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2010, 02-12 Assessor Segregation InformationSpokane County Assessor Ralph Baker, Assessor Real Properly Segregation Division 1116 West Broadway Avenue Spokane, Washington 99260 ❑ Sale / Development Segregation The assessor tax parcel activity undertaken under this category is for the alteration of real property boundaries that can be used for transfer purposes. These divisions must be performed in accordance with applicable State and Local laws. Local City or County Planning Departments grant final permissions for divisions of land Phone: (509) 477 -3698 Fax: (509) 477 -2093 eMail:ASSRSEG@SPokanecounty.org [ Administrative Segregation The assessor tax parcel activity taken under this category is for the administrative manipulation of property boundaries that cannot be used for transfer purposes. To use a segregation created under this category for the purpose of sale, development or re- platting is a violation of RCW 58.17. This vehicle is for the creation of "Tax Accounts" for the administration and maintenance of Assessor Office mandates or functions. Applicant is: ®owner, ❑ purchaser / lessee, n agent, ❑ other: Name: C i� Ni i - Address. ��/ � / , /'if- City: �� : State: Zip: ' 11r Country: e -Mail: IMPhone: %,tV - 'hgpork Phone: Work e -Mail: Parcel Numbers: New Parcel Data: (Please insure that the data names provided here are used consistently throughout the 1-1 � —o // application and support documentation. eg.. A, B, or 1, 2) Parcel ID , /// 0 , )() /1/5 Name: ' Address: City: S� �- 4iY r State:- Zip: 99 /x/ fj Country: e -Mail: Phone: Work Phone: Work e -Mail: Parcel ID Name: Address: City: Zip: Country: e -Mail: Phone: Work Phone: Work e -Mail: Parcel ID .(Attach additional sheets if needed). Name: Address: City: Zip: Country: e -Mail: Phone: Work Phone: Work e -Mail: Acknowledgement: State: State: Print: d - Si' nature: ACO Number Notes: (Public Official's Section) Tax Status is: RCW 84.40.041 requires that taxes be maintained in a current status until the completion of the segregation. Date;, Plannin Approval Approved Docs. Attached Official: /(ALo,, /z/ u 1 t o Signature X Date Existing Improvements ❑ Located on Map. ❑ Segregation - Merge ❑ BLA —MLA ❑ TCA ❑ Survey Map Date - Stamp: RECEIVED FEB 1 2 2010 SPOKANE COUNTY ASSESSORS OFFICE Recd`byy: SPOKANE COUKEY SPOKANE COUNTY RECEIPT NUMBER: 4499644 Amount Due: $2,283.13 Page 1 of 1 Amount Tendered: $2,283.13 Entered: 2/12/2010 9:52 AM Less Change: $0.00 Interest Date: 2/12/2010 Amount Applied: $2,283.13 Cashier: mId3 Drawer: 6 Receipt Applied To: Property Account No. / Reference Year District Amount Description 45164.0161 2010 0144 $2,224.13 Property Tax Principal 2010 CNSV $5.00 Soil Conservation Principal 2010 WEED $3.00 Weed Control Principal 2010 CTSPV $21.00 Stormwater Principal 2010 AQUIFER $30.00 Aquifer Principal TOTAL: $2,283.13 Form of Payment Amount Reference Payer Personal Check $2,283.13 PERKINS, CARMEN T TOTAL: $2,283.13 Thank you for your payment. End of Receipt Number 4499644: 1 Page PERKINS, CARMEN T 11420E 10TH AVE SPOKANE VALLEY WA 99206 PAID FEB 1 2 UPON BANK CLEARANCP (W rt "- RECEIPT NUMBER: 4499644 [ASCREPT] Run: 2/12/2010 9:52:19 AM 0 00 CO CO C.- OZ 95 N- 0 L173 CO I co N- 0 L17Z `t 0Z 55 0) CO V- 0 161 CO CO 666 CO CO 0 CO CO CO 0) 0 O Z0E N N- 0 LC) I co 0 1 1 I2 1 1 C CO 9171. 03 0 CO N N 0 4' ZOE M N 0 1 CO CD In 0 4 ZOE CO ZL6 L17 CO LO 1 LO CO N- o N O 631. rn CO N 0 mot' I`D ti I TC;140 S I`C) 7Z. VZ 6 1 I OZ.VZ 6 10 CO Li co L17Z SS O M O 66I- c) CO CO 9171. ZOC 0 CO N CO N N"'" N O CO rn 00 O O) N O Z09 4 O 0 6ZL co w ti LO (o L17 i OZ'17Z Spokane County Assessor Real Property Segregation Division 1116 West Broadway Avenue Spokane, Washington 99260 Phone: (509) 477.3698 Fax: (509) 477 -2093 Email: ASSRSEG @Spokanecounty.org Seg Number Seg Status Seg Status Reason Segregation Request Summary 20100093 Submitted Seg Category Sale /Development Seg Type BLA Applicant Information Applicant Is Owner Deputy ID TBABLER Name CARMEN PERKINS Address 11420 E 10TH AVENUE, SPOKANE VALLEY, WA, 99206 Phone (509) 926 -8586 Work Phone Fax Email Segregation Information Checks Pending Segs NO Taxes Owed NO TCA Multiple NO Multiple Owners NO Res Impr YES Pending Excises YES Related Prop NO Comm Impr NO Annexations YES Exemptions NO Parcel Information Number of Existing Parcels: 1 Current Parcels 45164.0161 Number of New Parcels 2 Segregation Notes If Segregation Request is in Pending status, missing requirements must be met within 30 days or the Segregation Request will be terminated from the Assessors Database!!! 2/12/2010 9:55:12 AM Page 1 of 1 Spokane County Assessor Real Property Segregation Division 1116 West Broadway Avenue Spokane, Washington 99260 Phone: (509) 477.3698 Fax: (509) 477 -2093 Email: ASSRSEG @Spokanecounty.org Seg Number Seg Status Seg Status Reason Segregation Request Summary 20100093 Submitted Seg Category Sale /Development Seg Type BLA Applicant Information Applicant Is Owner Deputy ID TBABLER Name CARMEN PERKINS Address 11420 E 10TH AVENUE, SPOKANE VALLEY, WA, 99206 Phone (509) 926 -8586 Work Phone Fax Email Segregation Information Checks Pending Segs NO Taxes Owed NO TCA Multiple NO Multiple Owners NO Res Impr YES Pending Excises YES Related Prop NO Comm Impr NO Annexations YES Exemptions NO Parcel Information Number of Existing Parcels: 1 Current Parcels 45164.0161 Number of New Parcels 2 Segregation Notes If Segregation Request is in Pending status, missing requirements must be met within 30 days or the Segregation Request will be terminated from the Assessors Database!!! 2/12/2010 9:55:12 AM Page 1 of 1