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HomeMy WebLinkAbout2013 - Statutory Warranty Deed - Segale Properties (Tukwila South Development) - 20130228000693EXHIBIT A -1 to 09- 100(d) FIRE STATION DEED Return Address City Clerk City of Tukwila 6200 Southcenter Boulevard Tukwila, Washington 98188 CONFORMED COPY 20130228000693 SEGALE PROPERT WD 79.00 PAGE -001 OF 008 02/28/2013 10:27 E2591318 02/28/2013 10:27 TAX $10.00 SALE $0.00 PAGE -001 OF 001 Document Title(s) (or transactions contained therein): Statutory Warranty Deed Reference Number(s) of Documents assigned or released: N/A (on page of documents(s)) Grantor(s) (Last name first, then first name and initials): SEGALE PROPERTIES LLC Grantee(s) (Last name first, then first name and initials): CITY OF TUKWILA Legal description (abbreviated: i.e. lot, block, plat or section, township, range) PTNS. E %2 NW ' of SEC 35, TWN 23N RGE 4E © Full legal is on pages 4 -5 of document. Assessor's Property Tax Parcel /Account Number(s): 352304 -9008 and 352304 -9040 STATUTORY WARRANTY DEED PAGE 1 STATUTORY WARRANTY DEED Grantor, SEGALE PROPERTIES LLC, a Washington limited liability company, for and in consideration of Ten and No /100 Dollars ($10.00) and other good and valuable consideration in hand paid, receipt and sufficiency of which are acknowledged, conveys and warrants to Grantee, THE CITY OF TUKWILA, a municipal corporation, that certain real estate situated in King County, Washington as more particularly described in SCHEDULE 1 attached hereto and incorporated herein by this reference (the "Property "), for so long as the City uses the Property for operating fire station facilities. Subject to all matters of public record and subject to the reserved rights set forth in SCHEDULE 2 attached hereto and incorporated herin by this reference. DATED February /1 , 20117 . Segale Properties LLC, a Washington limited liability corporation By Metro Land Development, Inc. Its Manager Mario A. Segale, Presi ent STATUTORY WARRANTY DEED PAGE 2 STATE OF WASHINGTON ) COUNTY OF KING ) ss. On thisJ2 day of February, 2013, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared Mario A. Segale to me known to be the person who signed as Vice President of Metro Land Development, Inc., Manager of SEGALE PROPERTIES LLC, the limited liability company that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said limited liability company for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute said instrument on behalf of the limited liability company. IN WITNESS WHEREOF I have hereunto set my hand and official seal the day and year first above written. .NN MFi� "/, I, Ns y ,, 03 -28. ` ° 40 /,,/ OF WAS' STATUTORY WARRANTY DEED /)r? AC- e,2e S1 ( rint or stamp ame q Notary) NOTARY PUBLIC in and for t e State of Washington, residing at My appointment expires: PAGE 3 SCHEDULE 1 to Statutory Warranty Deed LEGAL DESCRIPTION Parcel 352304 -9008: A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION, ALSO BEING THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 72.20 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36"WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE SOUTH 59° 51'33 "EAST 103.04 FEET;THENCE SOUTH 78° 59'13 "EAST 97.25 FEET; THENCE SOUTH 83° 47'24 "EAST 152.61 FEET TO THE WESTERLY RIGHT OF WAY MARGIN OF THE AFOREMENTIONED SOUTHCENTER PARKWAY EXTENSION; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN 115.15 FEET TO THE POINT OF BEGINNING. EXCEPT ANY PORTION THEREOF LYING SOUTHERLY OF THE NORTHERLY RIGHT OF WAY MARGIN OF SOUTH 178TH STREET. ALSO EXCEPT SOUTHCENTER PARKWAY Parcel 352304 -9040 A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE STATUTORY WARRANTY DEED PAGE 4 CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION, ALSO BEING THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 72.20 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36 "WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE SOUTH 59° 51'33 "EAST 103.04 FEET;THENCE SOUTH 78° 59'13 "EAST 97.25 FEET; THENCE SOUTH 83° 47'24 "EAST 152.61 FEET TO THE WESTERLY RIGHT OF WAY MARGIN OF THE AFOREMENTIONED SOUTHCENTER PARKWAY EXTENSION; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN 115.15 FEET TO THE POINT OF BEGINNING. EXCEPT ANY PORTION THEREOF LYING NORTHERLY OF THE SOUTHERLY RIGHT OF WAY MARGIN OF SOUTH 178TH STREET. ALSO EXCEPT SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDING NO. 20121130002219. STATUTORY WARRANTY DEED PAGES SCHEDULE 2 GRANTOR'S RESERVATIONS (i) Grantor hereby reserves for benefit of Grantor's adjoining parcels, a utility easement for the construction and maintenance of utility lines and pipes to be located as deemed necessary and convenient by Grantor within the following described portion of the Property: A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO, 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 52.09 FEET TO THE POINT OF BEGINNING; THENCE CONTINUING NORTH 76° 27'42 "WEST 20.11 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36 "WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE NORTH 59° 51'33 "WEST 88.04 FEET; THENCE NORTH 31° 29'19 "EAST 89.53 FEET; THENCE NORTH 30° 25'18 "EAST 124.68 FEET; THENCE NORTH 29° 51'31 "EAST 106.10 FEET; THENCE NORTH 27° 30'49 "EAST 83.74 FEET TO THE POINT OF BEGINNING. EXCEPT ANY PORTION THEREOF LYING WITHIN THE RIGHT OF WAY OF SOUTH 178TH STREET. (11) Grantor hereby reserves for benefit of Grantor's adjoining parcels, a twenty (20) foot wide utility easement for the construction and maintenance of utiltity lines and pipes, including without limitation stormwater drainage pipes, over the following described portion of the Property, together with a temporary access and construction easement over those portions of the Property necessary during installation of the stormwater drainage pipes: STATUTORY WARRANTY DEED PAGE 6 A 20 FOOT WIDE STRIP OF LAND OVER, UNDER AND ACROSS A PORTION OF THE FOLLOWING DESCRIBED PROPERTY: A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION, ALSO BEING THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 72.20 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36 "WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE SOUTH 59° 51'33 "EAST 103.04 FEET;THENCE SOUTH 78° 59'13 "EAST 97.25 FEET; THENCE SOUTH 83° 47'24 "EAST 152.61 FEET TO THE WESTERLY RIGHT OF WAY MARGIN OF THE AFOREMENTIONED SOUTHCENTER PARKWAY EXTENSION; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN 115.15 FEET TO THE POINT OF BEGINNING. THE CENTERLINE OF THE AFOREMENTIONED 20 FOOT WIDE STRIP OF LAND BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF THE ABOVE DESCRIBED PARCEL, ALSO BEING A POINT OF THE WESTERLY RIGHT OF WAY MARGIN OF SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN AND ITS EXTENSION THEREOF A DISTANCE OF 85.38 FEET TO THE POINT OF BEGINNING OF SAID 20 FEET WIDE STRIP; THENCE LEAVING SAID WESTERLY RIGHT OF WAY MARGIN SOUTH 72° 30'53 "WEST 205.69 FEET, MORE OR LESS, TO THE SOUTHERLY LINE OF THE AFOREMENTIONED TRACT OF LAND, ALSO BEING THE TERMINUS OF THIS CENTERLINE. THE SIDELINES OF THIS 20 FOOT WIDE STRIP ARE TO BE LENGTHENED OR SHORTENED TO INTERSECT THE SOUTH LINE OF THE AFOREMENTIONED TRACT OF LAND AND THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY EXTENSION. STATUTORY WARRANTY DEED PAGE 7 EXCEPT ANY PORTION THEREOF LYING WITH IN THE RIGHTS OF WAY OF SOUTHCENTER PARKWAY EXTENSION AND SOUTH 178TH STREET. (iii) Grantor hereby reserves unto itself, an easement over the Property for slopes, cuts and fills and for construction related activities to create an approximately 3 -acre flat building site and adjoining 2:1 slope ( "Grantor's Work "). The description and scope of Grantor's Work has been agreed to by Grantor and Grantee in Section 7 of that certain Second Addendum to Development Agreement dated February Si, 2013 recorded under King County Recorder's Number 2013 02'1,S 600 V'1?. which is incorporated herein by this reference. Grantor also reserves unto itself all right, title and interest in and to the earthen materials extracted from the Property during the course of performance of Grantor's Work. STATUTORY WARRANTY DEED PAGE 8 Departmentot Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW — CHAPTER 458 -61 A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) Check box if partial sale of property If multiple owners, list percentage of ownership next to name. il III ao -z NU Name Seoale Properties LLC Mailing Address P.O. Box 88028 City /State /Zip Tukwila, WA 98138 Phone No. (including area code) (206) 575 -2000 l 54 ca Name City of Tukwila Mailing Address 6200 Southcenter Blvd, attn: City Clerk City /State /Zip Tukwila. WA 98188 Phone No. (including area code) (206) 375 -8253 ® Send all property tax correspondence to:❑ Same as Buyer /Grantee Name Mailing Address City/State /Zip Phone No. (including area code) List all real and personal property tax parcel account numbers — check box if personal property 352304 -9008 352304-9040 n n n n List assessed value(s) isStreet address of property: Parcels have no addresses. Parcel is located at intersection of S. 178th Street and Southcenter Parkway in Tukwila This property is located in Tukwila ❑ Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged. Legal description of property (if more space is needed, you may attach a separate sheet to each page of the affidavit) See attached Schedule 1 ® Select Land Use Code(s): 191 - Undeveloped land pod onyl enter any additional codes: (Sec back of last page for instructions) Is this property exempt from property tax per chapter 84.36 RCW (nonprofit organization)? YES NO ❑ El 0 List all personal property (tangible and intangible) included in selling price. Is this property designated as forest land per chapter 84.33 RCW? Is this property classified as current use (open space, farm and agricultural, or timber) land per chapter 84.34? Is this property receiving special valuation as historical property per chapter 8426 RCW? 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 oo longer qualifies or you do not wish to continue the designation or , it will be removed and the compensating or additional taxes will tyable by the seller or transferor at the time of sale. (RCW RCW 84.34.108). Prior to signing (3) below, you may contact aunty assessor for more information. 0 does ❑ does not qualify for continuance. YES NO ❑ ❑• ❑ O ❑ ❑° PAGE -001 OF 001 DEPUTY ASSESSOR DATE NOTICE OF COMPLIANCE (HISTORIC PROPERTY) 4ER(S): To continue special valuation as historic property, :low. If the new owner(s) does not wish to continue, all tax calculated pursuant to chapter 84.26 RCW, shall be due and the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE PRINT NAME If claiming an exemption, list WAC number and reason for exemption: WAC No. (Section /Subsection) 458 -61A -201 Reason for exem tion . Dedication of land 10 a city for use as a fire station, no consideration was paid to Grantor. Type of Document Statutory Warranty Deed Date of Document 2/28/13 Gross Selling Price $ *Personal Property (deduct) $ Exemption Claimed (deduct) $ Taxable Selling Price $ Excise Tax : State $ Local $ *Delinquent Interest: State $ Local $ *Delinquent Penalty $ Subtotal $ *State Technology Fee $ *Affidavit Processing Fee $ Total Due $ 0.0050 0.00 0.00 0.00 0.00 0.00 5.00 10.00 A MINIMUM OF $10.00 IS DUE IN FEE(S) AND /OR TAX .SEE INSTRUCTIONS I CERTIFY UNDER PENALTY OF PERJURY 1 HAT THE FOREGOING IS TRU Signature of Grantee or Grantee's Agent c of r or Grantor's Agent print) Mario A. Segale, President of Manager of Grantor city of signing: 2/27 /2013 Name (print) Jim Ha Date & city of signing D CORREC ..ert�,11 Ardimmtiymag (: 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 in 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 (IC)). i 0001ae (6/28/12) THIS SPACE - TREASURER'S USE ONLY COUNTY ASSESSOR Department of re Revenue Washington State REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt PLEASE TYPE OR PRINT CHAPTER 82.45 RCW — CHAPTER 458 -61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED (See back of last page for instructions) Check box if partial sale of property If multiple owners, list percentage of ownership next to name. w� w Name Segale Properties LLC Mailing Address P.O. Box 88028 City /State /Zip Tukwila, WA 98138 Phone No. (including area code) (206) 575 -2000 c4 t.L1 c.7 Name City of Tukwila Mailing Address 6200 Southcenter Blvd, attn: City Clerk City /State /Zip Tukwila WA 98188 Phone No. (including area code) (206) 375 -8253 ® Send all property tax correspondence to: Same as Buyer /Grantee Name Mailing Address City /State /Zip Phone No. (including area code) List all real and personal property tax parcel account numbers — check box if personal property 352304 -9008 ❑ 352304 -9040 n n n List assessed value(s) © Street address of property: Parcels have no addresses. Parcel is located at intersection of S. 178th Street and Southcenter Parkway in Tukwila CI This property is located in Tukwila ❑ Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged. Legal description of property (if more space is needed, you may attach a separate sheet to each page of the affidavit) See attached Schedule 1 ® Select Land Use Code(s): 191 - Undeveloped land (land only) enter any additional codes: (See back of last page for instructions) YES NO Is this property exempt from property tax per chapter ❑ 84.36 RCW (nonprofit organization)? Is this property designated as forest land per chapter 84.33 RCW? Is this property classified as current use (open space, faun and agricultural, or timber) land per chapter 84.34? Is this property receiving special valuation as historical property per chapter 84.26 RCW? 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 RCW 84.34.108). Prior to signing (3) below, you may contact your local county assessor for more information. This land ❑ does ❑ does not qualify for continuance. YES NO 0 0 0 0 DEPUTY ASSESSOR DATE (2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY) NEW OWNER(S): To continue special valuation as historic property, sign (3) below. If the new owner(s) does not wish to continue, 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 PRINT NAME List all personal property (tangible and intangible) included in selling price. If claiming an exemption, list WAC number and reason for exemption: WAC No. (Section /Subsection) 458 -61A -201 Reason for exemption Dedication of land -to a city for use as a fire station, no consideration was paid to Grantor. Type of Document Statutory Warranty Deed Date of Document 2/28/13 Gross Selling Price $ *Personal Property (deduct) $ Exemption Claimed (deduct) $ Taxable Selling Price $ Excise Tax : State $ Local $ *Delinquent Interest: State $ Local $ *Delinquent Penalty $ Subtotal $ 0.00 *State Technology Fee $ *Affidavit Processing Fee $ Total Due $ 10.00 0.0050 0.00 0.00 0.00 0.00 5.00 A MINIMUM OF $10.00 IS DUE IN FEE(S) AND /OR TAX *SEE INSTRUCTIONS I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Signature of Grantor or Grantor's Agent Name (print) Mario A. Segale, President of Manager of Grantor Date & city of signing: 2/27/2013 Signature of Grantee or Grantee's Agent Name (print) Jim Haggerton, Mayor Date & city of signing: Tukwila, WA 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 000Iae (6/28/12) THIS SPACE - TREASURER'S USE ONLY COUNTY ASSESSOR SCHEDULE 1 LEGAL DESCRIPTION Parcel 352304 -9008: A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION, ALSO BEING THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 72.20 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36 "WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE SOUTH 59° 51'33 "EAST 103.04 FEET;THENCE SOUTH 78° 59'13 "EAST 97.25 FEET; THENCE SOUTH 83° 47'24 "EAST 152.61 FEET TO THE WESTERLY RIGHT OF WAY MARGIN OF THE AFOREMENTIONED SOUTHCENTER PARKWAY EXTENSION; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN 115.15 FEET TO THE POINT OF BEGINNING. EXCEPT ANY PORTION THEREOF LYING SOUTHERLY OF THE NORTHERLY RIGHT OF WAY MARGIN OF SOUTH 178TH STREET. ALSO EXCEPT SOUTHCENTER PARKWAY Parcel 352304 -9040 A PORTION OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 23 NORTH, RANGE 4 EAST OF THE W. M., CITY OF TUKWILA, KING COUNTY, WASHINGTON, BEING DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF THE NORTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 02° 24'41 "WEST ALONG THE EAST LINE OF SAID NORTHWEST QUARTER, A DISTANCE OF 1323.83 FEET TO THE SOUTHEAST CORNER OF THE NORTHEAST QUARTER OF SAID NORTHWEST QUARTER, ALSO BEING A POINT ON THE STATUTORY WARRANTY DEED PAGE 4 CENTERLINE OF SOUTH 178TH STREET; THENCE NORTH 87° 50'41 "WEST ALONG SAID CENTERLINE 156.72 FEET TO THE INTERSECTION OF THIS LINE WITH THE WESTERLY RIGHT OF WAY MARGINS OF SOUTHCENTER PARKWAY AND SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDERS NO. 20121130002219, BOTH RIGHTS OF WAYS ARE TO BE EXTENDED SOUTHERLY AND NORTHERLY TO THEIR INTERSECTION, ALSO BEING THE TRUE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 09° 50'27 "EAST ALONG SAID WESTERLY RIGHT OF WAY MARGINS 36.81 FEET TO THE AFOREMENTIONED RIGHTS OF WAY INTERSECTION; THENCE NORTH 11° 55'53 "WEST ALONG THE WESTERLY RIGHT OF WAY MARGIN OF SAID SOUTHCENTER PARKWAY 321.39 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL AS DESCRIBED IN DOCUMENT RECORDED UNDER KING COUNTY RECORDING NO. 20040224002063; THENCE NORTH 87° 42'12 "WEST ALONG SAID SOUTH LINE 120.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE NORTH 76° 27'42 "WEST 72.20 FEET; THENCE NORTH 51° 28'36 "WEST 47.25 FEET; THENCE SOUTH 38° 42'41 "WEST 76.90 FEET; THENCE SOUTH 86° 59'11 "WEST 136.44 FEET; THENCE NORTH 64° 13'29 "WEST 24.27 FEET; THENCE NORTH 51° 43'09 "WEST 17.43 FEET; THENCE NORTH 54° 04'01 "WEST 16.02 FEET; THENCE SOUTH 30° 02'36 "WEST 355.32 FEET; THENCE SOUTH 42° 30'57 "EAST 100.63 FEET; THENCE SOUTH 87° 50'41 "EAST 274.20 FEET; THENCE SOUTH 59° 51'33 "EAST 103.04 FEET;THENCE SOUTH 78° 59'13 "EAST 97.25 FEET; THENCE SOUTH 83° 47'24 "EAST 152.61 FEET TO THE WESTERLY RIGHT OF WAY MARGIN OF THE AFOREMENTIONED SOUTHCENTER PARKWAY EXTENSION; THENCE NORTH 09° 50'27 "EAST ALONG SAID MARGIN 115.15 FEET TO THE POINT OF BEGINNING. EXCEPT ANY PORTION THEREOF LYING NORTHERLY OF THE SOUTHERLY RIGHT OF WAY MARGIN OF SOUTH 178TH STREET. ALSO EXCEPT SOUTHCENTER PARKWAY EXTENSION AS PER DEED RECORDED UNDER KING COUNTY RECORDING NO. 20121130002219. STATUTORY WARRANTY DEED PAGE 5 ra State of Washington C.... Department s Revenue Section Miscellaneous Tax Section PO Box 47477 Olympia WA 98504 -7477 REAL ESTATE EXCISE TAX SUPPLEMENTAL STATEMENT (WAC 458 -61A -304) This form must be submitted with the Real Estate Excise Tax Affidavit (FORM REV 84 0001A) for claims of tax exemption as provided below. Completion of this form is required for the types of real property transfers listed in numbers 1 -3 below. Only the first page of this form needs original signatures. AUDIT: Information you provide on this form is subject to audit by the Department of Revenue. In the event of an audit, it is the taxpayers' responsibility to provide documentation to support the selling price or any exemption claimed. This documentation must be maintained for a minimum of four years from date of sale. (RCW 82.45.100) Failure to provide supporting documentation when requested may result in the assessment of tax, penalties, and interest. Any filing that is determined to be fraudulent will carry a 50% evasion penalty in addition to any other accrued penalties or interest when the tax is assessed. PERJURY: Perjury is a class C felony which is punishable by imprisonment in a 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)). The persons signing below do hereby declare under penalty of perjury that the following is true (check appropriate statement): 1. ❑ DATE OF SALE: (WAC 458 -61A- 306(2)) I, (print name) certify that the (type of instrument), dated , was delivered to me in escrow by (seller's name). NOTE: Agent named here must sign below and indicate name of firm. The payment of the tax is considered current if it is not more than 90 days beyond the date shown on the instrument. If it is past 90 days, interest and penalties apply to the date of the instrument. Reasons held in escrow. Signature Firm Name 2. GIFTS: (WAC 458 -61A -201) The gift of equity is non - taxable; however, any consideration received is not a gift and is taxable. The value exchanged or paid for equity plus the amount of debt equals the taxable amount. One of the boxes below must be checked. Both Grantor (seller) and Grantee (buyer) must sign below. Grantor (seller) gifts equity valued at $ to grantee (buyer). NOTE: Examples of different transfer types are provided on the back. This is to assist you with correctly completing this form and paying your tax. "Consideration" means money or anything of value, either tangible (boats, motor homes, etc) or intangible, paid or delivered, or contracted to be paid or delivered, including performance of services, in return for the transfer of real property. The term includes the amount of any lien, mortgage, contract indebtedness, or other encumbrance, given to secure the purchase price, or any part thereof, or remaining unpaid on the property at the time of sale. "Consideration" includes the assumption of an underlying debt on the property by the buyer at the time of transfer. A: Gifts with consideration 1. ❑ Grantor (seller) has made and will continue to make all payments after this transfer on the total debt of $ and has received from the grantee (buyer) $ (include in this figure the value of any items received in exchange for property). Any consideration received by grantor is taxable. 2. ❑ Grantee (buyer) will make payments on % of total debt of $ for which grantor (seller) is liable and pay grantor (seller) $ (include in this figure the value of any items received in exchange for property). Any consideration received by grantor is taxable. B: Gifts without consideration 1. 0 There is no debt on the property; Grantor (seller) has not received any consideration towards equity. No tax is due. 2. ❑ Grantor (seller) has made and will continue to make 100% of the payments on total debt of $ and has not received any consideration towards equity. No tax is due. 3. ❑ Grantee (buyer) has made and will continue to make 100% of the payments on total debt of $ and has not paid grantor (seller) any consideration towards equity. No tax is due. 4. ❑ Grantor (seller) and grantee (buyer) have made and will continue to make payments from joint account on total debt before and after the transfer. Grantee (buyer) has not paid grantor (seller) any consideration towards equity. No tax is due. Has there been or will there be a refinance of the debt? ❑ YES MI NO (If yes, please call (360) 570 -3265 to see if this transfer is taxable). If grantor (seller) was on title as co- signor only, please see WAC 458 -61A -215 for exemption requirements. The undersigned acknowledges this transaction may be subject to audit and have read the above information regarding record - keeping requ ments and evasion penalties. rantor's Si . ture Grantee's Signature 3. ❑ IRS "TAX DEFERRED" EXCHANGE (WAC 458 -61A -213) I, (print name) , certify that I am acting as an Exchange Facilitator in transferring real property to pursuant to IRC Section 1031, and in accordance with WAC 458 -61A -213. NOTE: Exchange Facilitator must sign below. Exchange Facilitator's Signature For tax assistance, contact your local County Treasurer/Recorder or visit http: / /dor.wa.gov or call (360) 570 -3265. To inquire about the availability of this document in an alternate format, visit http: / /dor.wa.gov. Teletype (TTY) users may call (360) 705 -6718. REV 84 0002ea (9/7/11) COUNTY ASSESSOR r., State orwashington REAL ESTATE EXCISE TAX ir..., M celtneo s Revenue Miscellaneous Tax section SUPPLEMENTAL STATEMENT PO Box 47477 Olympia WA 98504 -7477 (WAC 458 -61A -304) This form must be submitted with the Real Estate Excise Tax Affidavit (FORM REV 84 0001 A) for claims of tax exemption as provided below. Completion of this form is required for the types of real property transfers listed in numbers 1 -3 below. Only the first page of this form needs original signatures. AUDIT: Information you provide on this form is subject to audit by the Department of Revenue. In the event of an audit, it is the taxpayers' responsibility to provide documentation to support the selling price or any exemption claimed. This documentation must be maintained for a minimum of four years from date of sale. (RCW 82.45.100) Failure to provide supporting documentation when requested may result in the assessment of tax, penalties, and interest. Any filing that is determined to be fraudulent will carry a 50% evasion penalty in addition to any other accrued penalties or interest when the tax is assessed. PERJURY: Perjury is a class C felony which is punishable by imprisonment in a 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 (IC)). The persons signing below do hereby declare under penalty of perjury that the following is true (check appropriate statement): 1. ❑ DATE OF SALE: (WAC 458 -61A- 306(2)) I, (print name) certify that the (type of instrument), dated , was delivered to me in escrow by (seller's name). NOTE: Agent named here must sign below and indicate name of firm. The payment of the tax is considered current if it is not more than 90 days beyond the date shown on the instrument. If it is past 90 days, interest and penalties apply to the date of the instrument. Reasons held in escrow. Signature Firm Name 2. GIFTS: (WAC 458 -61A -201) The gift of equity is non - taxable; however, any consideration received is not a gift and is taxable. The value exchanged or paid for equity plus the amount of debt equals the taxable amount. One of the boxes below must be checked. Both Grantor (seller) and Grantee (buyer) must sign below. Grantor (seller) gifts equity valued at $ to grantee (buyer). NOTE: Examples of different transfer types are provided on the back. This is to assist you with correctly completing this form and paying your tax. "Consideration" means money or anything of value, either tangible (boats, motor homes, etc) or intangible, paid or delivered, or contracted to be paid or delivered, including performance of services, in return for the transfer of real property. The term includes the amount of any lien, mortgage, contract indebtedness, or other encumbrance, given to secure the purchase price, or any part thereof, or remaining unpaid on the property at the time of sale. "Consideration" includes the assumption of an underlying debt on the property by the buyer at the time of transfer. A: Gifts with consideration 1. ❑ Grantor (seller) has made and will continue to make all payments after this transfer on the total debt of $ and has received from the grantee (buyer) $ (include in this figure the value of any items received in exchange for property). Any consideration received by grantor is taxable. 2. ❑ Grantee (buyer) will make payments on % of total debt of $ for which grantor (seller) is liable and pay grantor (seller) $ (include in this figure the value of any items received in exchange for property). Any consideration received by grantor is taxable. B: Gifts without consideration 1. MI There is no debt on the property; Grantor (seller) has not received any consideration towards equity. No tax is due. 2. ❑ Grantor (seller) has made and will continue to make 100% of the payments on total debt of $ and has not received any consideration towards equity. No tax is due. 3. ❑ Grantee (buyer) has made and will continue to make 100% of the payments on total debt of $ and has not paid grantor (seller) any consideration towards equity. No tax is due. 4. ❑ Grantor (seller) and grantee (buyer) have made and will continue to make payments from joint account on total debt before and after the transfer. Grantee (buyer) has not paid grantor (seller) any consideration towards equity. No tax is due. Has there been or will there be a refinance of the debt? ❑ YES MI NO (If yes, please call (360) 570 -3265 to see if this transfer is taxable). If grantor (seller) was on title as co- signor only, please see WAC 458-61A-215 for exemption requirements. The undersigned acknowledges this transaction may be subject to ag,t t and have re?d the above i formation regarding record - keeping requirements and evasion penalties. a:13 Grantor's Signature // Grar f ignature 3. ❑ IRS "TAX DEFERRED" EXCHANGE (WAC 458 -61A -213) I, (print name) real property to , certify that I am acting as an Exchange Facilitator in transferring pursuant to IRC Section 1031, and in accordance with WAC 458 -61A -213. NOTE: Exchange Facilitator must sign below. Exchange Facilitator's Signature For tax assistance, contact your local County Treasurer/Recorder or visit http: / /dor,wa.gov or call (360) 570 -3265. To inquire about the availability of this document in an alternate format, visit http: / /dor.wa.gov. Teletype (TTY) users may call (360) 705 -6718. REV 84 0002ea (9/7/11) DEPT OF REVENUE