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BOE 502 A (P1) REV 15 (02 21) PRELIMINARY CHANGE OF OWNERSHIP REPORT To be completed by the transferee (buyer) prior to a transfer of subject property, in accordance with section 480 3 of the Revenue and Taxation Code A Preliminary Change of Ownership Report must be filed with each conveyance in the County Recorder's office for the county where the property is located NAME AND MAILING ADDRESS OF BUYER/TRANSFEREE (Make necessary corrections to the printed name and marling address) P L ASSESSOR'S PARCEL NUMBER 7 0168 091 07 0 000 SELLER/TRANSFEROR BUYER'S DAYTIME TELEPHONE NUMBER ( ) J BUYER'S EMAIL ADDRESS STREET ADDRESS OR PHYSICAL LOCATION OF REAL PROPERTY Vacant Land / APN 0168 091 07, Redlands, CA [T YES n NO This property is intended as my principal residence If YES, please indicate the date of occupancy or intended occupancy ❑ YES X NO Are you a disabled veteran or a unmarried surviving spouse of a disabled veteran who was compensated at 100% by the Department of Veterans Affairs? MO DAY YEAR MAIL PROPERTY TAX INFORMATION TO (NAME) Mayor Paul T Bench MAIL PROPERTY TAX INFORMATION TO (ADDRESS) PO Box 3005, 35 Cajon Street, Suite 4 CITY Redlands STATE CA ZIP CODE 92373 PART 1 TRANSFER INFORMATION Please complete all statements This section contains possible exclusions from reassessment for certain types of transfers YES NO II Il Il II II x IxI IxI ❑ ❑X II II II II II X A This transfer is solely between spouses (addition or removal ofa spouse, death ofa spouse, divorce settlement, etc.) B This transfer is solely between domestic partners currently registered with the California Secretary of State (addition or removal ofa partner, death ofa partner, termination settlement, etc.) *C This is a transfer between parent(s) and child(ren) I 1 between grandparent(s) and grandchild(ren) Was this the transferor/grantor's principal residence? YES 1 NO *D This transfer is the result of a cotenant's death Date of death *E This transaction is to replace a principal residence owned by a person 55 years of age or older Within the same county? II YES 1 I NO *F This transaction is to replace a rincipal residence by a person who is severely disabled Within the same county? ❑AYES I NO *G This transaction is to replace a principal residence substantially damaged or destroyed by a wildfire or natural disaster for which the Governor proclaimed a state of emergency Within the same county? I 1 YES 7 NO H This transaction is only a correction of the name(s) of the person(s) holding title to the property (e.g., a name change upon marriage) If YES, please explain X❑ I The recorded document creates, terminates, or reconveys a lender's interest in the property X❑ J This transaction is recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g., cosigner) If YES, please explain X❑ IXI El X ❑X IXI K The recorded document substitutes a trustee of a trust, mortgage, or other similar document L This is a transfer of property 1 to/from a revocable trust that may be revoked by the transferor and is for the benefit of 17 the transferor, and/or n the transferor's spouse I I registered domestic partner 2 to/from an irrevocable trust for the benefit of the creator/grantor/trustor and/or I grantor's/trustor's spouse grantor's/trustor's registered domestic partner M This property is subject to a lease with a remaining lease term of 35 years or more including written options N This is a transfer between parties in which proportional interests of the transferor(s) and transferee(s) in each and every parcel being transferred remain exactly the same after the transfer 0 This is a transfer subject to subsidized low income housing requirements with governmentally imposed restrictions, or restrictions imposed by specified nonprofit corporations *P This transfer is to the first purchaser of a new building containing an active solar energy system Q Other This transfer is to * Please refer to the instructions for Part 1 Please provide any other information that will help the Assessor understand the nature of the transfer II THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION