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5043821 Quit Claim Deed5043821 Page: 1 of 2 03/1112004 04 101 SPOKANE, COUNTY TITLE CO Spokane Co, WA AFTER RECORDING RETURN TO: WITHERSPOON, KELLEY, DAVENPORT & TOOLE PS 422 WEST RIVERSIDE AVE., SUITE 1100 SPOKANE, WA 99201 QUIT CLAIM DEED THE GRANTOR, CITY OF SPOKANE VALLEY, a municipal corporation; for and in consideration of One Dollar ($1.00) and other good and valuable consideration, conveys and quit claims to THE GRANTEE, SPOKANE VALLEY LEGACY FOUNDATION; the following described real estate, situated in the County of Spokane, State of Washington, including any interest therein which grantor may hereafter acquire: N 0 Lots 10 and 11 in Block 165 of OPPORTUNITY as per plat thereof recorded in Volume "K" of Plats, page 20; 0 Situate in the County of Spokane, State of Washington. Tax Parcel No.: 45211.0110 and 45211.0111 Automatic Reversion: Grantee shall use the property in conformance with City of Spokane Valley Resolution No. 04 -003 which is incorporated into this deed as if fully set forth herein. Resolution No. 04 -003 contains a statement of intent and conditions relating to the transfer and use of the above property. Resolution o No. 04 -003 shall not be merged into this deed and shall survive closing. N 0 Title to the above property shall automatically revert back to Grantor if the conditions of Resolution a No. 04 -003 are violated. For the purpose of title notice through this deed, the conditions are W summarized as follows: if Grantee discontinues or otherwise fails to (1) use the Property as a tq museum, (2) dissolves or discontinues its corporate or proprietary existence, (3) loses its tax exempt t� 5043821 Page: 2 of 2 03/11/2004 04:101 SPOKANE, COUNTS T LE CO Spokane Co, WA status, (4) violates the conditions of Spokane County Resolution 96 -1054, (5) voluntarily mortga es or liens the property, or (6) acts contrary to the representations in Resolution No. 04 - 001 ` ' H•�,�� automatically revert back to Grantor. F • ' �• O .•�RPOgq� 9: `'SEAL`���� :m Dated 2004 U : INCORPORATED { 10 •• March 31, 2003 , CITY KA VALLEY '•.�•''••• ••••' By: City Manager STATE OF WASHINGTON) ) ss COUNTY OF Spokane ) On this /0 day of , 2004, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared, David Mercier, to me known to be the City Manager of the City of Spokane Valley, a municipal subdivision of the State of Washington, that executed the within and foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said municipal subdivision, for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute said instrument, and that the seal affixed is the seal of the City of Spokane Valley. IN WITNESS WHEREOF, I have year first above written M. o AOr,�y �8 �BUC �•ii4•0 8?...... ' ' 1 4;c WAgwtw' hand and affixed my seal the day and i id4l -IL— /" Z a±'�h1474 NOTARY PUBLIC in and for the State of Washington, residing at Spokane Valley My commission expires: d' S MFG. BY KAYE -SMITH (425) 228 -8600 (1- 800 -622 -9987) REVENUE REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW — CHAPTER 458 -61 WAC when stamped by cashier. SEE BACK PAGE FOR USE AT COUNTY TREASURER'S OFFICE (Use Form No. 84 -0001B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1 -7 ARE FULLY COMPLETED Name Cit of Spokane Vall Nam w W Street 11707 E. Sprague City /State /Zip Spokane „Valley, WA 99206 ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE e Spokane Valley Legacy Foundation Street P.O. Box 141341 City/State /Zip Spokane Valley, WA 99214 Name Spokane Valley Legacy Foundation Street P.O. Box 141341 City/State /Zip Spokane Valley, WA 99214 ALL TAX PARCEL NUMBERS I LIST ASSESSED VALUE(S) 45211.0110; 45211.0111 a LEGAL DESCRIPTION OF PROPERTY SITUATED IN Street Address (if property is improved): ❑ UNINCORPORATED COUNTY OR ® IN CITY OF a ey Lots 10 and 11, Block 165 of OPPORTUNITY, as per plat thereof recorded in Volume "K" of Plats, page 20 Situate in the County of Spokane, State of Washington. Is this property currently: YES NO Designated as forest land? ❑ Chapter 84.33 RCW Classified as current use land (open space, farm ❑ P] and agricultural, or timber)? Chapter 84.34 RCW Exempt from property tax as a nonprofit ❑ r] organization? Chapter 84.36 RCW Seller's Exempt Reg. No. _ Receiving special valuation as historic ❑ property? Chapter 84.26 RCW Proper Type: ❑ land only ❑ land with new building and with previously used building ❑ land with mobile home timber only ❑ building only Principal Use: ❑ Apt. (4+ unit) ❑ residential ❑ timber ❑ agricultural ❑ commercial /industrial ®"tither ad V 1° / )V tt2 7 © (1) NOTICE OF CONTINUANCE (RCW 84.33 OR RCW 84.34) If the new owner(s) of land that is designated as forest land or classified as current use wish to continue the designation or classification, all new owner(s) must sign #3 on the County Assessors copy. The county assessor must then determine if the land transferred continues to qualify and will indicate below. If the land no longer qualifies, 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 84.34.108) If the new owner(s) does not desire to continue such designation or classification, all compensating or additional tax shall be due and payable by the seller or transferor at the time of sale. (RCW 84.33.140 or RCW 84.34.108). Prior to signing #3, you may contact your local County Assessor for more information. This land ❑ does ❑ does not qualify for continuance. Date DEPUTY ASSESSOR (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish to continue this special valuation the new owner(s) must sign #3 on the County Assessors copy. If the new owner(s) do not desire to continue such special valuation, all additional tax calculated pursuant to Chapter 84.26 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE Description of personal property included in gross selling price, both tangible (eg; furniture, equipment, etc.) or intangible (eg; goodwill, agreement not to compete, etc.) If exemption claimed, list WAC number and explanation. (If claiming a gift transfer, see instruction sheet.) WAC No. (Sec /Sub) 458 -61 -420 (1) Explanation Government Transfer Type of Document Quit C D eed Date of Document Gross Selling Price $ Personal Property (deduct) $ Taxable Selling Price $ Excise Tax: State $ Local $ *Delinquent Interest: State $ Local $ *Delinquent Penalty $ Total Due $ 2.00 MINIMUM OF $2.00 DUE FOR PROCESSING FEE AND TAX. *SEE INSTRUCTIONS FOR INTEREST AND PENALTIES 0 AFFIDAVIT I Certify Under Penalty of Perjury Under The Laws of The State of Washington That The Foregoing Is True And Correct. (See back page of this form). y Or�pat�a e attey Signature of Grantor /A It \ 1 � , Name (print) JU Ayr � Date and Place of Signing: ahm/o y slowlc %se- Signature of Spoka 1 Le , ation V L.- Grantee /Agent -- l 'Mef r �D�rid Name (print) 1�4 mc - 5 r� Date & Place of Signin 5 C I _S ) 6KWE V f'i L-Lc- Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)). Y i f REVENUE REAL ESTATE' EXCISE TAB AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW - CHAPTER 458 -61 WAC when stamped by cashier. SEE BACK PAGE FOR USE AT COUNTY TREASURER'S OFFICE j (Use Form No. 84 -0001 B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1 -7 ARE FULLY COMPLETED Name Spokane Counts LL m Name City of Spokane Val W� O d a Street 404 N Havana Street 11707 E Sprag Ste 106 City /State/Zip S octane, WA 99X12 Spokan City /State/Zip WA 992.06 ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE ALL TAX PARCEL NUMBERS COUNTY TREASURER PLACE ASSESSED VALUE IF TAX EXEMPT City of Sp okane Valley 45211.. 0 and Name % _ 11707 E Sprague, Ste 106 45211.0111 Street Spokane, WA 99206 City/State/Zip © LEGAL DESCRIPTION OF PROPERTY SITUATED IN Street Address (if property is improved): l Lots 10 and 1Lin Block 165 of OPPORTUNITY as per plat thereof recorded in Volume "K" of Plats, page 20s Situate in the County of Spokane, State of Washington Is this property currently: YES NO Classified or designated as forest land? ❑ ' Chapter 84.33 RCW Classified as current use land (open space, farm ❑ [� and agricultural, or timber)? Chapter 84.34 RCW Exempt from property tax as a nonprofit ❑ organization? Chapter 84.36 RCW Seller's Exempt Reg. No. _ _ _ _ _ — _ _. Receiving special valuation as historic ❑ Q - property? Chapter 84.26 RCW Property Type: ❑+land only ❑ land with new building El land with previously used building ❑ land with mobile home ❑ timber only ❑ building only Principal Use: ❑ Apt. (4+ unit) ❑ residential ❑ timber ❑ agricultural ❑ commercial /industrial other rFPrk (1) NOTICE OF CONTINUANCE (RCW 84.33 OR RCW 84.34) If the new owner(s) of land that is classified or designated as current use or forest land wish to continue the classification or designation of such land, the new owner(s) must sign below. If the new owner(s) do not desire to continue such classification or designation, all compensating or additional tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due and payable by the seller or transferor at the time of sale. The county assessor must determine if the land transferred qualifies to continue classification or designation and must so indicate below. Signatures do not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes will be applied. All new owners must sign. This land ❑ does ❑ does not qualify for continuance. Date ❑ UNINCORPORATED Spokane COUNTY ❑ OR IN CITY OF DEPUTY ASSESSOR (2) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish to continue this special valuation the new owner(s) must sign below. If the new owner(s) do not desire to continue such special valuation, all additional tax calculated pursuant to Chapter 84.26 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE © Description of personal property included in gross selling price, both tangible (eg; furniture, equipment, etc.) or intangible (eg; goodwill, agreement not to compete, etc.) If exemption claimed, list WAC number and explanation. (If claiming a gift transfer, see instructTI gheet.)� 0 WAC No. (Sec /Sub) ii Explanation Government Transfer r n i z ! ! Gl ., D Type of Document Date of Document r ' Gross Selling Price $ Personal Property (deduct) $ Taxable Selling Price $ Excise Tax: State $ Local $ Delinquent Interest: State $ Local $ Ac cA Rs....; . Fee i nrn Delinquent Penalty $ Total Due $ A MINIMUM OF $2.00 IS DUE AS A PROCESSING FEE AND TAX. 00aI07.%TAII I Certify Under Penalty of Perjury Under The Laws of The State of Washington That The Foregoing Is True And Correct. (See back page of this form). t Signature of t� I 4 Grantor /Agent - Name (print) Date and Place of Signing: I ? }- Signature of /{ _ Grantee /Agent t ?J / 1 l Name (print) _1�C/`.t -•/�- �_ Date & Place of Signing: Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)). REV 84 0001a (12- 10 -02) (PD 4- 18 -03) FOR TREASURER'S USE ONLY TAXPAYER