HomeMy WebLinkAboutContracts & Agreements_141-2019•w.t
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
City of Redlands, a municipal corporation
P 0 Box 3005
Redlands, CA 92373
Re Property. 302 West Colton Avenue Redlands, CA 92374
File No NCS-966720-ONT1 ( KS)
Dear City Clerk
Kelly Simoneau
Escrow Officer
ksimoneau@firstam.com
3281 E Guasti Road, Suite 440
Ontario CA 91761
Phone Number (909)510-6206
FAX (877)461 2088
July 09, 2019
Regarding the sale of your property referenced above, First American Title Insurance Company National
Commercial Services will be handling your transaction In connection with the above referenced transaction
COMPLETE IN FULL and/or SIGN AND RETURN the enclosed items
• California Withholding Package Information
• Loan Information Sheet
• Exchange Information Worksheet
• Owner's Affidavit
• Proceeds Disbursement Information
• Commission Information Worksheet
• Certification for Information Reporting on the Sale of Property (IRS 1099-S Reporting Form)
• Rent Statement
PLEASE SIGN AND RETURN, retain the copy for your records'
• Receipt for Natural Hazard Disclosure
ENCLOSED please find the following for your records
Entity Document Request List (please provide applicable documentation)
• Natural Hazard Disclosure Report
• Preliminary Title Report/Commitment for Title Insurance
• Escrow Acceptance Letter
Please note that all original recordable documents must be sent directly to escrow
Should you have any questions or need further assistance, please contact the undersigned We appreciate the
opportunity to serve you
First American Title Insurance Company National Commercial
Services
Sincerely,
Kelly Simoneau
Escrow Officer
First American Title Insurance Company
KS/gg
Via Email
File No NCS-966720-ONT1 (KS)
Date 07/08/2019
TAXABLE YEAR
2019 Real Estate Withholding Certificate
Part I — Seiler/Transferor Information
CALIFORNIA FORM
593-C
Return this form to your escrow company
Name
City of Redlands, a municipal corporation
SSN or ITIN
Spouse's/RDP's name (if jointly owned)
Spouse's/RDP's SSN or ITIN (if jointly owned)
Address (apt./ste , room, PO Box, or PMB no)
P 0 Box 3005
[1 FEIN ❑ CA Corp no L., CA SOS file no
cis_ to( tot.
(If you have a foreign address see instructions
Redlands
State
CA
` ZIP Code()T
Ownership Percentage
92373
Property address (if no street address, provide parcel number and county)
302 West Colton Avenue, Redlands, CA 92374
To certify that you qualify for a full or partial withholding exemption, check all boxes that apply to the property being sold or transferred (See
instructions)
Part II — Certifications which fully exempt the sale from withholding.
i n The property qualifies as the seller's/transferor's (or decedent's, if sold by the decedent's estate or trust) principal residence within the meaning of
Internal Revenue Code (IRC) Section 121
2 n The seller/transferor (or decedent, if sold by the decedent's estate or trust) last used the property as the seller's/transferor's(decedent's) principal
residence within the meaning of IRC Section 121 without regard to the two-year time period
3 The seller/transferor has a loss or zero gain for California income tax purposes on this sale To check this box you must complete Form 593 E Real
Estate Withholding Computation of Estimated Gain or Loss and have a loss or zero gain on line 16
4 Ti The property is being compulsorily or involuntarily converted and the seller/transferor intends to acquire property that is similar or related in service
or use to qualify for nonrecognition of gain for California income tax purposes under IRC Section 1033
5 ❑ The transfer qualifies for nonrecognition treatment under IRC Section 351 (transfer to a corporation controlled by the transferor) or IRC Section 721
(contribution to a partnership in exchange for a partnership interest)
6 ❑ The seller/transferor is a corporation (or a limited liability company (LLC) classified as a corporation for federal and California income tax purposes)
that is either qualified through the California Secretary of State (SOS) or has a permanent place of business in California
7 1 ; The seller/transferor is a California partnership or a partnership qualified to do business in California (or an LLC that is classified as a partnership for
federal and California income tax purposes and is not a single member LLC that is disregarded for federal and California income tax purposes)
8. Ix The seller/transferor is a tax exempt entity under California or federal law
9. i The seller/transferor is an insurance company, individual retirement account, qualified pension/profit sharing plan, or charitable remainder trust
Part III — Certifications that may partially or fully exempt the sale from withholding.
Real Estate Escrow Person (REEP) See instructions for amounts to withhold
10. U The transfer qualifies as a simultaneous like kind exchange within the meaning of IRC Section 1031
11. a The transfer qualifies as a deferred like kind exchange within the meaning of IRC Section 1031
12. a The transfer of this property is an installment sale where the buyer/transferee is required to withhold on the principal portion of each installment
payment Copies of Form 593 I, Real Estate Withholding Installment Sale Acknowledgement, and the promissory note are attached
Seller/Transferor Signature
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb ca.gov/forms
and search for 1131 To request this notice by mail, call 800.852 5711
Under penalties of perjury, I declare that I have examined the information on this form, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete 1 further declare under penalties of perjury that if the facts upon which this form are based change, I will
promptly notify the REEP
Seller's/Transferor's Name and Title City of Redlands, a
municipal corporation
Seller's/Transferor's Signature Date
Spouse's/RDP's Name Spouse's/RDP's Signature Date
Seller/ If you checked any box in Part II , you are exempt from real estate withholding
Transferor If you checked any box in Part III, you may qualify for a partial or complete withholding exemption
Except as to an installment sale, if the seller/transferor did not check any box in Part II or Part III of Form 593 C, the withholding will be 3 1/3%
( 0333) of the total sales price or the optional gain on sale withholding amount from line 5 of Form 593, Real Estate Withholding Tax Statement If
the seller/transferor does not return the completed Form 593 and Form 593 C by the dose of escrow the withholding will be 3 1/3% ( 0333) of the
total sales price, unless the type of transaction is an installment sale If the transaction is an installment sale, the withholding will be 3 1/3% ( 0333)
of the down payment
If you are withheld upon, the REEP should give you one copy of Form 593 Attach a copy to the lower front of your California income tax return and
make a copy for your records
■
7131193
Form 593 C C2 2019 ■
TAXABLE YEAR Real Estate Withholding -
2019 Computation of Estimated Gain or Loss
CALIFORNIA FORM
593-E
(You are required to complete this form if you claim an exemption due to a loss or zero gain or if you elect an optional gain on sale
withholding amount )
Part I — Seller/Transferor Information
Name
City of Redlands, a municipal corporation
Spouse's/RDP's name (if jointly owned)
SSN or ITIN
Spouse's/RDP's SSN or ITIN (if jointly owned)
Address (apt./ste. room PO Box or PMB no )
P 0 Box 3005
FEIN n CA Corp no ❑ CA 5OS file no
City (If you have a foreign address, see instructions )
Redlands
State
CA
ZIP Code
92373
Property address (if no street address, provide parcel number and county)
302 West Colton Avenue, Redlands, CA 92374
Part IY — Computation
1 Selling price . .
2 Selling expenses .............. ..........
3 Amount realized Subtract line 2 from line 1 ........... .
4 Enter the price you paid to purchase the property (If you acquired the property other than by purchase, see
instructions How to Figure Your Basis.) . . 4
1
2
3
5 Seller/Transferor paid points 5
6 Depreciation...... . 6
7 Other decreases to basis 7
8 Total decreases to basis Add line 5 through line 7 8
9 Subtract line 8 from line 4 9
10 Cost of additions and improvements ............. . . 10
11 Other increases to basis. 11
12 Total increases to basis Add line 10 and line 11 12
13 Adjusted basis Add line 9 and line 12 13
14 Enter any suspended passive activity losses from this property 14
15 Add line 13 and line 14 ..... .... . ........ . . .. .... .. 15
16 Estimated gain or loss on sale Subtract line 15 from line 3 and enter the amount here If you have a loss or zero gain, skip lines 17
and 18
Complete the Seller/Transferor Signature area below and check the box on Form 593-C, Real Estate Withholding Certificate, Part II line
3
If you have a gain, go to line 17 . . . . 16
17 Optional gain on sale withholding amount Check the applicable box for the filing type
❑ Individual 12 3% ❑ Corporation 8.84% n Bank and Financial Corporation 10 84°1°
❑ Non California Partnership 12 3% ❑ S Corporation 13.B% n Financial S Corporation 15 8%
Multiply the amount on line 16 by the tax rate for the filing type selected above and enter the result on line 17 This is the optional
gain on sale withholding amount If you elect the optional gain on sale withholding amount on line 17, get Form 593, Real Estate
Withholding Tax Statement, and check the appropriate box on line 4 (Boxes B -G) for the Optional Gain on Sale Election, and transfer
the amount an line 17 to Form 593 line 5
Sign Form 593 to certify the election . 17
18 Total sales price withholding amount Multiply the selling price on line 1 by 3'A% (.0333) and enter the amount on line 18
This is the total sales price withholding amount
If you select the total sales price withholding amount on line 18, check Box A "3'A% ( 0333) x Total Sales Price" on line 4 of
Form 593, and transfer the amount on line 18 to Form 593, line 5 ... . .. .....
Seller/Transferor Signature
18
Title and escrow persons and exchange accommodators are not authorized to provide legal or accounting advice for purposes of determining withholding
amounts Transferors are strongly encouraged to consult with a competent tax professional for this purpose
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to
ftb ca gov/forms and search for 1131 To request this notice by mail, call 800 852 5711
Under penalties of perjury, I declare that I have examined the information on this form, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete I further declare under penalties of perjury that if the facts upon which this form are based change, I will
promptly notify the Real Estate Escrow Person (REEP)
City of Redlands, a municipal
Seller's/Transferor's Name corporation Sellers/Transferor's Signatu
It is unlawful to forge Spouse's/RDP's Name (if jointly owned)
a Spouse's/RDP's
signature Spouse's/RDP's Signature (if jointly owned)
to
Date
■
7151193
Form 593 E C2 2019 ■
M • P
.444-4
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
RE Escrow No NCS-966720-ONT1
3281 E Guasti Road, Suite 440
Ontario, CA 91761
Date 07/09/2019
Officer Kelly Simoneau
Property 302 West Colton Avenue
Redlands, CA 92374
LOAN / OWNER'S ASSOCIATION INFORMATION REQUEST
In order for us to obtain statements of account from your existing lender(s) or Owner's association, please provide us with
the following information on your accounts We must have accurate and complete information on your accounts, as some take
up to 30 days to return our request Please fill out and return this form as soon as possible
Federal Regulation 545-132D requires authorization in writing from you before a lender can release any payoff
information to an escrow holder. A delay in returning this signed and completed form could delay the close of this
escrow
FIRST TRUST DEED
Lender Name
Address
NOT APPLICABLE
Loan Number
Phone Number Fax Number 5S#/TIN
SECOND TRUST DEED
Lender name
Address
Loan Number
Phone Number Fax Number SS#/TIN
OWNER S ASSOCIATION (if applicable)
Association Name
Management Co
Address
Account Number
Phone Number Fax Number SS#/TIN
Our signatures below are to be considered instructions for obtaining statements, to comply with the instructions of the above
named companies, and our authorization to pay from funds due us at the close of escrow said companies fees, including, but not
limited to Statement Fees, Transfer Fees, Late Fees, Prepayment Penalties, Impound Account Shortages without our further
approval
Please Provide Your Forwarding Address below, so funds or documents may be sent to you after close of escrow
City of Redlands / Attn City Clerk
35 Cajon Street, Suite 2
Redlands, CA 92373
Effective Date
First American Title Insurance Company National Commercial
Services
3281 E Guasti Road, Suite 440
Ontario, CA 91761
SELLER(S)•
City of Redlands, a municipal corporation
P 0 Box 3005
Redlands, CA 92373
City of Redlands, a municipal corporation
By
6exj.k
Paul W Foster, Mayor
File No NCS-966720-ONT1 (KS)
Date 07/08/2019
2� �4
-telf
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
3281 E Guasti Road, Suite 440
Ontario, CA 91761
Ph
- (909)510-6206
FAX (877)461 2088
DATE• July 09, 2019 Escrow # NCS-966720-ONT1
TO Escrow Officer Kelly Simoneau
EXCHANGE INFORMATION
We need the following information to process your escrow Please complete this form and return to our office.
❑ I/We request that First American Exchange Company contact us to discuss a 1031
Exchange Or, I/we may also contact First American Exchange directly at (877) 317 1031 to discuss
a Tax -Deferred Exchange
❑ I/We will contact My Exchange Company listed below regarding a Tax -Deferred Exchange
I/We will ask them to contact you
Accommodator.
Exchange Officer
Exchange Number
Phone and Fax Number
E -Mail Address.
Final Date to Exchange
® I/We are certain that we will NOT be doing a 1031 Exchange Transaction for this property
I/We hereby authorize you as Escrow Holder to discuss this file with my Exchange Company in order to process
this escrow
Paul W Foster, Mayor
Name
Attest
Jean . Donaldson. City Clerk
Name
Cemiu.ah
Signature
PLEASE COMPLETE AND RETURN
() 1510
Phone um er
1Y) 7531
Phone Number
OWNER'S CERTIFICATION AND GAP INDEMNITY
A The undersigned, City of Redlands ("Owner") which owns title to the real
property located in the City of Redlands , County of san Bernardino , State of California (the
"Property") described in the Commitment for Title Insurance issued under NCS -
966720 ONT1 (the "Commitment"), and in consideration of First American Title Insurance
Company ( the "Company") issuing its policies of title insurance insuring an interest in the
Property under said order number, hereby represents and certifies as follows
1 That Owner is the owner of the Property and has not conveyed title to the Property to any
third party and is not aware of any third party disputing the Owner's ownership of the Property,
2 That there are no delinquent real estate taxes or unpaid current real estate taxes, nor any
pending or levied assessments on the Property, including but not limited to those for trees,
sidewalks, streets, sewers and water lines,
3 That except as shown on the attached Exhibit A, within the last six (6) months (a) no
labor, service or materials have been furnished to improve the land, or to rehabilitate, repair,
refurbish, or remodel the building(s) situated on the land, (b) nor have any goods chattels
machinery, apparatus or equipment have attached to the building(s) thereon, as fixtures, (c) nor
have any contracts been let for the furnishing of labor, service, materials, machinery, apparatus
or equipment which are to be completed subsequent to the date hereof, (d) nor have any notices
of lien been received, except as shown on said attached exhibit
4 That the Owner is in sole possession of the Property, and that no other party has
possession, or has a right of possession under any tenancy, lease or other agreement, written or
oral, except as shown on the attached Exhibit 6, and that in connection with any such possessory
right, lease or other agreement, there are no rights of first refusal, rights or first offer or options to
purchase all or any portion of the Property
5 That the covenants and restrictions, if any, shown in the Commitment have not been
violated by the erection of the improvements on the Property or the use of the Property, and there
are no known facts which would cause such violation, nor has Owner received any notices of any
violations thereof
6 That except as shown on the attached Exhibit C, the Owner is not a "retailer,
"commission merchant,' "dealer," or "broker" of "perishable agricultural commodities" as defined
in 7 USC 449a(4)
7 In order to induce the Company to issue its policies of title insurance with full knowledge
that the Company will rely upon the accuracy of the statements made herein Owner hereby
agrees to hold the Company harmless from and indemnify the Company against any and all loss
cost, damage or expense of every kind, including attorneys' fees which the Company may suffer
or incur or become liable for under its said policies directly or indirectly due to its reliance on the
accuracy of the foregoing representations or in connection with its enforcement of its rights under
this certificate and indemnity
B The Owner acknowledges and agrees as follows
1 The Company is unwilling to issue said policy or policies until the closing instrument(s)
under which the proposed insured acquires an interest in the Property isfare filed for record in the
appropriate recording office(s) (the "Recording Date"),
2 The parties in the transaction have requested the Company to provide a so-called "New
York Style Closing" which provides for the unconditional delivery, upon the closing, of the title
policies concurrently with the delivery of the instrument(s) between the parties and the passing of
consideration therefor;
3 in consideration of the Company issuing its policies without taking exception therein for
matters which may arise between the most recent effective date of the Commitment (the
"Effective Date ) and the Recording Date, known as the "Gap Period", and which matters may
constitute an encumbrance, lien or objectionable matter to or may affect said title (collectively,
"Objections to Title") the Owner agrees to promptly defend, remove, bond or otherwise dispose
of any Objections to Title which may arise or be filed, as the case may be, against the Property
during the Gap Period, and to hold the Company harmless from and indemnify the Company
against all expenses, costs and reasonable attorneys' fees which may arise out of Owner's failure
to so remove, bond or otherwise dispose of any of said Objections to Title
Dated i iv/9
[Owner]
By.0 �r( S
Its Paul W Foster, Mayor
Attest
_04141— 41/11,4*‘)
eay fe Donaldson, City Clerk
EXHIBIT A
WORK AT PROPERTY
{Describe work, or if none, state "NONE"}
NONE
EXHIBIT B
PARTIES IN POSSESSION AT PROPERTIES
RIGHTS OF FIRST REFUSAL, RIGHTS OF FIRST OFFER OR OPTIONS TO PURCHASE
{Attach Rent Roll or list of leases and confirm that there are no ROFRs or ROFOs or Options}
NO ROFRs or ROFOs or OPTIONS
EXHIBIT C
PACA/PSA Act exceptions
NONE
w N e , ,
c
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
PROCEEDS DISBURSEMENT
Dated 07/08/2019
City of Redlands, a municipal corporation
P.O. Box 3005
Redlands, CA 92373
Order Number NCS-966720-ONT1
Property Address' 302 West Colton Avenue, Redlands, CA 92374
Buyer/Borrower(s) Bakti Luminta
Seller(s) City of Redlands, a municipal corporation
3281 E Guasti Road, Suite 440
Ontario, CA 91761
The undersigned seller(s) or borrower(s) request that the proceeds from the sale or refinance of the above
captioned property be sent in the following manner. Please select one and complete if necessary
1 Pick-up at First Amencan Title Insurance Company National Commercial Services, 3281 E Guasti Road, Suite 440,
Ontario, CA 91761
2 Mail to the following address
3 Overnight via express mail service to the following address
4 Wire proceeds to Union Bank 400 California Street, San Francisco, CA 94101
Bank Name & Address
122000496 2740026189
Bank ABA Routing Number Bank Account Number
City of Redlands
Bank Account Name
5 Other.
Page 1 of 2
Seller(s)
City of Redlands, a municipal corporation
Paul W Foster, Mayor
Date. 7 /16 120 i r
Attest
ne Donaldson, City Clerk
Page 2 of 2
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
COMMISSION INFORMATION SHEET
3281 E Guasti Road, Suite 440
Ontario, CA 91761
Date July 09, 2019
Escrow. NCS-966720-ONT1
Property 302 West Colton Avenue, Redlands, CA 92374
In order that escrow may more efficiently process your transaction, we require the following information
NOT APPLICABLE
Real Estate Company
Street Address
City, State, Zip
Phone Number Fax Number
Agent
Email Address
Commission Amount or Percentage
Real Estate Company
Street Address
City, State, Zip
Phone Number Fax Number
Agent
Email Address
Commission Amount or Percentage
Upon receipt of the above information, Escrow Holder will draw commission instructions for you to
execute.
To
Re
Seller
First American Title Insurance Company National Commercial
Services
Kelly Simoneau, Escrow Officer
302 West Colton Avenue, Redlands, CA 92374
City of Redlands, a municipal corporation
INFORMATION REQUEST FORM — For IRS 1099-5 Reporting For Real Estate Transactions
("Property")
First American Title Insurance Company
National Commercial Services
3281 E Guasti Road, Suite 440
Ontario, CA 91761
(909)510 6206
Fax (877)461 2088
File No NCS -966720 ONT1 (KS)
Date July 09, 2019
Give form to
requestor Do not
send to the IRS
Print or type — follow all
instructions carefully
Name (as shown on your Income tax return)
CITY OF REDLANDS
Business name/disregarded entity name if different from above
Check appropriate box ❑ Individual 1 Sole proprietors1 Corporation (exempt from 1099 S reporting) 0 Partnership
0 Trust/estate
P=Partnership ►
0 Limited liability company For LLC enter the tax classification (D=disregarded entity C=corporation 5=S Corporation
0 Other (r.e Bankrupts, etc -" see instructions) 0. -
Forwarding
Forwarding Street Address (your address after closing)
35 Cajon Street, Suite 2
Percentage Owned
® 100% 0 Other
City, State, and Zip code Redlands, CA 92373
Number of sellers including you 1
IZIMM
Enter
given
fnrniah
Taxpayer Identification Number (TIN)
your taxpayer Identification number ("TIN ) to the appropriate box The TIN provided must match the name
on Line 1 to avoid the imposition under the Internal Revenue Code, of civil or criminal penalties for failing to
a rnrrarf TIN and fn in,lira tha Tin naccac tha IP'c Alamo/TIM matrh,nn enfhuaro'e TIM mafrh,nn nrnracc
Social security number
which we utilize For individuals this is your social security number (SSN) However for a resident alien, sole
proprietor or disregarded entity see Specific Instructions" below For other entities it is your employer identification
number (EIN) Note If multiple sellers are involved see General Instructions below
Part 11
Certification of U S Person **IMPORTANT** SIGN HERE IF YOU ARE A U S PERSON
Or
Employer identification number
95 =6000766
Under penalties of perjury, I certify that
1 The number shown on this form is my correct taxpayer identification number (or lam waiting for a number to be issued to me) and
2 I am a U.S citizen or other U.S person (defined below)
Sign Here
U S person ►
Date >►
Part Ill
Certification of Foreign Person **IMPORTANT*' SIGN HERE IF YOU ARE FOREIGN SIGN ABOVE IF YOU ARE A U S PERSON
Under penalties of perjury, 1 certify that
1 The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and
2 I am a Foreign Person (defined below)
Sign Here
Foreign person ►
Date ►
GENERAL INSTRUCTIONS
Section references are to the Internal Revenue Code unless otherwise noted
Purpose of Form
A person who is required to file an information return on real estate with the IRS must obtain
your correct taxpayer identification number (TIN) which may be your social security number
(SSN), individual taxpayer number (ITIN), adoptive taxpayer identification number(ATIN) or
employer identification number (EIN)
Definition of a U.S. Person. For federal tax purposes you are considered a U S person if
you are
An individual who is a U.S citizen or U.S resident alien
• A partnership, corporation company or association created or organized in the United
States or under the laws of the United States
An estate (other than a foreign estate) or
• A domestic trust (as defined in Regulations section 301 7701 7)
Definition of a Foreign Person.
A foreign person includes a nonresident alien individual foreign corporation foreign
partnership foreign trust foreign estate and any other person that is not a U.S person It
also includes a foreign branch of a U S financial institution if the foreign branch is a qualified
intermediary In most cases the U 5 branch of a foreign corporation or partnership is
treated as a foreign person
Requirement to Furnish TIN & Penalties for Failure
You are required by law to provide us with your correct taxpayer identification number
( TIN ) If you do not provide us with your correct taxpayer identification number ("TIN") you
may be subject to civil or criminal penalties imposed by law If we disclose or use your TIN
in violation of federal law, we may be subject to civil or crimina penalties imposed by law
Multiple Sellers
Each seller must complete a separate form Spouses who hold title as
tenants in common, joint tenants tenants by the entirety or community property
will be treated as a single seller unless we are instructed otherwise
SPECIFIC INSTRUCTIONS
Please review chart "What Name and Number to Give" on page 2
individuals You must generally enter the name shown on your income tax
return However if you have changed your last name, for instance, due to
marriage without informing the Social Security Administration of the name
change enter your first name, the last name shown on your social security card
and your new last name
If more than one name is listed list first and then circle, the name of the
person or entity whose number you entered in Part I of the form
Note ITIN Applicant Enter your individual name as it was entered on your form
W 7 application line la This should also be the same as the name you entered
on the Form 104011040Al1040EZ you filed with your application
Limited liability company (LLC) Check the Limited liability company box
only and enter the appropriate code for the tax classification ( D for disregarded
entity C for corporation "P for partnership) in the space provided and follow
the instructions on the next page
(Specific Instructions Continued on Next Page)
For Escrow Use Only—Additional Fite Information
[ ] Change
[ ] Void
Delete
For Escrow Use Onl
[ ]Add
[ ] Change
[
No of 1099-5 Forms required
for this file?
[1
Is Name/Entity Party a Non Record Seller?
Type is [ 1 HJW or Individual
[ 1
j Trust/Business
Is Property part of an Exchange?
[ 1
r 1 r fete
y
—Required for 1099-S Data Entry Only (No ent
ry
In FAST
)
Contract Sales Price
Buyer's Part of Real estate Tax
YES ( INO
Actual Settlement Date
Region National Commercial Services Division FAST Office 30 (1602) (GG)
First American
Title Insurance Company
NATIONAL COMMERCIAL SERVICES
TO. FIRST AMERICAN TITLE COMPANY
ESCROW NO NCS-966720-ONT1
3281 E Guasti Road, Suite 440
Ontario, CA 91761
In order that rents for the property I am conveying may be correctly prorated through escrow, I hereby state that
rentals as to amounts and dates to which they are paid, are as follows
Unit Tenant
Rate per month Date paid Security deposit Option to Right of
to Purchase lst
Unless prior to date of recording I have notified you in writing of some change in tenancy, you are to assume I will
collect all rents which fall due according to the foregoing statement prior to close of escrow, and you will prorate the
rents accordingly You will also pay the grantee the above security deposit (if any), charging my account
DATED SELLER
SELLER
The above rent statement is hereby approved as a basis for rent prorations through this escrow
DATED
gg /07/09/2019
BUYER
BUYER
Page 1 of 1
not applicable — —
- -- --
�
Y or N
_ ___ - r------____ _
Refusal
YorN
. -
_
Unless prior to date of recording I have notified you in writing of some change in tenancy, you are to assume I will
collect all rents which fall due according to the foregoing statement prior to close of escrow, and you will prorate the
rents accordingly You will also pay the grantee the above security deposit (if any), charging my account
DATED SELLER
SELLER
The above rent statement is hereby approved as a basis for rent prorations through this escrow
DATED
gg /07/09/2019
BUYER
BUYER
Page 1 of 1
•" FANHD Commercial Resale Property Disclosure Reports
Disclosure Report Signature Page
For SAN BERNARDINO County
Property Address 302 W COLTON AVE APN 0169-053-11-0000
REDLANDS, SAN BERNARDINO COUNTY, CA 92374 Report Date 07/08/2019
("Property") Report Number 2508947
FvstAaer:ran
Natural HazardDisrlosurrs`
Natural Hazard Disclosure ("NHD") Statement
and Acknowledgment of Receipt
DISCLAIMER This NHD Summary (a) is not valid unless delivered with the complete FANHD Disclosure Report which transferee must read and
acknowledge before close of escrow and (b) is subject to the Terms and Conditions contained in that complete Disclosure Report.
The transferor and his or her agent(s) or a third -party consultant disclose the following information with the knowledge that even though this is not a warranty
prospective transferees may rely on this information in deciding whether and on what terms to purchase the Property Transferor hereby authorizes any agent(s)
representing any principal(s) in this action to provide a copy of this statement to any person or entity in connection with any actual or anticipated sale of the Property
The following are representations made by the transferor and his or her agent(s) er a third -party consultant based on their knowledge and maps drawn by the State
This information is a disclosure and is not intended to be part of any contract between the transferee and the transferor THIS REAL PROPERTY LIES WITHIN THE
FOLLOWING HAZARDOUS AREA(S)
A SPECIAL FLOOD HAZARD AREA (Any type Zone A or 'V) designated by the Federal Emergency Management Agency
Yes No X Do not know and information not available from local jurisdiction
AN AREA OF POTENTIAL FLOODING shown on a dam failure inundation map pursuant to Section 8589.5 of the Government Code
Yes No X Do not know and information not available from local jurisdiction
A VERY HIGH FIRE HAZARD SEVERITY ZONE pursuant to Section 51178 or 51179 of the Government Code The owner of this Property is subject to the
maintenance requirements of Section 51182 of the Government Code
Yes_ No X
A WILDLAND AREA THAT MAY CONTAIN SUBSTANTIAL FOREST FIRE RISK AND HAZARDS pursuant to Section 4125 of the Public Resources Code The
owner of this Property is subject to the maintenance requirements of Section 4291 of the Public Resources Code Additionally it is not the states responsibility to
provide fire protection services to any building or structure located within the wildlands unless the Department of Forestry and Fire Protection has entered into a
cooperative agreement with a local agency for those purposes pursuant to Section 4142 of the Public Resources Code
Yes No X
AN EARTHQUAKE FAULT ZONE pursuant to Section 2622 of the Public Resources Code
Yes_ No X
A SEISMIC HAZARD ZONE pursuant to Section 2696 of the Public Resources Code
Yes (Landslide Zone)_ Yes (Liquefaction Zone)
No Map not yet released by state X
THESE HAZARDS MAY LIMIT YOUR ABILITY TO DEVELOP THE REAL PROPERTY TO OBTAIN INSURANCE OR TO RECEIVE ASSISTANCE AFTER A
DISASTER THE MAPS ON WHICH THESE DISCLOSURES ARE BASED ESTIMATE WHERE NATURAL HAZARDS EXIST THEY ARE NOT DEFINITIVE
INDICATORS OF WHETHER OR N BE AFFECTED BY A NATURAL DISASTER TRANSFEREE(5) AND TRANSFEROR(S) MAY WISH TO
OBTAINS AD D NG THOSE HAZARDS AND OTHER HAZARDS THAT MAY AFFECT THE PROPERTY
Signa ure of Transferor(s) Date Signature of Transferor(s) Date
Signature of Agent Date Signature of Agent Dale
Transferor(s) and their agent(s) represent that the information herein is true and correct to the best of their knowledge as of the date signed by the transferor(s)
and agent(s)
❑K Transferor(s) and their agent(s) acknowledge that they have exercised good faith in the selection of a third party report provider as required in Civil Code Section
1103 7, and that the representations made in this Natural Hazard Disclosure Statement are based upon information provided by the independent third party
disclosure provider as a substituted disclosure pursuant to Civil Code Section 1103.4 Neither transferor(s) nor their agent(s) (1) has independently verified the
information contained in this statement and Report or (2) is personally aware of any errors or inaccuracies in the information contained on the statement This
statement was prepared by the provider below
Third Party Disclosure Provider(s) FIRST AMERICAN PROFESSIONAL REAL ESTATE SERVICES, INC. OPERATING THROUGH ITS FANHD DIVISION.
Date 08 July 2019
Transferee represents that he or she has read and understands this document Pursuant to Civil Code Section 1103.8, the representations in this Natural Hazard
Disclosure Statement do not constitute all of the transferor's or agents disclosure obligations in this transaction
Signature of Transferee(s) Date Signature of Transferee(s) Date
TRANSFEREEIS1 REPRESENTS ABOVE HE/SHE HAS RECEIVED, READ AND UNDERSTANDS THE COMPLETE FANHD DISCLOSURE REPORT DELIVERED WITH THIS SUMMARY:
A Commercial Natural Hazard Disclosure Report
H Additional Property specific Statutory Disclosures Former Military Ordnance Site, Airport Influence Area Airport Noise San Francisco Bay Conservation and
Development District Jurisdiction (in 5 F Bay counties only)
C Additional County and City Regulatory Determinations as applicable Airports Avalanche Blow Sand, Coastal Zone, Dam/Levee Failure Inundation Debris Flow
Erosion Flood Fault Zone, Fire, Groundwater, Landslide, Liquefaction Methane Gas Mines Naturally Occurring Asbestos Redevelopment Area Right to Farm
Runoff Area Seiche. Seismic Shaking Seismic Ground Failure Slope Stability Soil Stability Subsidence TRPA Tsunami
D General advisories Methamphetamine Contamination Mold Radon Endangered Species Act, Abandoned Mines Oil & Gas Wells Tsunarm Maps (coastal only)
Non residential Building Energy Use
E Government Guides in Combined Booklet with Report Refer to Booklet. Commercial Property Owner's Guide to Earthquake Safety Government Guides are also
available on the Company's "Electronic Bookshelf" at http:llwwww.disclosures.coml.
02019 First American Professional Real Estate Services, Inc 200 Commerce Suite 100. Irvine, CA 92602 Phone. (800) 527-0027 Fax (800) 854-9625