HomeMy WebLinkAbout*Other - BOCCWHEN RECORDED RETURN TO-.
Public Utility District No.2 of Grant County
PO Box 878
Ephrata, WA 98823
File No.: 2299860 HW
Filed for Record at Request of: Stewart Title Company
STATUTORY WARRANTY DEED
THE GRANTOR(S), Grant County,.Washington, a Washington County under Ch. 36.01 RCW for and
in consideration of Ten Dollars and other valuable consideration in hand paid, conveys, and warrants to
Public Utility District No.2 of Grant County the following described real estate, situated in the County
of Grant, State of Washington:
Lot 4, Speedway Flats Short Plat, according -to the Short Plat thereof recorded in Volume 39 of Short
Plats, Pages 84, 85, 86 and 87, records of Grant County, Washington.
Situate in the County of Grant, State of Washington.
Subject to: This conveyance is subject to covenants, conditions, restrictions and easements, if any
affecting title which may appear in the public record, including those shown on any recorded plat or
survey.
Abbreviated Legal: Lot 4-, Speedway Flats Short Plat, Volume 39 of Short Plats, Pages 84, 85, 86 and 87,
in Grant County, WA
Tax Parcel Number(s): 160866002 (Parent), 315146000
LPB 10-05(r)
Page 1 of 2
Dated: G�C� / , 2025
Grant County, Washington
By:
Kevin R Ri imp-q-q ('AAimi_qginnPr
State of Washington
County of Grant
This reco�� nowledged before me on { , 2025 b Kevin R. Burgess,
Comm t rIf aun yf Washin y
Printe Name:
"''24022338'= Notary Public
,or do
i �, ♦o My commission expires:k P--
l/ CAP
State of A
1 County of
This @�i wled ed before me on 2025 b Rob Jo q gy Jones, the
C�f� j �� unty, Washington.
loop IOSION
o
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= Printed Name:
N.,A�,B��o `- Notary Public
i� My commission expires.
Stafoo WAS'
County'b�������
This record was acknowledged before me on f 2025 b a
g y Cindy Carter,
Comm iss oq,fri�?` Grant County, Washingt
E 4f44f it,
ranted Name:
Notary Public
NOW
c° s v My commission expires:I// ell 44?
00,
240223 ,,
Now
LPB 10-05(r)
��►�>>ti�� Page 2 of 2
Stewart Title Company
117 E 4th Ave
e w..- cqr Moses Lake, WA 98837
-TITLE-' (509) 765-3483 Phone (866) 3�6-9740 Fax
Harmony.White@stewart.com
DISCLOSURES TO THE C�IENTS
UNDER APR-12
Escrow Number: 2299860
Seller: Grant County, Washington
Buyer: Public Utility District No.2 of Grant County
Property Address: NNA PARCEL 315146000, Moses Lake, WA 98E1137
The documents for this transaction have been prepared by a Limited Practice Officer admitted by the Washington State
Supreme Court to the Limited Practice of Law under APR 12. Under this Rule:
1) Your Limited Practice Officer may, select, prepare and complete documents in a form previously approved by the
Limited Practice Board;
2) Your Limited Practice Officer is not acting as the advocate or repreS,entative of any of the clients to this
transaction;
3) The documents prepared by your Limited Practice Officer will affect the legal rights of the clients to this
transaction;
4) Your interest in these documents may differ from the interest of the other clients to this transaction;
5) You have the right to be represented by.a lawyer of your own selection; and
6) Your Limited Practice Officer cannot giv6 you legal advice as to the manner in which the documents affect you or
any other party to this transaction.
f
The Limited Practice Officer is only permitter to select and complete documents which have been approved by the
Limited Practice Board in accordance with a written Purchase and Sales Agreement which contains all of the basic terms
of the transaction.
The following documents have been prepared for this transaction under the direction of your Limited Practice Officer:
Statutory Warranty Deed ❑ Note and Deed of Trust
Q Warranty Fulfillment Deed CQ Excise Tax Affidavit
The Limited Practice Officer is not permitted to negotiate terms which are not included in the written Purchase and Sales
agreement. The Limited Practice Officer is not permitted to practice law,
In this transaction, your Limited Practice Officer is Harmony White, LPO No. 10123.
Stewart Title ompany
i
BY:
Harmo kite,
have received and read a copy of the Disclosure, and understand its contents this day of ,
2025.
Buyer(s)
Public Utility District No.2 of Grant County
By:
Fallon Long, Vice President of Shared Services
I have received and read a co of the Disclosure and understand its contents this / 6 day of
PY _LY
2025.
Seller(s)
Grant County, Washington
By:
Kevin R. Burgess,06mmission er
y Slgned by,
By: 8/14/2025 E 6:39 PM CDT
Rob Jones, ommissioner
Signed
By:kAe
8/14/20251 6:35 PM CDT
Cindy a r, -missioner
RECEIVED
4.
A U6 11
GRANT COUNTY COMMISSIONERS
Stewart Title Company
117 E 4th Ave
.0wart Moses Lake, WA 98837 . (509) 765-3483 Phone (866) 356-0740 Fax
-TITLE*- Han-nony_Whfte@stewarLcom
ESCROW INSTRUCTIONS
SALE
TO: Stewart Title Company, Harmony White, Escrow Officer
RE: File No.: 2299860
Associated File No.:
Commitment No.: 2299860
Commitment Date: August 4,2025
PROPERTY: NNA PARCEL 315146000, Moses Lake, WA 98837
Public Utility District No.2 of Grant County ("Buyer") and Grant County, Washington ("Seller) hereby instruct Stewart Title
Company ("Escrowee") to act as an independent third party to close this transaction in accordance with the following
instructions and the agreement regarding the purchase and sale of the Property between Buyer and Seller dated , and all
addendums there-Ethel"Purchase and Sale Agreement').
Pra&fice of Law
Escrowee may select, prepare and complete ceftain documents which may substantially affect Buyer's and--S-ell-er'-s legal
rights. Buyer and Seller acknowledge they have been advised that they should consult with an attorney of their choice -
before signing the documents if they have questions regarding such documents or the impact of such documents on their
legal rights. Buyer and Seller acknowledge that neither Escrowee nor its employees: (a) are licensed to practice law or
permitted to offer legal advice of any nature; and/or (b) have provided any legal or other advice regarding the merits of
this transaction or the manner in which Buyer should hold title.
W%
Purchase and. Sale Anreement
Escrowee has received a copy of the Purchase and Earl e-Agreement_ In the event there is a variance between the terms
of the Purchase and Sale Agreement and the final terms of the sale as evidenced by the documents d(Avered under
these or other instructions, and the closing statements agreed to by the parties, closing shall be in accordance with such
documents, instructions and closing statements. Buyer and Seller agree that all terms and conditions of the Purchase
and Sale Agreement have been met, waived, or satisfied, or will be resolved outside -of escrow and that Escrowee shall
not be responsible for same. Buyer and Seller acknowledge that Seller's disclosure statement as required under
Title 64 of the Revised Code of Washington will be delivered or waived outside of escrow and is not to be
considered a condition of closing.
Delivery of Documents and Funds
Seller has or -shall deposit with Escrowee the following
0 Warranty Deed
z Excise Tax Affidavit
Buyer or Buyer's lender will deliver to Escrowee funds sufficient to close- Buyer and Seller acknowledge that all funds
delivered into escrow are subject to immediate deposit, and that all checks must clear and be credited to Escrowee's trust
account as good and sufficient U.S. funds before closing can be completed. —Any delay in clearing deposits will delay
closing.
File No.: 2299860 Page 1 of 6
Escrow Instructions Sale WA
Escrowee shall proceed with closing and thereafter pay out said funds when (a) all documents are signed; (b) all funds
are available to close; (c) if Buyer is borrowing funds for the purchase of the Property, Buyer's lender has reviewed and
released for recording; (d) the necessary conveying document(s) andlor such other documents as required by this
transaction are recorded; and (e) when the title insurance company selected for the transaction can cause to be issued a
policy of title insurance as called for in the Pu- re hase and Sale Agreement, and as may be required by the lender, insuring
title in (if by Deed) or an interest in (if by Contract), the named Buyer, free from encumbrances other than matters
approved below (sea "free from encumbrances other than matters stated under FREE OF ENCUMBRANCES EXCEPT,
Paragraph I and approved by buyer").
Any additional instructions given to Escrowee shall be presented in writing. Buyer and Seller further understand that
contemporaneously herewith there may be instructions by third parties which are necessary for the completion of this
escrow and are, therefore, made a part hereof; namely., --such instructions as may be received from a lender, grantor,
vendor, or others, affecting the Property.
Status of Title and Encumbrances
Buyer and Seller acknowledge receipt of a copy of the title insurance -commitment for the Property dated August
4,1 2025 at 6:OOAM, including any supplements ("commitment") and have examined the legal description
contained therein and acknowledge the same to be a full and correct description of the Property. Buyer further
agrees to accept the Property subject to: (a) all matters attaching by, through or under Buyer, and (b) the
following paragraphs as set forth in the Commitment, which paragraphs are numbered as Part 1: 6; 9; Part 2:
Special Exceptions in the Commitment. Buyer's title insurance policy will also contain those insuring clauses,
exceptions, exclusions, provisions and stipulations customarily contained in the printed provisions of such
policy or policies.
Set ler—a-uthorizes deductiarr—arrud-payment of all encumbrances- except those to be excepted -;tam coverage in 4114 e - 4 llcit 1 —s-
insurance. policy. Seller represents--and-warrants that at -the time. -of closing there are no liens or other monetary
encumbrances -(Including, but not limited to, mortgages, deeds of trust, -rnecbanic!s liens,-Judgm-ent liens, tax liens,
homeowner's or condominium association dues, and special assessments) relating to the Property that are outstanding,
payable, or due other than those shown on the estimated closing statement and/or HUD settlement statement (the
'Closing Statement"). In the event such representation and warranty is incorrect, Seller agrees to pay any amounts owing
and shall indemnify Escrowee for all losses incurred as a result of the incorrect representation and warranty.
If there are underlying encumbrances being paid off which require the obtaining of a Fulfillment Deed, Reconveyance,
Release or Satisfaction, Seller instructs Escrowee to pay the demand of the appropriate party and obtain and record such
J
-document. Seller approves payment of the amount of the demand, includIngi.oterest-ancV-or-p.erialties and, late charagw,
as shown on the Cliasing Statement even if Escrowee has not been able to obtain --written verification of the. amount
claimed as due. Seller authorizes deduction and/or agrees to immediately-pwy-any difference that may result Iff-the.-ft naal.-
wfi ften demand is higher than that shownr on Closing Statement.
"Seller acknowledges that Escrowee may use the services of UPF Services,, Inc. to either (a) obtain and record fulfillment
deeds, reconveyances, releases or satisfactions of encumbrances (collectively., "Releases") paid through this escrow, or
(b) monitor public records to determine whether. Releases of encumbrances paid through this escrow are recorded by
beneficiaries thereof. Seller acknowledges that Seller has the right to request that Escrowee utilize a service provider
other than Reconveyances, Inc to provide these services (provided Seller is responsible for fees charged by such other
service provider).
In the event any of the mortgages or deeds of trust encumbering the Property are a line of credit, Seller
authorizes and instructs Escrowee to close and-reconvey Seller's line of credit. Seller authorizes Escrowee to
deliver these instructions to their lender as evidence of Escrowee's authority to close the line of credit. Seller
also confirms that the amount shown on the Closing Statement is accurate and that no further draws will be
taken. Seller shall be fully responsible for, and shall immediately pay, any additional amounts due.
Seller acknowledges that the payoff figures on existing encumbrances may accrue daily interest and are not to be
considered paid in full until received by the party entitled thereto and that interest will be paid to the date of anticipated
receipt of funds by the entitled. -party. The anticipated date of receipt may be five (5) working days following the closing_
Any additional funds necessary to satisfy the encumbrances shall be deposited with Escrowee by Seller immediately upon
I
-__..ES crowee:-,-s--.rr-,cLc-ifuest-.
File No.: 2299860 Page 2 of 6
Escrow Instrudions Sale WA
In the event any monetary demands are made pertaining to the above referenced matters after closing, Seller herein
agrees to immediately pay, remove or otherwise settle said matters.
Closing Statements and Pro -rations,
Buyer and Seller authorize payment of all disbursements and charges as itemized on the Closing Statement. Buyer and
Seller agree that the Closing Statement is subject to final adjustment and audit, and may be amended to reflect actual
charges and adjustments at the time of closing. If any monetary error is discovered, the party responsible for the item due
shall —Immediately pay into escrow for disbursement such amounts as may be necessary.
All pro -rating is to be done as of the date of recording of documents and shall be based on a 365-day year. Property
taxes will be prorated on the latest available tax figures. Buyer and Seller acknowledge that in the event property taxes
are recalculated by a taxing authority after the closing date (because of recent improvements constructed upon the
Property or for any other reason), Buyer and Seller will handle the matter outside of escrow and agree to hold Escrowee
harmless from any and allJosses or damages stemming therefrom.
Taxes for the first half of a calendar year are due and payable on or before April 30; however, taxes forLhe first half of the
current year cannot be paid prior to February 15 (state certification date) and taxes for the second half of the year are due
and payable on or before October 30. Tax notices are customarily sent out to the current owner around February 15 for
the current year. Escrowee will prorate between the parties as indicated and also collect the next tax installment due for
the current year from the Buyer to be paid through the closing. It is the Buyer's responsibility to request from the
county treasurer a tax billing for future installments. If the Buyer instructs Escrowee not to collect for the next tax
installment due for the current year, the Buyer assumes all responsibility for payment of such installment(s) and
understands that the taxing authority may not send out a subsequent billing until February 15 of the following year.
7-he-value of fuel oil remaining orf th-e Property shall be pro -rated and paid for outside �wi'.=ese.--u.-,-:-between-t4a-Buyer and
_S.e1Ler_—_B!.fy:er,ar;d Seller -a ek nowled"ge-th2t-Sefler is responsible for the liens set forth in R.C.W._3.5__x'_1-`1-_290: 35.67.200;
36.36.04514 36.89.090; 36.94,150; 56.16.100;- 57-.;08.080 or 87-.03.445. in accordance with R.C.W. 60.80, Seller may
request that Escrowee administer disbursement of closing funds necessary to satisfy the unpaid charges set forth above.
Escrowee is not liable if the Escrowee's refusal to comply is based on the Seller's inaccurate or incomplete identification
of utilities providing service to the property or if a utility company fails to provide an estimated or actual final billing, or
written extension of the per them rate or if disbursement of closing funds necessary to satisfy unpaid charges would
violate R.C.W. 18.44.070. A fee may be charged for performing the services described herein above.
Additional PropertyTaxes for RecenUmprovements
Wash[ngttan -state- law permits the County Assessor to reassess real property upon which new improvements -have-been
constructed (such as a new residence) for -a -three year period after completion -of-wastrucdon. Escrowee-has pro -rated
the real property taxes on the basis of the taxes for the current year and- has not set aside any funds for payment of any
additional taxes which may be subsequently due for the current year and prior years because of reassessment. As a
reassessment covers a portion of the time the Property was owned by the Seller, the Seller is responsible for paying that
portion of the increased taxes attributable to the period prior to the tax pro -ration date, and the Seller should pay the
amount due upon receipt of notice from the Buyer. Such adjustments between Buyer and Seller shall be handled outside
of escrow and Escrowee shall have no responsibility or liability therefore.
Homeowners Association
Escrowee has been instructed to close this transaction., which may or may not have dues -payable to a homeawinter's
association. Per the seller, there are currently no dues payable to an active association and should it be found that after
closing there are in fact dues owing, these will be paid directly by the S'eller outside of this escrow and Stewart Title will be
not be held liable for the payment or proration thereof.
Condition of the Property
Neither possession of the property nor the condition thereof or suitability for its intended use shall be in any way an
obligation of the Escrowee. The compliance with ordinances required by any governing bodies including City or County
Short Flat (Subdirvisiori) ordinances will be the responsibility of the Buyer and Seller and Escrowee is relieved of all liability
in connection therewith. Any and all charges for --building permits or -assessed charges in connection therewith will be
handled outside cif escrow.
File No.: 2299860 Page 3 of 6
Escrow Instructions Sale WA
Authorization to Record, Correct and_Complete
Buyer and Seller authorize Escrowee to: (a) fill in the date of close of escrow (e.g., the date documents are recorded) and
such other necessary dates on any documents related to this transaction; (b) correct any typing., scriveners' or other
similar errors on any documents delivered Jnto escrow; and (c) record any document delivered in -to -this escrow, if
necessary or proper for the issuance of policies of title insurance.
Handling of Funds
All disbursements shall be in U.S. funds and shall be by Escrowee's check, or by wire transfer. Escrow funds will be
placed in an escrow account that will pay no interest to the depositor. Buyer and Seller acknowledge that because of
these and other banking relationships With the depository institutions, Escrowee and its affiliates may receive from -some
of the depository institutions an array of banking services, accommodations or other benefits. Escrowee and its affiliates
also may elect to enter into other business transactions with or obtain loans for investment or other purposes from some
of the depository institutions. All of such services, accommodations and other benefits shall accrue, directly or indirectly
to Escrowee and its affiliates and they shall have no obligation to account to Buyer and Seller for the value of such
services, accommodations or other benefits.
Property Insurance
Coverage of the Property with fire or any other type of hazard insurance is the sole responsibility of the Buyer and
Escrowee is relieved of any responsibility or obligation in connection therewith. HOWEVER, when a fire/hazard insurance
Binder or Policy is required as a condition of closing it shall be submitted to Escrowee and paid for as required.
Cancellation Fees
in the. event fails to close, a sum sufficient -to pay title commitment and escrow -Cancellation charges shall be
paid, and as appropriate, may be -deducted from funds held.
Disputes., Inter pleader
In the event any dispute shall arise involving a party to this escrow concerning the Property, or in the event conflicting
demands or claims are made with respect to this escrow or the rights of any of the parties hereto, it is expressly agreed
that Escrowee shall have the absolute right, at its election, to do any or all of the following: (a) withhold and stop all
further proceedings in performance of this escrow; (b) file suit in interpleader and obtain an order from the court requiring
the parties to -An derplead-and litigate their clairns-and-rigbts among themselves (in the event Escrowee.-:files s,uc h- -an-
interpleader action, Escrowee shall -he entitled -to -use the funds held in escrow to pay all filing fees, attorneys fees and
other costs-arrd-expenses associated with such su"I"L',-C-21-ld-an-y--provisions of-th-e-purchase and -Sale Agreement limiting or
prohibiting interpleader are hereby superseded); or (c) issue` a check to either Seller or Buyer made payable jointly to
Seller and Buyer in the amount of the sums in dispute. In the event an interpleader suit is brought,, Escrowee shall be
immediately fully released and discharged from all obligations to further perform any and all duties or obligations imposed
upon it in this escrow. Buyer agrees jointly and severally with Seller to pay Escrowee all costs, damages, judgments and
expenses suffered, expended or incurred by Escrowee in connection with or arising out of this escrow, including, but not
limited to, reasonable attorneysfees-
Counte arts
These escrow instructions., and amendments hereto., may be executed in one or more counterparts, each of which
independently shall have the same affect as if it were the original, and all of which taken together shall constitute one and
the same instruction.
Personal Property
Title to equipment, fixtures., personal property or encumbrances or liens thereon or personal property tax or sales tax
associated theremdth are not a part of this escrow and will be handled outside of escrow.
File No.: 2299860 Page 4 of 6
Escrow Instructions Sale WA
Retention of Records
Buyer and Seller authorize Escrowee to destroy these instructions and all. records of this escrow at any time after seven
(7) years from the date of these instructions without liability and without need for further notice or approval.
Tax Reporting
Seller warrants to Escrowee that if Seller is an individual, Seller is not a non-resident alien for purposes of U.S. income
taxation, or if Seller is a corporation, partnership, trust or estate, Seller is not a foreign entity- The Foreign Investment in
Real Property Tax Act of 1980 as amended by the Tax Reform Act of 1984 places special requirements for tax reporting
and withholding on the parties to a real estate transaction where the transferor (seller) is a non-resident alien or non -
domestic corporation or partnership or partnerships. It is understood and acknowledged by the undersigned that: (a)
Escrowee will not take an active role in either the determination of the non -alien status of the seller transferor or the
withholding of any funds; and (b) Escrowee makes no representations and (c) Buyer and Seller are seeking an attorney's,
accountants or other tax specialists opinions concerning the effect of this Act on this transaction and are not acting on the
statements made or omitted by the Escrowee.
Utilities
Outstanding balances, if any, will be handled by and between the Buyer and Seller outside of escrow.
initial
er Initials --Initial
N1 Buyer Initials
er Initials Seller Initials
These instructions shall -be irrevo-mbrie-.!rrby-=&,-'Cher-B-uyer from the date of last
execution hereof and shall be performed within said-p7eriod'or thereEifter until written-damand- is nTadia-upon-Escrowee for
-the cancellation thereof. Buyer and Seller acknowledge that they have been afforded adequate time and opportunity to
read, understand and approve these escrow instructions and all documents referred to herein.
The parties acknowledge that if a fee is incurred for mobile notary services and the transaction fails to close for any
reason the cost of these s nAces will be charged to the party requesting the services.
Dated: 209
SELLER(S):
Grant County, Washington
0 6 V el
By.
Kevin R. Burg esf/,Commissioner
4e,
e-Signed by:
By: 8/14/202516:39 PM CDT
Rcrb SoVigrt%&Missioner
e-signed bv,.
r 1WBy: I I JC48114/2025 1 6: 35 P M CDT
Cindy ZO&F 6MM 1 issioner
File No.: 2299860 Page 5 of 6
Escrow Instructions Sale WA
Dated: )2025
BUYERS}:
Public Utility District No.2 of Grant County
By:
Fallon Long, Vice President of Shared Services
File No.: 2299660 Page 6 of 6
Escrow Instructions Sale WA
WHEN RECORDED RETURN TO:
Public Utility District No.2 of Grant County
PO Box 878
Ephrata, WA 98823
File No.: 2299860 HW
Filed for Record at Request of. Stewart T.Iffe Company
STATUTORY WARRANTY DEED
e-initial e-initial
I
THE GRANTOR(S), Grant County, Washington, a Washington County under Ch. 36.01 RCW for and
in consideration of Ten Dollars and other valuable consideration in hand paid, conveys, and warrants to
Public Utility District No.2 of Grant County the following described real estate, situated in the County
of Grant, State of Washington:
Lot 4.- Speedway Flats Short Plat, according -to the Short Plat thereofrecordedin Volume 39 of Short
Flats, Pages 84, 85, 86,and 87, records of Grant County, Washington..
Situate in the County of Grant, State of Washington.
Subject to: This conveyance is subject to covenants,, conditions, restrictions and easements, if any
affecting title which may appear in the public record, including those shown on any recorded plat or
survey.
-Abbreviated Legal: Lo+,4,, -Speedway Flats Short Plat,, Volume 39 of Short Plats, -Pages 84,.-85, 86 and 87,,
in Grant County, WA
Tax Parcel Number(s): 160866002 (Parent), 315146000
LPB 10-05(r)
Page I of Z
Dated: 2025
Grant County, Washington
By:
Kevin R. Burgess, Commissioner
By:
Rob Jones, Commissioner
By:
Cindy Carter, Commissioner
State of Washington
County-afrGrant
This record was acknowledged before me on 2025 by Kevin R. Burgess,
Commissioner of Grant.Caunty;-Washington.
(Stamp) Printed Name:
Notary Public
My commission expires:
State of Washington
County of Grant
This record was acknowledged- before me on 2025 by Rob Jones, the
Commissioner of Grant County., Washington.
(Stamp) Printed Name:
Notary Public
My commission expires:
State of Washington
County of Grant
This record was acknowledged before me on 2025 by Cindy Carter,
Commissioners of Grant -County, Washington.
(Stamp) Printed Names.
Notary Public,
Nly-cornmission-expires:
LPB 10-05(r)
Page 2 of 2
i Real Estate ExcisO Tax Affidavxf (RCW 82.45 WAC 458-61A)
•'U,ep,�r�errt of �' i •
,,..- Only forsales in a single locatign code on or after April 1, 2025.
`S4s1i1�gtvl=fit; This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please #ype orprint
❑ Check box if partial sale, indicate % sold.
1 Seller/Grantor
Name Grant County, Washington, a Washington County under Ch.
36.01 RCW
Mailing Address PO Box 37
City/State/Zip Ephrata, WA 98823
Phone No.. (including area code) (509) 754-2011
3 Send all property correspondence to:❑ Same as Buyer/Grantee
Name Public Utility District No.2 of Grant County
Mailing Address PO Box 878
City/State/Zip Ephrata, WA 98823
List percentage of ownership acquired next to each name.
2 Buyer/Grantee
Name Public Utility District No.2 of Grant County
Mailing Address PO Box 878
City/State/Zip Ephrata, WA 98823
Phone No. (including area code) (509) 754-7072
List all real and personal property tax Personal Assessed
parcel accoudt numbers property? value(s)
160866002 (Parent) 13 177,995
315146000 n
4 Street address of property: NNA PARCEL 315146000 Mosi,as Lake, WA 98837
The property is located in JGrant County (for unincorporated locations please select your county)
❑ Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels berg merged.
Legal description ofpropertyrFyou need mores ace, attac a separate sheet to each page of the affidavit
Lot 4, Speedway Flats Short Plat, according to ttie Short Plat thereof recorded in Volume 39 of Short Plats, Pages 84, 85, 86 and
87, records of Grant County, Washington. Situate in the Count
of Grant, State of Washin2jon.
5 Land use code: 91 -- Undeveloped Land (land only) 7 List 311 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
under RCW 84.361 84.37, or 84.38 (nonprofit org., genior
citizen or disabled person, homeowner with limited jncorne)? ❑ Yes ® No
Is this property predominantly 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 its current use? If yes and
the transfer involves multiple parcels with different classificadoris,
complete the predominate use calculator (see instructions) ❑ 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? 1 ❑ Yes ®No
Is this property receiving special valuation as historical
property per RCW 84.26? D Yes 181 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 an will indicate
by signing below. If the land no longer qualifies or you Jo oqt 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 RCW E 4.34.108). Prior
to signing (3) below, you may contact your local county assessor for more
information.
This land ❑ does ❑ does not qualify far
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERil}
NEW OWNER(S): To continue special valuation as his,onc 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.
(3) NEW OWNER(S) SIGNATURE
Signature
Signature
Print name Print name
8 I CERTIFY UNDER PENALTY
If claiming an exemption, list WAC number and reason for exemptior:
WAC No. (sectionlsubsection)458-61A 205(2)
Reason for exemption
Government seller
Type of DOCL.Iment Statutory Warranty Deed
Date of Document , 2025
Gross Selling Price $525,000.00
*PersonAl Property (deduct)
Exemption Claimed (deduct) $525,000.00
Taxable Selling P4ce
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 3.0%
Agricultural and timberland at 128%
Total Excise Tax: State
Local
*Delinquent Interest: State
Local
*Delinquent Penalty
Subtotal.
*State Technology Fee $5.00
Affidavit Processing Fee $5.00
Total Due $10.00
A IY NDOM OF $10.00 IS DUE IN FEE(S) AND/OR TAX
*SEE INSTRUCTIONS
THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of grantor or agent l " Y Ly-vvSignature of grantee or agent
—'""'—f i�'4Tit5'id063liCB'—
Name (print) Cindy Carter Name (print)
Date & city of signing: 8/14/2025 J 6:35 PNp Tljy Carter Date & city of signing:
Perjury in the second degree is a class C felonywhich i� 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 s10,a00, or by both such confirement and fine (RCW 9A.72.030 and RCW 9A.20.021 (1)(c)).
To ask about availability of this publication in an alternate format for the visually impaired, please call 360-705-6705. Teletype
(TTY) users may Ilse the WA Relay Se} vice by calling 711.
I 1 I
REV 84 0001a (3117125) THIS-i SPACE TREASURER'S USE_ ONLY COUNTY TREASURER
Page 1 of 1
1
American Land Title Association ALTA Settlement Statement - Seller
Adopted 05-01-2015
File NoJEscrow No.: 2299860 Stewart Title Company
Officer/Escrow Officer: Harmony White 117 E 4th Ave
Moses Lake, WA 98837
(509) 765-3483
Property Address:
NNA PARCEL 315146000
MOSES LAKE, WA 98837 ,(GRANT)
(160866002 (Parent), 315146000)
Seller:
GRANT COUNTY, WASHINGTON
PO Box 37
Ephrata, WA 98823
Lender:
Settlement Date:
8/15/2025 '
Disbursement Date:
8/15/2025
_f.
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Sale Price of Propert
$525,000.00
Proiidibn
County Taxes 8/15/2025 to 1/1/2026 $21.72/Six Months
$16.41
• y a • ' 1 t i.i J
:f t'
i�, .!_ :: - =ice' r' _i�'••
-i,: -r. ',r i _ _ . -
TitIe Charges: ,: : : r _ L • .r �.' : °
:: ': 3.:•r L 1�. S
.. r•tl:r
1�• 1: �' � :lr•'f •'• .1 �1 1•� ' - k
7
•I t'•.•o� . .r J: :.1r'• -
-
Title - Lenders Me Insurance to Stewart Title Company
irtle - Owner's Title insurance to Stewart Title Company
$1,313.00
Title - Setflement or closing fee to Stewart Title Company
$700.00
Tfie - Owner's Premium Tax to Stewart Title Company STG Remitt2'nce for Stewart Title Guaranty: $0.00)
$111.60
Title - Sales Tax: Tale and Escrow Services to Stewart Tltle Cam an'
$59.50
Ci . r l „t' _ , t .1• JS?-.1:
- ' e • ,' : ,' : fi . .s � l
GovernmentRecor•ding and-Transfer.`Charges.:;; �:- °t�:�� �-_�� :�• - :;�.,:�::.• ,° .,• :��
: i' 'aP : '�' '! �' : i '
is - 't'• � . i• '
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='t• : ar,c 3 r.9•t y.J:.
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3: ,. i r� •Mt .,
State Deed Tax/Stamps to County Recorder
$10.00
u � 1 'i � •i•�
t_•,
1' 1` •'Ir •J •1. r r
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....,;.
in h
•� LI _t
Subtotals
$2,194.10
$525,016.41
Due To Seiler
$522,822.31
Totals
$525,016.41
$526,016.41
File # 2299860
Page 1 of 2 Printed on U14/2025 at 8:31 AM
i
Acknowledgement
Well have carefully reviewed the ALTA Settlement Stat�meht and find it to be a true and accurate statement of all receipts
and disbursements made on my account or by me in This transaction and further certify that I have received a copy of the
ALTA Settlement Statement; We/I authorize StewartTtlo Company to cause the Ndds to be disbursed in
accordance with this statement.
SELLER(S)
Grant County, Washington
By: K_.A ,�4
Kevin R. Burgess, Comm ner
Signed b
By:
Tb"mm-ceftimm8nar
Signed b
By: a e Cin y r, omm Woner
SETfL ENTCCURDI T
Harmony Mae
File # 2299860
Page 2 of 2 Printed on 8/14/2025 at 8:31 AM
��J`stewarf
TITLE
Stewart Title Company
117 E 4th Ave
Moses Lake, WA 98837
(509) 765-3483 Phone (866) 356-9740 Fax
Harrnony.White@stewartcom
ATTACHMENT I TOESCROW INSTRUCTIONS,
DISBURSEMENTS OF SELLER PROCEEDS
TO: Stewart Title Company, Harmony White, Escrow Officer
RE: File No.: 2299860
PROPERTY: NNA PARCEL 315146000, Moses Lake, WA 98837
Stewart Title Company -will require that the disbursement of any proceeds in excess of $5,600.00 to be disbursed in one of
the ways listed below. PROCEEDS WILL ONLY BE DISBURSED TO THE VESTED OWNER OF THE PROPERTY.
Pleas choose one of the following-.
Mail. Address: -D. ox� hzu4cw
Pick up at our office, please call when available.
Transfer $ to File #
Wire Transfer. Please initial below.
(i n iti al'!--3ffl the following business .day after the_-C1at-C'%0.1'_Ct.0_S1n9;_
appearing in your account by the end-el-the-bus-Iness-day -the wire -is sent or sooner.
.W
The wire transfer information is as follows: ALL OF THE FOLLOWING INFORMATION IS REQUIRED.
INCOMPLETE INFORMATION MAY DELETE THE TRANSFER OF FUNDS.
Bank Marne:
Routing/ABA Number.
My -Account Number.
Name as it appears on account.,
Address as it appears on the
account
In order to wire transfer, all of the above information MUST be completed.
If incomplete above, then check will be issued.
File No.: 2299860 Page I of 2
Escrow Instructions Seller Proceeds WA
Dated: 1 2025
SELLERS):
Grant County, Washington
By:
Kevin R. Burgess_ 'm mission er
Signed b
By: eaeeossaf) 8/14/202516:39 PM CDT
Rob Jones, Commissioner
,r-SIgned bv.*
S
By: 8/1412025 16:35 PM CDT
Cindy Carter,ommissioner
File No.: 2299860 Page 2 of 2
Escrow Instructions Seller Proceeds WA
I/.!`stewart
TITLE
Steward Tide Company
117 E 4th Ave
Moses Lake, WA 98837
(509) 765-3483 Phone (866) 356-9740 Fax
Harmony.White@stewart.com
Date: August 11•3, 2025
Es crow-C"*W i c e r: Harmony White
File No.: 2299860
Property Address: NNA PARCEL 315146000, Moses Lake, WA 98837
.FIRPTA CERTIFICATION NON -FOREIGN STATUS
(ENTITY)
Section 1445 of the U.S. Internal Revenue Code requires a transferee of a U.S. Real Property interest to withhold an
estimated tax equal to fifteen percent (15%) of the gross sales price if the transferoris a foreign person unless the transferee
receives a certification of non -foreign status from the transferor. This cerffication must be signed under penalties of perjury
stating that the transferor is not a foreign person., and it must also contain the transferor's name, address, and taxpayer
identification number.
A transferor (Seller) who provides such a certification is exempt from the withholding requirement and the estimated tax
cannot be collected from them unless the transferee (Buyer) has knowledge the certification is false.
Seller. Grant County, Washingtol-A --
Property: NNA PARCEL 31-5146000, Mas-es-Lake, WA 98837
1, the undersigned Seller, do hereby certify the following:
I. Grant County, Washington (Legal Entity Name) is a
Type of Legal Entity El Corporation 0 S Corp
El Partnership [1 Estate
0 LLC 0 Single -Member LLC
0 Trust 0 Other:
and is not a foreign corporation, foreign partnership, foreign trust, or foreig-n-estate-as-defied. in Section 1445 of
the U.S. Internai-Revenue Code and related -regulations.
FOR INFORMATIONAL P.I.J.RPOSE-S ONLY: An ExecutorTfrustee should not list their individual name as the seller, unless
reporting the proceeds on their individual personal income tax return. A disregarded entity should provide the Business Owner's
legal name and TIN.
2. The Taxpayer Identification Number is: / / C7O0' J 1 9
3. At close of escrow the mailing address will be: PO Box 37
Ephrata, WA 98823
File No-: 2299860
FIRPTA Certification Non -Foreign Status (Entity)
Page I of 2
2025
I understand that this certification is executed in connection with the sale of the aforementioned property and under penalty
of perjury, I declare that I have examined this certification and to the best of my knowledge and believe it is true, correct,
and complete. I understand that the information contained herein may be disclosed to the Internal Revenue Service and
that any false statement I ha e made here could be punished by fine,, irripp-isonment.or both.
,A
Date: '20 -
Grant County, Washington
By: -.A"M'
Kevin R. BurgeWy-oCommissioner
Signed
b By: 8/14/2025 16:39 PM CDT
46
RoFlones, Mnrnissioner
r Signed bir.
By: 8/14/202516:35 PM CDT
Ci'n-aV4t%iN',9Cornmissioner
File No.: 2299860 Page 2 of 2
FIRPTA Ceffffication Non -Foreign Status (Entity) 2025
AFFIDAVIT AND INDEMNITY AS TO DEBTS, LIENS, AND POSSESSION
File No.: 2299860
Subject Property: Lot 4, Speedway Flats Short Plat according to the Short Plat thereof recorded' in Volume 39 of Short
-Plats, Pages 84, 85, 86 and 87, records.of f-G-13Tant County; Washington.
Situate -in the County of Grant, State of Was hingtol-L.
NNA PARCEL 315146000, Moses Lake, WA 98837
State of Washington
County of Grant
BEFORE ME., the undersigned authority, on this day personally appeared:
Kevin R. Burgess, Rob Jones and Cindy Carter as Commissioner of Grant County, Washington, a Washington County
under Ch. 36.01 RCW
Seller(s) or Owner(s)- Borrower(s) [include middle name, if any]
PLEASE NOTE: ANY BLANK SPACE IN THIS AFFIDAVIT SHALL BE DEEMED A STATEMENT BY THE
UNDERSIGNED THAT THE RESPONSE IS "NO" OR ""NONE"".
THIS AFFIDAVIT AND INDEMNITY is made in connection with the sale and/or mortgaging of the Properly with the
knowledge and- intent that Stewart-T-rtle Guar an�-Gompany, and its agent, if any (collecti-veely, the "Title Company") will
rely on it in issuip.g.fitle, insurance..Dolicv(ies).
0
The undersigned, under oath, dialmses—and says:
1. NAME. My/Our full name(s) appear above. During the last ten (10) years, I/we have not been known by any other
name except as stated above or as follows:
The judgment(s) and/or other lien(s) appearing on the title commitment / preliminary report, islare not against me/us,
but rather is/are against someone else With a similar name. Initial if applicable: —
2. POSSESSION AND-014VUERSKre. ifSAle fiaver no knowledge of any challenge, _c!alm or controversy relating -to my/our
ownership or possession of the Property. There are no tenants, occupants; or parties in possession of the Property, or
leases or licenses affecting the Property, and no one is occupying, using or passing over the Property, other than
me/us and mylour immediatta family, except the following:
3. SURVEY.
A. Except as may be shown on any survey, if any, of the Property, that has been provided to the Title Company,
I/we have no knowledge of any easements, replattings., encroachments of my improvements (includihg fences
and driveways) onto any easement or setback line or building line or onto my neighbors' property(ies), or of
any encroachments of my neighbors' improvements (including fences and driveways) onto the Property, or of
any boundary line disputes, except the following:
B. If a survey of the Property has been provided to the Title Company., there have been no changes to the
improvements (including fences and driveways) on the Property since the date of the survey, except the
following:
4. REC-ENT IMPROVEMENTS. [Select one below]
1. .
A. X, No improvements (including but not lilmited to work, services., materials and equipment) have been made to
-the Property during the last 180 days.
OR
File No: 2299860 Page I of 3
Affidavit Debts Uens and Possession Seller
13- 1 There has been construction on the Property during the last 180 days. All work performed, services
rendered, and materials and equipment furnished in connection with the improvements on the Property relate to
routine repairs and replacements, and have been paid in full, and there are no unpaid bills, claims, demands or
amounts owed for services, labor, materials or equipment, except the following [Please insert description, amount,
and name of unpaid claimant(s), if any]:
We undertake to promptly pay the foregoing and to deliver proof of payment to the Title Company.
5. DEBTS AND LIENS. Except as described in the commitment I preliminary report,, there are no debts, liens (including
but not limited to federal or state liens or judgment liens), loans (including but not limited to mortgages or deeds of
trust), lawsuits, unpaid judgments, proceedings or legal obligations of any kind against me/us or encumbering or
potentially affecting the Property except the following [Please insert name of creditor and amount, if any]:
Creditor Approximate Amount
0
6. TAXES AND ASSESSMENTS. Except as described in the commitment / preliminary report, there are no unpaid
taxes, charges, fees, fines or assessments of any kind (including but not limited to real property taxes and
assessments imposed by a taxing authority, condominium association or homeowner's association fees and
assessments, water or sewer charges) encumbering or potentially affecting the Property except the following [Please
describe item and amount, if any]:
-!A-.A-- le-underta keto prarrply pay the foregoing and to d eli v__er_,pr_on-Jf= of Payment to the Tit1r,% Corapany,
7. BANKRUPTCY. There are no current proceedings in bankruptcy or receivership affecting me/us. I/We do not intend
to file bankruptcy.
8. PURCHASE RIGHTS. Except for the current transaction (if a sale), there are no contracts to sell the Property, or
options or rights of first refusal to purchase the Property except the following..
if ar; individu�al. (Rat-Wa.414 pecizen) the fallewing ripjznrlbec- myleur a ur-eRt ma;4tal stailis.
......te all that are n
A. 1 J4a_v_-e=;;ever- been
10. INDEMNITY. We make this Affidavit to -Induce,_ the Title —Company to -issue a policyties of title insurance and 11we
understand that the Title, Company is relying on the statements made herein in issuing such policyries. Me agree to
indemnify, defend and hold harm-_1.essth-.1,zT"itle Company from andagainstall claims, costs, losses, liabilities,
damages,. expenses, fees and attorneys' fees, including attorneys' fees and expenses to enforce this indemnity, that
the TilieFCompany may incur, arising out of or relating to:
A. any errors, omissions or inaccuracies in this Afridavit:,
File No: 2299860 Page 2 of 3
Affidavit Debts Liens and Possession Seller
B. all liens, encumbrances or other objectionable matters filed or recorded against the Premises between the
I-ast Effective Date of the commitment I preliminary report referenced above and the date and time of
recording of the deed and/or mortgage/deed of trust, if applicable. Me undertake 7 to promptly remove,
release, bond or other -wise dispose of the such matters, to the satisfaction of the Title Company, in its sole
discretion; and
C. the failure to timely perform all undertakings, if any, described in this Affidavit.
11. OTHER.
A. If the Seller or Borrower is an entity, I have authority to sign on its behalf, based upon
Commissioner minutes
Under penalties of perjury I/we declare that [/we have examined this affidavit and to the best of my knowledge and belief it
is true., correct, and com lete
-0"9
�5
Date: 2025
Grant County, Washington
By:
Burg ommissToTrer
signed b
By: 8/14/202516--39 PM CDT
Rob J&n—ig:,�'Mffifflbsioner
,'—Signed b
By: -% 8/14/2025 16:35 PM CDT
Cindy WAhissioner
File No: 2299860 Page 3 of 3
Affidavit Debts Liens and Possession Seller
%/Asiewart
Stewart Title Company
117 E 4th-Ave
Moses Lake., WA 98837
-Phone: (509) 765-3483
Fax:
File No.: 2299860
1099-S NOTICE TO SELLER AND INFORMATION REQUEST
As required by law, you must provide your correct taxpayer identffication number ("TIN") to the
settlement/closing agent, or you may be subject to civil penalties imposed -by law. Your TIN is necessary
tax information for proceeds from a reportable real estate transaction as required by the Internal Revenue
Service ('IRS") and shall be furnished to the IRS. if -you are required to file a return, a negligence penalty
or other sanction may be imposed if your income is taxable, and the IRS determines your income has not
been correctly reported. For the purposes of this document the term "Seller' is the owner of the real estate
that is sold or exchanged. If the real estate has more than one owner, a separate Notice To Seller and
Information Request AWHI be required from each Seller.
PART I - SELLER INFORMATION (LEGAL NAME AND TIN MUST BE COMPLETED)
1. Legal Name of Individual:
TIN _of Individual: . A
If you are married filing jointly and the primary individual listed on the income tax return,
check this box 0 Primary
OR
2. Legal Name of Entity:
"Iype_of Legal .Entity 0 Corporation El -&Corp C3 LLC ❑ Single -Member LLC
0 Partnership _EJ Estate 0 Trust El Other:
-/ TIN of Entity: --- (0 el_ U U f
FOR INFORMATIONAL PURPOSES ONLY: Executors/Trustees should not list their individual name as
the seller, unless reporting the proceeds on their individual personal income tax return. Disregarded entities
should provide the business owner's Legal Name and TIN.
PART If -TRANSACTION INFORMATION (MUST BE COMPLETED)
Contract Sales Price $525,000.00 Closing Date (mm/dd/yyyy)
Description of Property NNA PARCEL 315146000, Moses Lake, WA 98837
Percentage of Ownership % OR Gross Allocated Proceeds for this Seller $
County; City; and School Taxes paid in advance by seller, charged to buyer $
Check Z the following box(es) if applicable to the transaction:
0 This is part of an Exchange 0 1 am a foreign individuallentity (Defined by IRS as a nonresident
alien, foreign partnership, foreign estate, or foreign trust)
Stewart Title — i 099-S Notice to Seller and Information Request Page I of 2
[rev 712025] File No. 2299860
w .
PART III - PERMANENT POST CLOSING MAILING ADDRESS (MUST BE COMPLETED)
0 Check here if address is outside USA
PART IV — SELLER CERTIFICATION
Under penalty of perjury, I certify that all the above information is true, correct., and complete as of the end
of the day for the sale or exchange of the subject property.
Grant County, Washington
Kevin R. Burgess, arnmissioner
Signed b�r
..By: 8/14/202516:39 PM CDT
Rob -Jones,. Commissioner
Signed b
8/14/2025 16:35 PM CDT
By:
i 4 4;W �aWT34 e am
Cindy Carter, Commissioner
Stewart Title — 1 099-S Notice to Seller and I nformation Request
[rev 7/2025] File No. 2299860
Date
Page 2 of 2
0docusign-
......
.. ._ r...r. _r.,».r.r.>_ .. -....• ....♦.....♦♦ ,.t ., . ,..r. >.t �...................♦................»....»...♦♦r.♦.♦.......«., ....r.r«.....,...,.,ct'.s»� c;s�i::Eii: i:i::.i:::.i::i5i:•s. �::.:'c.:::�::5i2� :. t......r..,.,. r.
Envelope Id: D4D48039-F6D4-4221-90DE-03B2D7080C80 Status: Completed
Subject: Complete with Docusign: Closing Documents Grant County
GF#:
Source Envelope:
Document Pages: 21 Signatures: 15 Envelope Originator:
Certificate Pages: 3 Initials: 4 Harmony White
AutoNav: Enabled 1360 Post Oak Blvd #100
Envelopeld Stamping: Disabled Houston, TX 77056
Time Zone: (UTC-06:00) Central Time (US & Canada) Harmony.White@stewart.com
IP Address: 163.116.251.126
-dcdCdT'
Grant county, Washington
Security Level: Email, Account Authentication_ .
(None)
Electronic -Record and Signature Disclosure:
Accepted: 8/1412025 6:33:39 PM
I D: 5a834fda-6d47-480a-9c88-2967ec8a4010
Company Name: Security Title Guaranty
Rob Jones
Bones@grantcountywa.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 8/14/2025 6:38:30 PM
ID: 7f780933-4421-432f-9fbc-1967ecf9d349
Company Name: Security Title Guaranty
Signature Adoption: Drawn on Device
Using IP Address: 2-1-6•-2d.5 12.58
_S;g-i;ed using -^^^bile
Signed b
CBCCD46d4698465...
Signature Adoption: Drawn on Device
Using IP Address: 216.215.12.58
Signed using mobile
Signed: 8/1-4/2025 6:35,09 P1"v'I•.•.
Sent: 8/14/202510:43:10 AM
Resent: 8/14/2025 6:32:52 PM
Viewed: 8114/2025 6:38:30 PM
Signed: 8/14/2025 6:39:06 PM
1.i.
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Barb VasquezSent: 8/14/2025 10:43:11 AM
bvasquez@gra;itcountywa.gov C-004"PTED-
Clerk of the Board
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Team Harmony Sent: 8114/2025 10:4111 AM
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... ........
EIe"`c**ft'q"' n-1.6"Re"cor Idna u,"r.I
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