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Real Estate Excise Tax Affidavit venar��.,eF,c oF �/� �w��:ng�c'v;�m�� 1ZEAL �+ STATE �+ ��CI$E TAX AT<F�?AVIT Tlzis f'ori� is your receipt PLEASE TYPE OR PRIi�TT CHAPTER 82_45 RCW — CHAPTEI2 45$-61 A WAC wlzeri statnped by caslzaer- THZS AI'F'IZ7AVI`I' WIL.L NQT EE ACCTiI�TEI7 UNLTSSS �iLL -�RT+'-�a� ON ALL PAGES ARF gTTL.Ly COMP�.ETED �See bacic of last paga For irastrtictioos� - � CFze.cic bvx if par[jal sala o�propei�y if ssiultiple owraers� list gercanzage o#'ovc�rsarsYaip s-iaxc io n i1� ° � � � � � Name. �rirsg Corpora#iors� a V\Fasl-�Ersgtor� corpora't�ar� i�ia�li��A3.3ress 35404 East Sprir�f'iefd Ave_ City/scaceJZip S�olcar�e VaEley� WA 89�37-0457 Pi-iorae 1VO_ �igclu6iug area code� Send alI groperiy tax corraspondence to: N arra Maiii-i� A:icir�ss City/State Zip Plzone No_ �including area coda3 Saxnc as BuycrJGraritcc Zva�,�_ City o� SpaKar�e Val�eyr a ��urascEpai corporatGora tF�e State of V\fas[-�ir�gton _ �� � Ma4lira Address I 1 7O7 Eas["S � CityfSt.a.teJZip Spolca3aa Valle-y Ptiorae No_ �anci idi�g �r��s code� Zist ali real ar�d pessor�aI prop�rLy tax parcel ac ozia-it I List assessed value[5� nis bea-s-ckaecic box i£pes-soa-ial proParLy c 750�610_OO is.osiso_oo S O!l_O O'F` � S=r�t adaress ofprop��-ry= Vaca�� Lar�d� SpoKa�e Ya[�ey WA 99246 T"tiis prope-r[y is located ia Spolcans Valley � Clae:cSc bc�x iT aiay oF ilze lisleci parceis e.re beirig s�gre�alecl Trroiri anott�er pai-cel. are part v€a bvuridary Iirae adj ustaz-ie-a-at or parcels being r.�erg�d, Legal descrlptiori oFpropt;arty [i£more spaoa is raeEded, you a�azay attacla a sc;parato slzect Eo cacti page of'tlze Fx�daviC3 'K4'5174_9056 - $SOO_OU TF#E SOUTi--�TcAS� QVARTER OF THE SOiJTHWESI' Ql3ARTER OF TF-�� SOl.7Tl-i�AST �LARTER O� SE�7-�OiV Z7r TOWMSITYP ZS lVOlZTH� RAfVGE 44 EAST� VL/�M�� �i�: TH� C=TY �F S�C7KAl�IE VALLE� SPOKQNE COLJiVTY� i!SlASH�[�LGTON� EXCEPT=NG T'i--��REFROP+f TIiE WEST ZO FEET� FIliZTHER EXGEPT=NG THERETrl20M THE NORTFI �'S FEET� �FROT3 TFi � Select Larid -Use Code�s�_ �1 ersYCr aray additioi3aI codcs= [See bacic of Iast page af ans[ructioras� YES 1�F0 Is tFais proparEgr e rcxpi £roa-ra property+ tax par cl apter �7 � 84_36 ACW �zioti proft orgaiiization�? � YES NO Zs tliis prvpesly clesigaaEed as £orest laz-adpar cliapter 84_33 RCW? � �X Is Yiais property classi-�-iad a�� curreat use(ope� space� f-u arad � � agricui+`� �--a7� arLi b�r�Iaiac3 pe=r CtaaPfei- 84_34'7 Is tlais praperty r ua� spccial valuatiorz a_s lzisevrical Ya-vparty � � per Clzapte- 84-_26 IZCW'd IF aray aiaswcrs a.r� yas. ovinpiete as �rasta-uctcd i3clvw_ �1� I�iOTICE O�' CQ1V 1 IIV LIA2�IC� (FQ12�+ST L.A_lVD OA Ci112iiE1V-I' iISF'] N�W OWN��RCS`�: �TO FlYL1"ii1G t�1C GII.ITeE1L aE�41gi1HClOI1 83 FOI'�4t �aS1CI OF classifostiora as currarit usa fop�aa spaca� �'arrrz arid ag:-iculi..�_re, or zixnber� larsd, yo r�iazst sigo t3� below_ "Z-1ze c raty assrssor usL ttaen dete�-ri3�ne i£ ftac larad trarisferred continues to qaaalii'y ai�d will i.ridicaEe by sEgrr3a-ag below � Lf ZF e lar�d ao lorager qualifies or you do not wisii fo c nt-i-aue Lfiie desigiaaLioi� or classiFcativ�� it wi11 be r ra3oveci and tiaa cvrrape�nsatis.szg or addiLiorYal taxes will be due arid paya7ole by tlae sell�r or transferor t -ttaa tiu-ie v£ al�_ ERCW 84_33_140 or 3ZC�N 84_34.108)_ Prior to siguing �3� below� you sgay cori#act ya r local coiaaty assessor for rnore iriFox-sz-aatioa_ "lisis larid � clvu-s � does raaE q==A����r conia.nuauc� "D�Pi_7'"I'Y ASSESS012 I7ATE (2� 2�TOTIC� OF' COMYLIANCE ��LiST0121C- Y120PEK"TYJ N"SW OWNER=S?- Tv coatizsiae spcc3al valtaatioa a_a laistoric prope�rty, sign �3� below_ Iftl�e new owr�ar{s� do noL wisYi to cariCiriue. a1E adc3itic�na3 tax calculated pcex-�su¢ant to cl-iaptar 84_Z6 KGW� slaall be due aaad payable by tlie seller or c.raras£e.:ror at tIza Yimc c�F sala_ [3� OW�iER[S3 SIGNA'Z'UIiE P1i=1V�' l4AME psrsvraal px--operiY Ctai-agib p rice_ ZY cia3rizing ara exez-azption� fist WAC nurr�ber ar:d reasora £c�r �x�rr�ptioii. WAC No_ CSectiorifSubsection7 IZeasori Far exet-np£ion z'ype of'r�oc�,r�zer.c Stata�tory Warra�ty �eed Datc of nocurs-aea[ gCtob6r 23� Z01Z Gross Se1lirYg Price '�`P�r�oaal Pr�op� [dediact} �xea�ap�ion Claii>c�d �dcductj Taxal�le Sallir�g Price Excise Tax= Staie _ooso Lo��.� "`Delirec.;u�ric Lat�rest= State T__ocal �`Delinqiaeizt Yen,alty SubtotaI "`Siafe`�ec2�ziology Fea '�A�Ffdavit Procecs rag Fee $ $ $ $ $ $ $ $ $ � $ $ rzg z,soa:000.00 Z�SO��000�00 32�Oi10_d0 iz_soo_aa _ a4_soo_oo �_O� - To[al Duc $ 44�5�5_00 A MIF IIIViiT1VI OF' 3'n10_00 IS DiSE Z1�T F��{S� A1�iDlOI2 Tt3X +`S�� II�iS'"�"1ZUCTI0IVS � Z CEIZTII+`Y�73�Fi7ER PEN TY OF PEZiJ-�CTI2Y TI�AT TI��_FOAEGOi1V G €S `Z'K V 1: Al�i il C:lJ -�=i-- Sigsrature o£ _ � � Si�nafur� of __--:a�_ � � Gran#or or Grxntar's Agerat J Gra:atee or Grarit¢e's Agent �-� 3veame �priratJ graaley `r�_ rs-:ng T[arrie€Friizt> ivislce Jacicsor/, Date Sc city oFsigning: SPOlcana t7a[e Sc ciLy o�sigiui�g= / �� �L ��� Spolcar�¢ _ Pcrjury: PerJ--�sry is a cEass C £elony wliacli is puraishabie by irriprisorimerit ira tY�e st�e correcJfivnal irxsYitutiora £or a rr3axirxxu�i-a Ycrrra o£nof rizore t3�xari five yea.rs� or by a fxae in aci airaourit fxed by tFie couri o£nof az�ore ttaari �ve tF�vusa�id doIlars t�5,000_00]� or by bot]i imprisonmerit arid fne [12CW 9A_20_�20(1 C�)_ xEV sn ooOla�{9lZff I� '=`HIS SPACE - T�EASiT1ZER°8 TJS� aNZ.Y COiSN'TY T12EASiIR�R