin Project; thence North 07'48' East along the East line of said Drain and the extended East line of said Drain, a distance of 107 feet, more or less, to the North line of said Southwest quarter of the Northwest quarter; thence Westerly along the North line of said Subdivision, a distance of360 feet, more or less, to the point of beginning. For the purpose of establishing 30 feet of right-of-way on the west half of Grape . Drive NE. EXHIBIT B SECTION 101. TI 9N R28E W GRANT COUNTY, WA I r--------------- ---------------------- S89*3828"W 1324.00? -... ® -- --- ---- ii ---- C� I;f 6 1-4 - — — — — — .w,. w..w �� a r.� i w..a e.� ..� e.M r.� �e � '28 "E i cDi N6*42843"E N89038, 100.77' 347.20' r ,� S. t q•I- N6'04243"E 347,64' t jI i � 51 N89,038'28"E N89"38'28"E 5.00, r- CP 504.74 449mmmil 0 11!$0 °38`28"E — 555.00" EAST 30 FEET a co et... T_ co A A t j.4 A f o C> Lu v r r I . . . . . . Z Lij c 4 >u1i 00 !u fn TPN 110002003 Lu all N89038'2811 -E 555-00, (D 300.00' j.d t co qr+. Q N8901 9'44"E 300.00' 200.00t EAST 30 FEET Q j i C>1 0 N8901944"E 1325.69' 0 250 500 SCALE IN FEET W4 4t LAO 0 MAVLt: UKIVt:: Nt Erlandsen $VRVCYfNG I PLANNING I EliGluarimr. I Gis DRAWN BY: NMM LAYOUT: EXHIBIT B DATE: 11912023 FILE NO: 20210387.0000 QC EX,dwq SCALE: V= 250' JOB NO: 20210387.0000 ISHEET I OF I http,l/wwnv.erlandsen.com BREWSTER (509) 689-2529 CHELAN (509)682-4189 E. WENATCHEE (509)884-2562 TOLL FREE (800) 732-7442 Grant County Department of Public Works 124 Enterprise St. S.E. Ephrata, WA 98823 To: Honorable Grant County Board of County Commissioners From: Dave Bren, PE, MSCE County Road Engineer Date: January 9, 2022 Serial No. 23. Re: Quit Claim for parcel 11-0002-003, Grape Drive in conjunction with the City of Moses Lake plat requirement Legislative History: Financial Impact: • Annexation Ord 2354 October 9, 2007 • Initial Cost: $ NA • • Estimated Annual Cost: $ NA • • Estimated Annual Revenue: $ NA Overview The Parcel owned by Maple Landing LLC, No. 11-0002- 003, is in the process of being platted by the owner, Brandon Bernard. Fiscal and Policy Implications There are no fiscal no policy impacts. The RCW requirement of full inclusion or exclusion of a right-of-way and the current standard of a 60 ft. corridor created a situation in which neither the County nor the City have full jurisdiction, as the right-of-way dedicated was substandard. This quit claim will alleviate the question of both jurisdiction for Grape Drive and Access for said parcel. Commission Packet Attachment A. Annexation 2354 B. Quit Claim Deed Action Requested Public Works Staff requests approval of the Quit Claim deed. The legal description has been reviewed by the Public Works staff, and matches that of the Assessor's legal; deeding 30 feet of right-of-way along the west side of Grape Drive. Once approved, the deed will go through normal processing. rrenit and fu-ture needs, senn-fing se-ngtogether with public. and enmities. -NhilefOs tte rhig a respectful and successfoul worelk environmer, Information .................................................(509) 754-6082 Dave Bren, PE, County Road Engineer .................. Ext. 3502 Ed Lowry, Supervisor -Dist. No. 1 ................................ Ext. 3540 FAX...............................................................(509) 754-6087 Bob Bersanti, Construction Engineer .................... Ext. 3503 Mike DeTrolio, Supervisor -Dist. No. 2 ........................ Ext. 3591 E-mail ............................. publicworks@grantcountywa.gov Loc Ohl, Accountant Lead ....................................... Ext. 3555 John Brissey, Supervisor -Dist. No. 3 ........................... Ext. 3541 Sam Castro, Public Works Director ....................Ext. 3504 Rod Follett, Foreman -Sign Shop ............................ Ext. 3579 John Spiess, Supervisor -Central Shop ............. (509) 754-6086 Samuel Dart, Assistant Director .........................Ext. 3519 Jason Collings, Solid Waste .......................... (509) 754-4319 Andy Booth, Bridge Supervisor .................................... Ext. 3535 Barbara Vasquez From: Dave Bren Sent: Wednesday, January 11, 2023 2:07 PM To: Barbara Vasquez; Samuel Castro; Samuel Dart; Darryl Pheasant Cc: Cindy Carter; Danny E. Stone; Robert Jones; Barbara V. O'Neill Subject: RE: Brandon Bernard / Maple Landing LLC Quit Claim and Excise Tax Affidavit Attachments: 20230111_125151.pdf Hello Team, The legal description and map exhibit has been confirmed by public works staff as well. We will need Chair signature as grantee on the Tax Affidavit to receive the right-of-way. Y Thank You, NOTICE OF PUBLIC DISCLOSURE. This e-mail account is public domain. Any correspondence from or to this e-mail account may be a public record. Accordingly, this e-mail, in whole or in part, may be subject to disclosure pursuant to RC 42.56, regardless of any claim of confidentiality or privilege asserted by an external party. -----Original Message ----- From: Barbara Vasquez <bvasquez@grantcountywa.gov> Sent: Wednesday, January 11, 2023 1:04 PM To: Dave Bren <dbren@grantcountywa.gov>; Samuel Castro <samcastro@grantcountywa.gov>; Samuel Dart <sdart@grantcountywa.gov>; Darryl Pheasant <dpheasant@grantcountywa.gov> Cc: Cindy Carter <ccarter@grantcountywa.gov>; Danny E. Stone <destone@grantcountywa.gov>; Robert Jones <rjones@grantcountywa.gov> Subject: Brandon Bernard / Maple Landing LLC Quit Claim and Excise Tax Affidavit W Attached is the document we discussed at the Public Works Update yesterday. This will be on the Consent Agenda 1/17. g This has been vetted by Public Works and the Treasurer. Darryl: I want to confirm that the BOCC chair needs to fill out the top and bottom ONLY of the tax affidavit? Barbara J. Vasquez, CMC Clerk of the Board Grant County Commissioners Office PO Box 37 35 C Street NW Ephrata, WA 98823 Dave Bren, PE, MSCE Grant county Engineer office ; 509.754.6052 Email: dbren(@-Qrantcountvwa.qov 124 Enterprise Street SE www. rantcount wa. av Ephrata, VITA 98523 NOTICE OF PUBLIC DISCLOSURE. This e-mail account is public domain. Any correspondence from or to this e-mail account may be a public record. Accordingly, this e-mail, in whole or in part, may be subject to disclosure pursuant to RC 42.56, regardless of any claim of confidentiality or privilege asserted by an external party. -----Original Message ----- From: Barbara Vasquez <bvasquez@grantcountywa.gov> Sent: Wednesday, January 11, 2023 1:04 PM To: Dave Bren <dbren@grantcountywa.gov>; Samuel Castro <samcastro@grantcountywa.gov>; Samuel Dart <sdart@grantcountywa.gov>; Darryl Pheasant <dpheasant@grantcountywa.gov> Cc: Cindy Carter <ccarter@grantcountywa.gov>; Danny E. Stone <destone@grantcountywa.gov>; Robert Jones <rjones@grantcountywa.gov> Subject: Brandon Bernard / Maple Landing LLC Quit Claim and Excise Tax Affidavit W Attached is the document we discussed at the Public Works Update yesterday. This will be on the Consent Agenda 1/17. g This has been vetted by Public Works and the Treasurer. Darryl: I want to confirm that the BOCC chair needs to fill out the top and bottom ONLY of the tax affidavit? Barbara J. Vasquez, CMC Clerk of the Board Grant County Commissioners Office PO Box 37 35 C Street NW Ephrata, WA 98823