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Home My WebLink About*Other - BOCC (002)A. Settlement Statement U.S. Department of Housing and Urban Development OMB Approval No, 2502-0265 v.I y1j'a Ul 6u011 1. FHA 2. FmHA 3, 6. File Number; 7. Loan Number: 8. Mortgage Insurance Case Number: ❑ ❑ ❑Cony. Unins. 712740 4. VA 5, Conv.Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the seltlemenl agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for Informational purposes and are not Included in the totals, D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: UNITED STATES OF AMERICA GRANT COUNTY PUBLIC WORKS 124 ENTERPRISE STREET SE EPHRATA, WA 98823 Li. vropeny LoCation: H. Settlement Agent 9183 STRATFORD ROAD NE STEWARTTITLE COMPANY Tax ID: 74-0923770 MOSES LAKE, WA 98837 (GRANT) (170928002) 117 E 4TH AVE, MOSES LAKE, WA 98837 (509) 765.3483 Place Of Settlement; I. Settlement Date 1 Disbursement Date 117 E 4TH AVE, MOSES LAKE, WA 98837 (509) 765-3483 3/2812022 / 3/31/2022 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower Ann 1':r„e. A..,....-& ,-_ IUB. Contract sales price 102. Personal Property $46,165.00401. Contract sales price $46,165,00 103. Settlement Charges to Borrower (line 1400) $1,073.40 402. Personal Property 403. 404. 503. Existing loan(s) taken subject to 104. 205. 105. 215' 405. Adjustments for items paid by seller in advance 505. Payoff of second mortgage loan Adjustments for items paid by seller In advance 217. 106. City/town taxes 406. City/town taxes 207. 107. County taxes 407. County taxes 508. 108. Assessments 408. Assessments 509. . 109. $47,238.40 601. Gross Amount Due To Seller (line 420) 409. -- 110. $47,238.40 603. Cash QTo []From Seller $46,165.00 410, 111. 411. 112. 412, 120. Gross Amount Due From Borrower $47,238.40 420. Gross Amount Due To Seller UR d Fr% nn 201. - Deposit or Earnest Money - --- - . v rv11v1 501. Excess deposit (see instructions) -- 202. Principal amount of new loan 203. Existing loan taken subject to 502. Settlement Charges to Seller (line 1400) 212. Assessments 204. 503. Existing loan(s) taken subject to 513. 205. 504. Payoff of first mortgage loan 215' 206. 505. Payoff of second mortgage loan 516. 217. 506, 218. 207. 507. 208. 508. 520. Total Reduction Amount Due Seller 209. Adjustments for items unpaid bvsaller 509. . 301. Gross Amount Due From Borrower (line 120) 302. Less Amounts Paid By/For Borrower line 220)$46,165.00 210. City/town taxes -,�-- .-.,.� .�. �.�-�� .+111JuIu my aaiiai 510. City/town taxes 211. County taxes 511. County taxes 212. Assessments 512. Assessments 213. 513. 214 514 215' 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Pald By/ForBorrower 520. Total Reduction Amount Due Seller 300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount Due From Borrower (line 120) 302. Less Amounts Paid By/For Borrower line 220)$46,165.00 $47,238.40 601. Gross Amount Due To Seller (line 420) 602. Less Deduction in Amt. Due To Seller (line 520) 303. Cash ✓❑From RTo Borrower $47,238.40 603. Cash QTo []From Seller $46,165.00 R C V q . '�") k:T1'4:1 "" A R 4 i CY GRANT Loan Number: File Number: 712740 Page 1 of 3 L. Settlement Charges 700. Total SaleslBroker's Commission Division of Commission (line 700) as follows: Paid From Paid From 701, to Borrower's Funds Seller's Funds 702. to at Settlement at Settlement 703. Commission paid at Settlement 704. 800, Items Payable In Connection With Loan 801. Loan Origination Fee 802. Loan Discount 803. Appraisal Fee 804. Credit Report 805. Lender's Inspection Fee 806. Mortgage Insurance Application Fee 807. Assumption Fee 900, Items Required By Lender To Be Paid In Advance 901. Interest 902. Mortgage Insurance Premium 903. Hazard Insurance Premium 1000, Reserves Deposited With Lender 1001. Hazard insurance 1002. Mortgage insurance 1003. City property taxes 1004. County property taxes 1005. Annual assessments 1008. Aggregate accounting adjustment 1100. Title Charges 1101. Settlement or closing fee to Stewart Title Company 1102, Abstract or title search $420.00 1103, Title examination 1105. Document preparation 1106. Notary fees 1107. Attorney's fees (includes above item numbers: } 1108. Title Insurance to Stewart Title Company (includes above item numbers: ) $368,00 1109. Lender's coverage Premium $0.00 to Stewart Title Company 1110.Owner's coverage $46,165.00 Premium $368;00 to Stewart Title Company 1114. Owner's Premium Tax to Stewart Title Company (STG Remittance for Stewart Title Guaranty: $0.00) 1115. Settlement Sales Tax to Stewart Title Company $30.91 1116. a Record Fee (Buyer/Borrower) to Stewart Title Company $35.28 1200. Government Recording and Transfer Charges 1201. Recording fees: Deed $206.60; Mortgage; Release ; 1202. County tax/stamps: Deed ;Mortgage ; $206.50 1203. State tax/stamps: Deed $10.00; Mortgage ; 1204. City taxlstamps: Deed ;Mortgage; $10.00 1300, Additional Seftlement Char es 1301. Survey 1302, Pest Inspection 1400. Total Settlement Charges (enter on line 103, Section J and 502, Section K) $1,073,40 $0.00 Loan Number: File Number: 712740 Page 2 of 3 I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief it is true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD -1 Settlement Statement. BORROWERS, . UNITED STATES OF AMERICA SELLERS GRANT COUNTY PU IC WORKS The MUD -1 Settlement Statement which I have prepared Is a true and accurate account of this transaction. I have caused or I will cause the funds to be disbursed in accordance with this statement. MeementA &,t Date 3128/2022 DANIELLE SUMMERS WARNING: It is a crime to knowingly make false statements to the United Stales on this or any other similar form. Penalties upon conviction can include a fine and Inprisonment, For details see; Title 18 U.S. Code Section 1001 and Section 1010 SUBSTITUTE FORM 1099 SELLER STATEMENT - The Information contained in Blocks E, G, H and I and on line 401 (or, 9line 401 is asterisked, lines 403 and 404), 406, 407 and 408-412 (applicable part of Buyer's real estate tax reportable to the IRS) is Important tax information and is being furnished to the Internal Revenue Service, If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. SELLER INSTRUCTION - If this real estate was your principal residence, file form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax return; for other transactions, complete the applicable paras of form 4797, Form 6252 and/or Schedule D (Form 1040). You are required to provide the Settlement Agent with your correct taxpayer identification number, If you do not provide the Settlement Agent with your correct taxpayer identification number, you may be subject to civil or criminal penalties. Loan Number: He Number; 712740 Page 3 of 3 RETURN TO: Contract No. 16-07-16-L5621 Bureau of Reclamation Attn: Jennifer McConnell Tract No. 19145 32 C St. NW NWI/4SW1/4SWI/4 Ephrata, WA 98823of Section 14., T.20N, R -28E, Willamette Meridian, Grant County, Washington Tax Parcel No. 170928002 GENERAL WARRANTY DEED THE COUNTY OF GRANT, a municipal corporation (GRANTOR), hereinafter referred to as GRANT COUNTY, for and in consideration of the sum of FORTY SIX THOUSAND ONE HUNDRED SIXTY FIVE AND NO/100 Dollars ($46,165-00), by these presents, does hereby GRANT, SELL AND CONVEY unto the UNITED STATES OF AMERICA (GRANTEE),, hereinafter referred to as the UNITED STATES, and unto its assigns and successors forever, the following described lands lying in Grant County, State of Washington, to •wit: A section of land known as the Northwest quarter of the Southwestquarter of the Southwest quarter (NWV4SWV4SWV4}, all in Section Fourteen( 14), Township Twenty (20) North, Range Twenty-eight (28) East, Willamette Meridian, Grant County, Washington, less the West 40 feet' thereof, moreparticularly described and depicted on, Exhibit A, the Record of Survey filed under Auditors File No. 1419564, attached hereto and by this reference made apart hereof. Said tract of land containing 9.45 acres more or less. TOGETHER WITH any and all water rights, water, ditches and ditch rights-of-way, reservoirs springs, easements and profits thereunto belonging or in any way appertaining which are now or hereafter may be used on the aforesaid premises; all and singular the tenements,, hereditaments, and appurtenances thereunto belonging, or in anywise appertaining; all the estate,, title, dower, right of homestead, claim or demand whatsoever of GRANT COUNTY; the reversion and reversions, remainder and remainders,, rents issues, and profits thereof; and, any buildings and improvements thereon and all rights and appurtenances thereto. SUBJECT TO (1) any oil, gas or mineral rights of record outstanding •in third parties; and, (2) existing easements of record in favor of the public or in thirdparties for roads and highway, utilities, railroads, pipelines, ditches, and canals. Page I of 4 Contact No. 16-07-16-L5621 TO HAVE AND TO HOLD the above described premises, together with all and singular the rights and appurtenances thereto in anywise belonging, unto the said UNITED STATES, and unto its assigns and successors forever; and does hereby bind itself and,, its successors and assigns to WARRANT AND FOREVER DEFEND all and singular the saidpremises unto the UNITED STATES, and unto its successors and assigns, against every person whomsoever lawfully claiming or to claim the same or any part thereof. GRANT COUNTY further remises, releases, and foreverquitclaims to the UNITED STATES OF AMERICA and its successors and assigns, all right, title and interest which GRANT COUNTY may have in and to water rights, banks.7beds , and waters •of any stream or river bordering or traversing the said land to be conveyed and also all interest in and to any alleys, roads, streets, ways, strips, gores, or railroad rights-of-way abutting or adjoining said land, and in any means of ingress or egress appurtenant thereto. The acquiring federal agency is the Department of the Interior, Bureau of Reclamation pursuant to the provisions of the Act of June 17, 1902(32 Stat. 3 8 8) and acts amendatory thereof or supplementary thereto. IN WITNESS WHEREOF, GRANT COUNTY, through its duly appointed officers for the COUNTY OF GRANT, has hereunto set hand and seal on the day of A* A&N 1.00 , 2022. By: Rob Jobtis =Chair air - CoURLY jjoard of Commissioners Grant County B Y Cindyltarter, Mem"-b'er County Board Of Commissioners Grant County Page 2 of 4 Contact No. 16-07-16-L5621 ATTEST. - Barbara Vasq , e 6m, C' o e Boar APPROVED AS TO FORM: qday of 2022 Kevin J. McCrae, WSBA #43087 Chief Deputy Prosecuting Attorney ACKNOWLEDGMENTS STATE OF WASHINGTON) COUNTY OF GRANT ):ss) On this day personally appeared before me, the undersigned Notary, Cindy Cartier, known to me to be the M e m be r he County Board of Commissioners, for the COUNTY OF GRANT, a municipal corporation, of the State of Wasbington, that executed •the within and 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 she was authorized to execute said instrument. WITNESS my hand and official seal on the day of rA 1)2022. (SE) NT � to ip :4q& It401 A R Y flow mom aim aft 400 qft Pusoc �` 0 2 1 Ukf/" fill, MY Commission expires: -101 OL401 Aa; Page 3 of 4 Contact No. 16-07-16-L5621 STATE OF WASHINGTON) )*-ss COUNTY OF GRANT On this day personally appeared before me, the undersigned Notary, Danny E. Stone, known to 8V% me to be theA466 Chair of the County Board of Commissioners, for the COUNTY OF GRANT a municipal corporation.., of the State of Washington, that executed the •Within and 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 he was authorized to execute said instrument. WITNESS my hand and official seal on the4;,,V - day of 2022. PN Y ie, V* vAEIY'r SIN 1�i 0 06. `0 Notary Public tA 0 T A P, le "Po State of wash i ton 0 -.40 o pow PUBLIC Residing at: on 2`1®� NOMy Commi ssion expires: N rrr WAOa�w�1i;1llil" STATE OF WASHINGTON) ):ss COUNTY OF GRANT On this dad ers(ftlly appeared before me, the undersigned Notary, Rob Jones known to me to be the County Board of Commissioners, for the COUNTY OF GRANT,, a municipal corporation, of the State of Washington, that executed the within and 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 he was authorized to execute said instrument. WITNESS my hand and official seal on the q— day of —Atk-2 —7— 52022. Notary Public State of Was gton Residing at:. s. MY Commission expires: Page 4 of 4 Contact No. 16-07-16-L5621 //*^-stewa1'L. TITLE- Stewart lT*,LE Stewart Title Company 117 E 4th Ave Moses Lake, WA 98837 (509) 7653483 Phone (509) 766-0093 Fax denielle.summers@stewart.com ATTACHMENT I TO ESCROW INSTRUCTIONS DISBURSEMENTS OF SELLER PROCEEDS TO: Stewart Title Company, Danielle Summers, Escrow Officer RE: File No.: 712740 PROPERTY: 9183 Strafford Road NE, Moses Lake, WA 98837 Stewart Title Company will require that the disbursement of any proceeds in excess of$5,000.00 to be disbursed in one of the ways listed below. PROCEEDS WILL ONLY 13E DISBURSED TO THE VESTED OWNER OF THE PROPERTY. Please choose one of the following: Mail. Address: Pick up at our office, please call when available. Transfer to File # Wire Transfer. Please initial below. (initial) Wired funds will be wired the following business day after the date of closing; appeari6g� �in your account by the end of the business day the wire is sent or sooner. The wire transfer information is as follows: ALL OF THE FOLLOWING INFORMATION IS REQUIRED. INCOMPLETE INFORMATION MAY DELETE THE TRANSFER OF FUNDS. In order to wire transfer, all of the above information MUST be completed If incomplete above, then check will be issued. Expedited Delivery (choose one). - Federal Express. I/We understand that a MINIMUM of $12-50 will be deducted from the proceeds to cover this delivery service. Send to the following address (CANNOT DELIVER TO A P.O. BOX): File No.: 712740 Escrow instructions Seller Proceeds WA Page I of 2 U.S. Postal Express. [/We understand that a MINIMUM of $15.00 will be deducted from the proceeds to cover this delivery service. Send to the following address: FOR EITHER OF THE EXPEDITED DELIVERY SERVICES, YOU WILL NEED TO DELIVERY. SIGN FOR THE PACKAGE UPON Dated: SELLERS : Grant County ic Works By: 2022 File No., 712740 Escrow Instructions Seller Proceeds WA Page 2 of 2 •:.. •• v_ ! t •.. ........ ....t..... :....... -..:.::.......: Department of�& ' fl fls ��}�i :.his.:;"::: li .t:::. '•c: :.:. . i.� ! t ... .. � t ✓ ei'.y.r .iso. ::.i'. 1 ....:.... :. : Rea StC�t� !.d a:V'i 82.45 WAC RevP Washington .State.:' * .:(RCW 458-61A) Only for sales in a.single lo.catI*:6:code ori or'after,lai taa. 1'Z02Q: •,.... , . ,c 'This affidavit will not be accepted unless all;areas on all fully Form 84 0001 � ,. p.ages.are and accurately completed. This .form is your rece�ptwhen stamped ::by.'cashier:Please type or print, p :.. [] Check box if partlai sale, indicate % LI5 p to Id t ercen ge of ownershi.�p acquired�n xt t s e o each i�::': ' ° i name. :...:• .r: 1. Seller/G rantor a� :: ::.� ....:.:::.., ,.'_. ..... r .:.. .. 2 Buyer/Grantee Name Grant County Public Works Taxable selling price 0,00 r Name United States ,Department of the Interior, Bureau of Reclamation Mailing address 124 Enterprise Street City/state/zip Ephrata, WA 98823 _ Phone (including area ode) J§091754 -6082 Mailing address -32-C Street NW City/state/zip Ephrata, WA 98823 Phone (including area code) DOM) 921-9703 3 Send ail property tax correspondence to: 0 Same as Buyer/Grantee List all real and personal property tax Personal Assessed Name parcel account numbers property? value(s) 170928002 n 146,165.00 Mailing address [] -Lo . o o City/state/zip ❑ $ 0.00 4 Street address of propert 9183 NE Stratford Road Moses Lake WA 98837 This property is located In Grant Count (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 bein mer ed Legal description of roperty (if you need mores ace, attach a separate sheet to each page of the affidavit). g g Northwest Quarter of the Southwest Quarter of the Southwest Quarter, All in Section 14, Township 20 North, Range 28 East, Less the WEST 40 feet 67 - Governmental services 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)? 0 Yes 0 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) ❑Yes ONo 6 Is this property designated as forest land per RCW 84.337 Des []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 0 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. 7 List all personal property (tangible and intangible) included in selling price. None If claiming an exemption, list WAC number and reason for exemption. WAC number (section/subsection) _WAC 458-61A-205(2) Reason for exemption Tax Exempt Goverment Transfer Type of document warranty Deed 0.00 Date of document 0,00 Gross selling price 46165,00 *Personal property (deduct) 0.00 Exemption claimed (deduct) 46 165,00 Taxable selling price 0,00 Excise tax: state Less than $500,000,01 at 1.1% 0.00 From $500,000,01 to $1,500,000 at 1.28% 0,00 From $1,500,000.01 to $3,000,000 at 2.75% 0,00 Above $3,000,000 at 3% 0,00 Agricultural and timberland at 1.28% 0,00 I nis lana: u does VJ does not qualify for continuance. Total excise tax: state 0.00 0.0050 Local 0.00 Deputy assessor signature Date *Delinquent interest: state 0.00 (2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY) Local 0,00 NEW OWNER(S): To continue special valuation as historic property, sign (3) below, if the new owner(s) doesn't wish to *Delinquent penalty 0.00 continue, all additional tax calculated pursuant to RCW 84.26, shall be due and payable by the seller Subtotal 0.00 or transferor at the time of sale. (3) NEW OWNER(S) SIGNATURE *State technology fee 5.00 Affidavit processing fee 5,00 Signature Signature Total due 10.00 Print namePrint name A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX S I CERTIFY UNDER PENALTY *SEE INSTRUCTIONS PERJURY �]AT TH GO N IS TRUE AND CORRECT Signature of grantor a ent~ �, Signature of grant grantee or ,agent Name (print} �-°- Name (print) Sarah E. Maciel Date & city of signing Anrhory In +k— Date & cit of signing 3-10-2022 Boise Idaho Y g g �' "0 hable by a`fine-in an amount Nedlbythe court notmore than $10,000, confinement both such confinement n a state c nd fine (RCW 9Af72 030 maximum term of five ears or by To ask about the availability of this publication, In an alternate format for the vis RCW 9A.20,021�1)(c)�. (TTY) users may, use th,e. WA Relay5ervice by�ela lin p71r1 ed, cai1360-705-6705. Teletype :. REV 84 0001a (9/17/21) THIS SPACE TREASURER'S USE ONLY COUNTY TREASURER Print on legal size paper. Page 1 of 6