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199802040705 RECEIVED Return Address: APR 0 6 f ;Jd City of Federal Way CITY FEDERAL ATTORNEY Attn: Law Dept. 33530 1st Way S. Federal Way, WA 98003 FILED BY PNWT STATUTORY WARRANTY DEED - 5! -IL_ 10/3 Grantor (s): ANNIE G. CORPUZ, an unmarried woman Grantee (s): CITY OF FEDERAL WAY • Property Legal Description (abbreviated): Portion of SE 1/4 of NW 1/4, Sec. 9, T21 N, R4E; CZ Additional Legal(s) on Exhibit A Assessor's Tax Parcel ID #(s): 053700-0660-03 1 1' THE GRANTOR(S), ANNIE G. CORPUZ, an unmarried woman, for and in consideration of One Dollar (81.00), and under the threat of the exercise of eminent domain, conveys and warrants to the CITY OF FEDERAL WAY, a Washington municipal corporation, the real property described in Exhibit "A" herewith attached and made a part hereof, and any after - acquired interest therein, situated in King County in the State of Washington. DATED THIS 3b day of 1 '4 , 1998. GRANTOR ANNIE G. B,: AL Alfa • / Ian on, ' = y-in -Fact APPROVED AS TO FORM: • . rode 7ity Attorney c. rTT yy d 0 9 n ., -1- PARCEL: P -0880 STATE OF WASHINGTON SS. COUNTY OF KING ) 1 certify that I know or have satisfactory evidence that RAY ALAN GURON is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledged it as the attomey -in -fact of ANNIE G. CORPUZ to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DATED: ,52247 _ rte 4 Q 7: 4 4 l ti aa 4p .► , � No : ry : ' biic or the State of Washington � AAA.!, � Print Name: A T. cep. • "" �► ' - My appointment expires: //-4-CV Pus " '" 1 44ere e e f t W4S . K:\pubwork \312 \corpuz.swd 1 -15 -98 O O t O CO -2- PARCEL: P-0880 , r , EXHIBIT "A" The south 12.00 feet of the following described property: That certain portion of the southeast quarter of the northwest quarter of Section 9, Township 21 North, Range 4 East W.M., in King County, Washington, described as beginning at the southeast corner of said southeast quarter of the northwest quarter of said section; thence north 89 °34'48" west along the south line of said subdivision 328.2 feet; thence north 0 °15'30" east 30 feet to the TRUE POINT OF BEGINNING; thence north 89 °34'48" west 99.4 feet; thence north 0 °15'30" east 300 feet; thence south 89 °34'48" east 99.4 feet; thence south 0 °15'30" west 300 feet to the TRUE POINT OF BEGINNING. CD (BEING KNOWN AS Tract 128 of Barker's Steel Lake Tracts, according • to the unrecorded plat thereof.) C . • C 04 OD A.A PACIFIC NORTHWEST TrIILE Company of Washington, Inc. 4i EA7)? . 777 City of Federal Way 33530 -1st Way South Federal Way, Washington 98003 Attention: Ilene Order No.: 222251 Your Ref.: CORPUZ Enclosed is your Policy for Title Insurance on the above - referenced transaction. Thank you for the opportunity of serving you. We look forward to working with you again. Mike Sharkey Senior Title Officer Unit 12 1201 Third Avenue A Suite 3800 A Seattle, WA 98101 -3055 A (206) 622 -1040 A Fax: (206) 343 -1358 http: / /pnwt.com POLICY OF TITLE INSURANCE ISSUED BY PACIFIC NORTHWEST TITLE INSURANCE COMPANY, INC. SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE EXCEPTIONS FROM COVERAGE CONTAINED IN SCHEDULE B AND THE CONDITIONS AND STIPULATIONS, PACIFIC NORTHWEST TITLE INSURANCE COMPANY, INC., a Washington corporation, herein called the Company, insures, as of Date of Policy shown in Schedule A, against loss or damage, not exceeding the Amount of Insurance stated in Schedule A, sustained or incurred by the insured by reason of: 1. Title to the estate or interest described in Schedule A being vested other than as stated therein; 2. Any defect in or lien or encumbrance on the title; 3. Unmarketability of the title; 4. Lack of a right of access to and from the land. The Company will also pay the costs, attorneys' fees and expenses incurred in defense of the title, as insured, but only to the extent provided in the Conditions and Stipulations. IN WITNESS WHEREOF, Pacific Northwest Title Insurance Company, Inc. has caused this policy to be signed and sealed by its duly authorized officers as of the Date of Policy shown in Schedule A. PACIFIC NORTHWEST TITLE Insurance Company, Inc. �SS1�* INSp94 c,ORPORATE' cc SEAL vy 1926 7? President Countersigned by: Authorized Signatory PAC'F;C NORTHWEST TFTL e Company City, State EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance or governmental regulation (including but not limited to building and zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating to (i) the occupancy, use, or enjoyment of the land; (ii) the character, dimensions or location of any improvement now or hereafter erected on the land; (iii) a separation in ownership or a change in the dimensions or area of the land or any parcel of which the land is or was a part; or (iv) environmental protection, or the effect of any violation of these laws, ordinances or governmental regulations, except to the extent that a notice of the enforcement thereof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy. (b) Any governmental police power not excluded by (a) above, except to the extent that a notice of the exercise thereof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy. 2. Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3. Defects, liens, encumbrances, adverse claims or other matters: (a) created, suffered, assumed or agreed to by the insured claimant; (b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy; (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the estate or interest insured by this policy. 0-1093- 35718 ALTA OWNER'S POLICY — 10-17-92 S C "V , .1 N Eic p pJ • • • Standard Coverage PACIFIC NORTHWEST TITLE INSURANCE COMPANY, INC. A.L.T.A. OWNER'S POLICY SCHEDULE A Order No.: 222251 Policy No.: 1093 -35718 Policy Date: February 4, 1998 Policy Amount: $2,800.00 at 10:33 a.m. 1. Name of Insured: CITY OF FEDERAL WAY, a Washington municipal corporation 2. The estate or interest in the land described herein and which is covered by this Policy is: FEE SIMPLE 3. The estate or interest referred to herein is at date of Policy vested in: CITY OF FEDERAL WAY, a Washington municipal corporation 4. The land referred to in this Policy is described as follows: The south 12.00 feet of the following described property: That certain portion of the southeast quarter of the northwest quarter of Section 9, Township 21 North, Range 4 East W.M., in King County, Washington, described as beginning at the southeast corner of said southeast quarter of the northwest quarter of said section; thence north 89 °34'48" west along the south line of said subdivision 328.2 feet; thence north 0 °15'30" east 30 feet to the TRUE POINT OF BEGINNING; thence north 89 °34'48" west 99.4 feet; thence north 0 °15'30" east 300 feet; thence south 89 °34'48" east 99.4 feet; thence south 0 °15'30" west 300 feet to the TRUE POINT OF BEGINNING. (BEING KNOWN AS Tract 128 of Barker's Steel Lake Tracts, according to the unrecorded plat thereof.) • s 4 • Standard Coverage PACIFIC NORTHWEST TITLE INSURANCE COMPANY, INC. A.L.T.A. OWNER'S POLICY SCHEDULE B Policy No.: 1093 -35718 This policy does not insure against loss or damage by reason of the following: GENERAL EXCEPTIONS: 1. Rights or claims of parties in possession not shown by the public records. 2. Easements, or claims of easements, not shown by the public record. 3. Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed by an accurate survey or inspection of the premises. 4. Any lien, or right to a lien, for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the public records, or liens under the Workmen's Compensation Act not shown by the public records. 5. Any title or rights asserted by anyone including but not limited to persons corporations, governments or other entities, to tide lands, or lands comprising the shores or bottoms of navigable rivers, lakes, bays, ocean or sound, or lands beyond the line of the harbor lines as established or changed by the United States Government. 6. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water. 7. Taxes or special assessments which are not shown as existing liens by the public records. 8. Any service, installation, connection, maintenance, capacity, or construction charges for sewer, water, electricity or garbage removal. 9. Indian tribal codes or regulations, Indian treaty or aboriginal rights, including, but not limited to, easements or equitable servitudes. SPECIAL EXCEPTIONS: As on Schedule B, attached. (continued) • Policy No.: 1093 -35718 A.L.T.A. OWNER'S POLICY SCHEDULE B Page 2 SPECIAL EXCEPTIONS: 1. RESERVATIONS AND EXCEPTIONS CONTAINED IN DEED FROM NORTHERN PACIFIC RAILROAD COMPANY: Reserving and excepting from said lands so much or such portions thereof as are or may be mineral lands or contain coal or iron, and also the use and the right and title to the use of such surface ground as may be necessary for mining operations and the right of access to such reserved and excepted mineral lands, including lands containing coal or iron, for the purpose of exploring, developing and working the same. RECORDING NUMBER: 162998 NOTE: No examination has been made to determine the present record owner of the above minerals, or mineral lands and appurtenant rights thereto, or to determine matters which may affect the lands or rights so reserved. END OF SCHEDULE B XX /lts /2406G OMB No. 2502 -0265 A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN: 1. FHA 2. FMHA 3. CONY. UNINS. See HUD attachment (s) for '*' items 4. VA 5. CONY. INS. X6. Cash Final 6. FILE NUMBER 7. LOAN NUMBER 45039738 8. MTG INS CASE NO C. NOTE This form Is furnished to give you a statement of actual costs. Amounts paid to and by the settlement agent are shown. Items marled "(p.o.e.)" were paid outside the closing: they are shown here for Informational purposes and are not Included In the totals. D- NAME OF MIMPAER CITY OF FEDERAL WAY A 33530 1ST WAY SOUTH, FEDERAL WAY, WA 98003 E. NAME OFSEILEt ANNIE G. CORPUZ mmmm 34853 8TH PLACE SW, FEDERAL WAY, WA 98053 F. NAME OF LENDER: ADORES& G. PROPERTY LOCATION: S. 312TH ST. WIDENING PROJECT, FEDERAL WAY, WA 98003 mmummTAcENT: PACIFIC NORTHWEST TITLE ADORRES& 1201 3RD AVENUE, SUITE 3800 SEATTLE, WA 98101 TIN: 91 1202822 1M.ACEOFSETLEAW: PACIFIC NORTHWEST TITLE Closing date: 02/04/98 ADDS 1201 3RD AVENUE, SIJTTF_1Rn0 srAmmTIP PrnrAt i nn (Rate: 02/04/98 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE PROM IORpDYYER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales price 2,800.00 401. Contract sales price 102. Personal property 402. Personal property 103. Settlement charges to borrower(Iine 1400) 870.39 403. 104. 404. 105 405. Adjustments for Items paid by seller in advance: Adjustments for items paid by seller In advance: 106. City/town taxes to 406. City/town taxes to 107. County taxes to 407. County taxes to 108. Assessments to _ 408. Assessments to 109 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE PROM BORROWER 3,670.39 420. GROSS AMOUNT DUE TO SELLER 200. AMOUNTS PAID By OR IN BEHALF OF BORROWER _ 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. Deposit or earnest money 3 , 345.79 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) _ 502. Settlement charges to seller(line 1400) 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. Commitment Fee 504. Payoff of first mortgage loan 2o5.PREPAID TITLE CHARGE 324.60 505. Payoff of second mortgage loan 206. 506. 207. 507. 208. 508. 209. 509 Adjustments for items unpald by seller: Adjustments for items unpaid by seller: 210. City/town taxes to 510. City/town taxes to 211. County taxes to 511. County taxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID SY/FOR BOIBIOWEt 3,670.39 520. TOTAL REDUCTION AMOUNT DIM SELLER 300. CASH AT SETTLEMENT MIDI/TO BOIMOWMt 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross amount due from borrow er(Iine 120) 3,670.39 601. Gross amount due to seller(line 420) 302. Lees amounts paid by /for borrover(line 220) 3,670.39 602. Less total reductions in amount due seller(line 520) 303. CASH ( MOM) ( TO) BORROMYEit 040 603. CASH ( TO) ( FROM) SELLER SIRSTRVTE FORM 101111M, LNG WATTEMEMT-The information contained in Blocks E,G.FI and (and online 401 (or, If line 401 is asterisked lines 403 and 404) is tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you If this Item Is required to be reported and the IRS determines that It has not been reported. SELLER INSTRUCTION- If this real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your Income tax return; for other transactions, complete the applicable parts of Form 4797, Form 6252 and /or Schedule D (Form 1040). You are required by law to provide with your correct taxpayer identification number. If you do not provide with your correct taxpayer identification number, you may be subject to civil or criminal penalties. Under penalties of perjury I certify that the number shown on this statement is my correct taxpayer Identification number. Seller PAGE 2 OF OMB No. 2502-0265 File 45039738 L Se� HL ?D mot or '* items BO RROWERS SELLER'S Final E TTLEM FUNDS FUNDS 700. TOTAL RO WS COMMISSION Based on $ 0 %_ AT SETTLEMENT AT SETTLEMENT B Division of Commission (line 700) as follows: 701. $ to 702. $ to Commission paid at settlement 704. to 800. ITEMS PAYABLE IN CONNECTION WITH LOAN. 801. Loan Origination fee % 802. Loan Discount 803. Appraisal fee to 804. Credit Report to 805. Lender's Inspection fee to 806. Mortgage insurance application fee to 807. Assumption Fee to 808. to 809. to 810. to 811. to 812. to 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE. 901. Interest from to 0$ /day 902. Mortgage Insurance premium for mo. to 903. Hasard Insurance premium for yrs. to 904. to 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hasard Insurance mo.0$ perm*. 1002. Mortgage Insurance mo.S$ per mo. 1003. City property taxes mo.S$ per mo. 1004. County property taxes mo.l$ per mo. 1005. Annual assessments (Mint.) mo.S$ per mo. 1006 mo.0$ per mo. 1007. mo.0$ per mo. 1008 mo.S$ per mo. 1100. TITLE CHARGES: 1101. Settlement or closing fee to PACIFIC NORTHWEST TITLE 543.00 1102. Abstract or title search to 1103. Title examination to 1104. Title Insurance binder to 1105. Document preparation to 1106. Notary fee to 1107. Attorney's fee to to (includes above Items No.: 1108. Title Insurance to PACIFIC NORTHWEST TITLE 314.94 (Includes above items No.: 1109. Lender's coverage 8 1110. Owner's coverage 2,800.00 $ 314.94 1111. to 1112. to 1113. to 1114. t 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording fees: Deed $ 1 2 . 4 r l' drte $ Rel. $ 12.45 1202. City/county tax/stamps:Deed $ Mrtg $ 1203. State tax/stamps: Deed $ Mrtg $ 1204. to 1205. to 1205. to 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pest Inspection to 1303. to 1304. to 1305. to 1400. TOTAL SETTLEMENT CHARGES Nrrtared en asas lss, Section d and ass, section s) 870.39 CERTIFICATION I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that 1 have received a copy of HU -1 Settlement Statement. Borrowers Sellers The HUD -1 Settlement St t ment which I .have prepared is a true and accurate account of this transaction. I have caused or won cause the uns to be alsdursed on accorance with tis statement. Settlement Agent Date WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18: U.S. Code Section 1001 and Section 1010. • OMB No. 2502 -0285 A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN: 1. FHA 2. FMHA 3. CONY. UNINS. See HUD attachment ( s ) for t * t items 4. VA 5. CONY. INS. X6• Cash Final 8. FILE NUMBER 7. LOAN NUMBER 45039738 8. MTG INS CASE NO C. NOTE This form is furnished to give you a statement of actual costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.e.)" were paid outside the closing: they are shown here for informational purposes and are not included in the totals. D. NAME OF BORROtaER CITY OF FEDERAL WAY ADDS 33530 1ST WAY SOUTH, FEDERAL WAY, WA 98003 E. NAME of SELLER ANNIE G. CORPUZ AWMMI: 8TH PLACE SW, FEDERAL WAY, WA 98053 F. NAME OF LENDER ADDRESS: G. PROPERTY LOCATIQN S. 312TH ST. WIDENING PROJECT, FEDERAL WAY, WA 98003 SETfEMENTAGENr. PACIFIC NORTHWEST TITLE ADCRENS 1201 3RD AVENUE, SUITE 3800 SEATTLE, WA 98101 TIN: 91- 1202822 RACEOFSErFLENEFFF: PACIFIC NORTHWEST TITLE Closing date: 02/04/98 ADDIEIM 1201 3RD AVENUE, SUTTP, 1800 , FATTLP. Proration dAtP: 02/04/98 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM UOIBOtNER 400. GROSS AMOUNT DUE TO SELLER: 101. Contract sales price 2,800.00 401. Contract sales price 102. Personal property 402. Personal property 103. Settlement charges to borroweNline 1400) 870.39 403. 104. 404. 105. 405. Adjustments for Items paid by seller in advance: Adjustments for items paid by seller In advance: 106. City/town taxes to 406. City/town taxes to 107. County taxes to 407. County taxes to 108. Assessments to 408. Assessments to 109. _ 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE PROM UORROMIER 3,670.39 420. GROSS AMOUNT DUE TO SELLER: 200. AMOUNTS MID Sy OR IN !RIME OF UORROMIER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. Deposit or earnest money 3,345.79 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) 203. Existing loans) taken subject to 503. Existing loan(s) taken subject to 204. Commitment Foe 504. Payoff of first mortgage loan 205.PREPAID TITLE CHARGE 324.60 505. Payoff of second mortgage loan 206. 506. 207. 507. 208. 508. 200. 509. Adjustments for Items unpaid by seller: Adjustments for Items unpaid by seller: 210. City/town taxes to 510. City/town taxes to 211. County taxes to 511. County taxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515. 216. 518. 217. 517. 218. 518. 219. 519. 220. TOTAL MID RYROR BDIRIDeTBt 31 6 7 0 3 9 520. TOTAL REDUCTION AMOUNT DUE SELLER 300. CASH AT SETTLEMENT MOWTO 1MEIt 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross amount due from borrower(llne 120) 3,670.39 pal . Gross amount due to seller(ilne 420) 302. Less amounts paid by/for berrower(Ilne 220) 3,670.39 602. Less total reductions in amount due sellsr(Ilne 520) 303. CASH ( FBOM) (TTOILIORROVASt 0.00 603. CASH TO ( PROM) SELLER T11fl 1 SUBS E FORM STATEMENT information contained Blocks E, GM and (and online (or, lrIlne 401 Is asterisked lines 403 and 404) Islmportant tax Information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be Imposed on you If this Item Is required to be reported and the IRS determines that it has not been reported. SELLER IIN<TRUCTIOPF- If this real estate was your principal residence, file Form 2110, Sale or Exchange of Principal Residence, for any gain, with your Income tax return; for other transactions, complete the applicable parts of Form 4797, Form 6252 and /or Schedule D (Form 1040). You are required by law to provide with your correct taxpayer Identification number. If you do not provide with your correct taxpayer identification number, you may be subject to civil or criminal penalties. Under penalties of perjury 1 certify that the number shown on this statement Is my correct taxpayer identification number. Seiler • 4 PAGE 2 OF OMB No. 2502 -0285 File 45039738 Se or '*' items PAID FROM PAID FROM Final L . ��� BORROWER'S SELLER'S 700. TOTAL sALESIBROICER's COMNISatosf Based on $ t %. AT SETTLEMENT AT FUNDS Division of Commission (line 700) as follows: 701.9 to 702. $ to Commission paid at settlement 704. to 800. ITEMS PAYABLE IN CONNECTION WITH LOAN. 801. Loan Origination fee 802. Loan Discount 803. Appraisal fee to 804. Credit Report to 805. Lender's Inspection fee to 806. Mortgage Insurance application fee to 807. Assumption Fee to 808. to 809. to 810. to 811. to 812. to 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE. 901. Interest from to 0$ /day 902. Mortgage Insurance premium for mo. to 903. Huard Insurance premium for yrs. to 904. l0 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance mo.Q$ per mo. 1002. Mortgage Insurance mo. ®$ per mo. 1003. City property taxes mo. @t per mo. 1004. County property taxes mo.tl$ per mo. 1005. Annual assessments (Maint.) mo.®$ per mo. 1006 me.Itl$ perm*. 1007. mo. @$ per mo. 1008. mo. 18 per mo. 1100. TITLE CHARGES: 1101. Settlement or closing fee to PACIFIC NORTHWEST TITLE 543.00 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary tee to 1107. Attorney's fee to to (includes above items No.: 1108. Title insurance to PACIFIC NORTHWEST TITLE 314.94 (includes above Items No.: 1109. Lender's coverage $ 1110. Owner's coverage 2,800.00 = 314.94 1111. to 1112. to 1113. to 1114. to 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording teas: Deed $ 12.4 54rtg $ Rel. $ 12.45 1202. City/county tax/stamps:Deed $ Mrtg t 1203. State tax/stamps: Deed S Mrtg $ 1204. to 1205. to 1206. to 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Peet inspection to 1303. to 1304 to 1305. to 1 400. TOTAL SETTLEMENT CHARGES aMtoed on Ram 103. section .1 end Boz, section Ig 870.39 CERTIFICATION I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD 1 Settlement Statement. Borrowers Sellers Wn cause the tq0 unas Settlement be di s b urse d inhaccordance prepared t his statement and accurate account of this transaction. 1 have caused or Settlement Agent Date WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18: U.S. Code Section 1001 and Section 1010. CITY OF FEDERAL WAY CITY ATTORNEY'S OFFICE Memorandum DATE: April 23, 2001 TO: Chris Green, City Clerk FROM: Tonia Mergenthal, Paralegal Yi SUBJECT: S. 312th Widening Project; Parcel No. 053700- 0660 -03 Grantor: Corpuz Purchase Chris, in closing out the real property files, I am sending the originals of the following documents to you for safekeeping. 1) Original Statutory Warranty Deed, Ms. Corpuz to City, King County Recording No. 9802040705. 2) Original Owner's Policy of Title Insurance No. 1093 -35718 (Order No. 222251) dated February 4, 1998, issued by Pacific Northwest Title in the sum of $2,800. 3) A copy of the Final Closing Statement. If you have any questions, please give me a call. cc: Al Emter, Project Engineer k: \pubwork\312 \Corpuz MemoClerk.doc