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AG 23-217 - STEVEN JACOBS - PARCEL 092104-9329RETURN TO: PW ADMIN EXT: 2700 ID #: (4307 - Master) / 4317 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATINGDEPT/DIV: PUBLIC WORKS/Deputy Director .2. ORIGINATING STAFF PERSON-. Desiree Winkler EXT: 2711 3. DATE REQ. B�': 9/29/23 3. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG 0 REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL 0 OTHER Purchase & Sale Agreement 4. PROJECT NAME: operations and Maintenance Facility - Property Acquisition PSA Master Template s. NAME OF CONTRACTOR: Parcel Number: Oq 2N D L\ t 9 ,!, 2°r ADDRESS: TELEPHONE: E-N-TAIL: FAX: SIGNATURE NAME: TITLE: 6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE © ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BE, EXP. 12/31/ UBI # , EXP. 7. TERM: COMMENCEMENT DATE: n/a COMPLETION DATE: n/a 8. TOTAL COMPENSATION: $ 220,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED in PURCHASING: PLEASE CHARGE TO: r36810-26110 9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER ❑ DIVISION MANAGER A DEPUTY DIRECTOR Dsw 9120123 ❑ DIRECTOR -4, 'z ❑ RISK MANAGEMENT (IF APPLICABLE) 6 LAW DEPT KVA9/21/2023 10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 11. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC- D: 10/17/2023 ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL / DATE SIGNED ❑ FINANCE DEPARTMENT A LAW DEPT a t 0 tE 6 SIGNATORY (MAYOR OR DIRECTOR) Z3 8 CITY CLERK i7 6 ASSIGNED AG # OF ❑ SIGNED COPY RETURNED SENT: 16-o1d,a5_ , COMMENTS: `fir EXECUTE " I - ORIGINALS Requesting a review of (his after package as the 'TEMPLATE- for all offer packages on this project Once this one is reviewed and approved, "will make all offers on these same forms KVA 9/21/23 - template approved 1 2020 t�err� A C L S C 0 M P A N Y DATE: 10/19/2023 TO: City of Federal Way Attn: Desiree S. Winkler, P.E. Address: 33325 811 Ave. S. Federal Way, WA 98003 Phone: (253) 835-2711 RE: Project Name: Federal Way, O & M Property Owner: Heirs and Devisees of Sarah Jacobs, deceased. Personal Representative: Steven Jacobs Project Parcel No. 092104-9329 DOCUMENT(S) TRANSMITTED: Hand Delivered US Mail Pick-up Other Dated No. Item 10/13/2023 1 Offer Letter- signed acknowledgement 10/13/2023 ? Purchase and Sale Agreement- for city signatures 1.0/13/2023 3 Warnanty Deed - for city signatures 10/13/2023 4 Real Estate Excise Tax Affidavit- for city signature 10/13/2023 5 Real Propcity Voucher- for processing payment 10/13/2023 6 -9 for Personal Representative - to process payment 10/11/2023 7 Utility Service Provider — Vacant Land 10/11/2023 8 Seller's Disclosure Statement- to follow-up 10/11/2023 Escrow Agreement -need city signature, for escrow to process closing v'For your Approval & Process -Tor your Signature For your Information For your Use As Requested For Review & Comment Other: COMMENTS: Desiree, Please let me know if you will deliver signed original copies to Escrow/Title. T'd like to use an office in Federal Way. This will make it more convenient when the owner meets to sign final documents. Thanks, Marge Marge R. Bailey Project Manager Tierra Right of Way Services, Ltd. 8685 Martin Way E., Ste 203, Lacey, WA 98516 253.439.7143 mobile 1800. 887.0847 1 www.tierra-row-corn RECEIVED BY: DATE: 1,0 A3. Tierra, Right of �;y Sery _ Lti:. l�r� Leslie Findlay Designated 8C85 East guile 20-3 9e515 • P;�ai'i� __ ...�•:.1 Rlgilt QI` i�%81' �l iC11 nk F �OL�fCE5 E.Tivlroil w@I-'.14 .i rEail!IiC;� Toll Fir_-e B6G C87.Oc�7 en.;w.tierr�a-!ovd-rom TIlerra A C L S C 0 M P A N V 10/13/2023 Heirs and Devisees of Sarah Jacobs, deceased Personal Representative: Steven Jacobs 30902 28th Ave S, Federal Way, WA 98003 Offer Letter Project Title: City of Federal Way, Joint Operations & Maintenance Facility Parcel No.: 092104-9329 Dear Mr. Jacobs: The City of Federal Way (City) plans to proceed with the above -titled public project. The City will be constructing a new Operations and Maintenance Facility in the Steel Lake proximity. The purpose of this letter is to notify you of the following: • The City's interest in acquiring your property and/or property rights for this project. • The City's determination of just compensation for your property and/or property rights. • The basic protections afforded to you by law. As outlined below, the City has established an amount it believes is just compensation based on the market value estimated for your property. The City's offer is as follows: Land Conveyed in Fee: _ $220,000.00 Total Amount $220,000.00 Your property has been examined by a qualified appraiser and appraisal reviewer who have carefully considered all the elements which contribute to the market value of your property. You, or your designated representative, were provided with an opportunity to accompany the appraiser and appraisal reviewers on all inspections of your property. By law, the appraisers and appraisal reviewers must disregard any general increase or decrease in value caused by the project. Tierra Right of Way Services, Ltd. LPA-350 Leslie Findlay, Designated Broker #27965 Rev 8/2022 8685 Martin Way East, Suite 203 . Lacey, Washington 98516 . Phone: 206.363.1556 Right of Way ■ Cultural Resources • Environmental Planning Toll Free: 800.887.0847 . www.tierra-row.com The City has determined that the project will displace you, your tenants, or your personal property. By law, you are eligible for relocation assistance consistent with state and federal law and have rights. Owners and tenants of dwellings, businesses, farm operations, or nonprofit organizations being displaced cannot be required to move from the referenced property without being given a written assurance of at least 90 days prior to the date by which they will be required to vacate the property. The City will provide this assurance as well as additional information regarding your eligibility in forthcoming relocation letter entitled, "Notice of Relocation Eligibility, Entitlements, and 90-Day Assurance". Occupancy of the property beyond the date the City acquires possession will require that a rental agreement be signed and rent be paid. If the occupant vacates the property within 30 days after the "payment date", the City will refund all prepaid rent. RCW 64.06 provides for a disclosure statement from sellers of residential property including multi -family dwellings up to four units and condominiums unless the Purchaser elects to waive the necessity of said statement. The City, as Purchaser of your property, does hereby require the necessity of you to provide the disclosure statement. If a mutually agreeable settlement is not reached, the City, acting in the public interest, will use its right of eminent domain to acquire property for public use. In conformity with the Washington State Constitution and laws, the City's legal counsel will file a condemnation suit to obtain a "Court Order of Public Use and Necessity", and a trial will be arranged to determine the just compensation to be paid for the property. This action is taken to ensure your rights as an individual property owner are protected. If a condemnation action is filed, you should consider consulting with an attorney to ensure that you receive appropriate representation. You may wish to employ professional services to evaluate the City's offer. If you do so, we suggest that you employ well -qualified evaluators so that the resulting evaluation report will be useful to you in deciding whether to accept the City's offer. The City will reimburse up to $750.00 of your evaluation costs upon submission of the bills or paid receipts. The Internal Revenue Service (IRS) requires that the City obtain your correct taxpayer identification number (TIN) or social security number (SSN) to report income paid to you as a result of this real estate transaction. Payment for your property and/or property rights will be made available to you as soon as reasonably possible after acceptance of the City's offer, provided that there are no delays in closing the transaction. The date on which payment is made available to you is called the "payment date". On that date, the City becomes the owner of the property rights purchased and responsible for its control and management. If you have personal property presently located on the property being acquired by the City that needs to be moved, the City will reimburse you for the cost of moving it through the Relocation Assistance program. LP A-330 2 Rev. 8/2022 Enclosed please find the following: • The necessary legal documents for the transferring of the property or property rights • Real Estate Excise Tax Affidavit • Real Property Voucher ■ Utility Service Provider Sheet ■ Seller Disclosure Statement ■ W-9 per IRS requirements ■ A copy of the valuation of your property • Title Report • Escrow Agreement • Transportation Needs and You Brochure (explaining the Right of Way acquisition process) This letter has been sent to provide a concise statement of the City's offer and summary of your rights. Please feel free to direct any questions you may have to the undersigned. Thank you for your time and consideration. Sincerely, Brendenn Kralicek Right of Way Agent Tierra Right of Way Services, Ltd 8685 Martin Way E., #203 Lacey, WA 98516 bkralicek(&,,tierra-row. com (206) 677-8361 mobile Enclosures Acknowledgment of receipt of Offer Letter Signature: Date: Personal Representative: Steven Jacobs Heirs and Devisees of Sarah Jacobs, deceased Signature above does not mean acceptance or rejection of offer. LP A-330 3 Rev. 8/2022 REAL ESTATE PURCHASE AND SALE AGREEMENT THIS REAL ESTATE PURCHASE AND SALE AGREEMENT (hereinafter "Agreement") is entered into by and between Heirs and Devisees of Sarah Jacobs, deceased, (hereinafter "Seller") and The City of Federal Way, a municipal corporation and political subdivision of the state of Washington (hereinafter "Purchaser"). Seller and Purchaser may hereinafter collectively be referred to as "Parties" or individually as a "Party." AGREEMENT FOR AND IN CONSIDERATION of the mutual promises and covenants contained herein, the sufficiency of which is unconditionally acknowledged by Seller and Purchaser, the Parties agree as follows: 1. The Property. Seller is the sole owner in fee simple of a certain real property located in King County, Washington legally described on the attached Exhibit A (the Property). 2. Purchase and Sale. Seller shall sell and convey to Purchaser, and Purchaser shall purchase and accept from Seller, upon the terms, covenants, and conditions set forth in this Agreement, all of Seller's right, title, and interest in and to the Property, including all after - acquired property. Seller warrants that Seller has full right, title, authority, and capacity to execute this Agreement and sell the Property. Purchaser warrants that Purchaser has full right, title, authority, and capacity to execute this Agreement and purchase the Property. 3. Purchase Price and Payment. The total purchase price for the Property (hereinafter "Purchase Price") is TWO HUNDRED TWENTY THOUSAND DOLLARS and NO/100 Dollars ($220,000.00) and shall be paid by Purchaser to Seller by cashier's check, certified check, or wire transfer of immediately available funds to Seller at closing. 4. Conveyance of Title. Seller shall convey title to the Property legally described on the attached Exhibit A to Purchaser by Statutory Warranty Deed (hereinafter "Deed"). 5. Closing; Possession. Closing shall occur upon payment of the Purchase Price to Seller from Purchaser and delivery of the executed Deed from Seller to Purchaser (hereinafter "Closing Date"), but in no event later than 1 7.v e3 The Parties agree to execute any and all documents necessary to effectuate the intent of this Agreement. Purchaser shall be entitled to possession of the Property legally described on the attached Exhibit A as of the Closing Date. 6. Risk of Loss. Risk of loss of or damage to the Property shall be borne by Seller until the Closing Date. Thereafter, Purchaser shall bear the risk of loss. In the event of material loss of or damage to the Property prior to the Closing Date, Seller shall promptly notify Purchaser in writing and Seller shall not be obligated to restore the Property nor pay damages to Purchaser by reason of such loss or damage. Upon receipt of written notice pursuant to Section 10 below, Purchaser may within five (5) business days terminate this Agreement by giving written notice of such termination to Seller and such termination shall be effective immediately; provided, however, that Purchaser may elect to purchase the Property in the condition then existing; provided that, Purchaser delivers notice of such election pursuant to Section 10 below within five (5) business days of receipt of Seller's notice of a material loss of or damage to the Property as provided for in this Section 8. 7. Closine Costs & Prorations. Seller shall pay its own attorney fees. Purchaser shall pay the cost of recording the Deed, its own attorney fees, and all other costs and expenses allocated to Purchaser and Seller pursuant to the terms of this Agreement; excepting only the Seller's payment of its own attorney fees as provided for above in this Section 8 and any prorations for which it is responsible pursuant to the following sentence. Any taxes, liens, assessments, insurance, or Page 1 of 5 charges imposed by law upon the Property shall be prorated as of the Closing Date, with such prorations to be a final settlement between the Parties. 8. Notices. Except as specifically set forth herein, any demand, request or notice which either Party desires or may be required to make or deliver to the other shall be in writing and shall be deemed given when personally delivered, or when delivered by private courier service (such as Federal Express), or three days after being deposited in the United States Mail first class, postage prepaid and addressed as follows: PURCHASER SELLER Heirs and Devisees of Sarah Jacobs, City of Federal Way deceased, Personal Representative: 33325 8th Ave. S. Steven Jacobs, Federal Way, WA 98003 30902 28th Avenue South Federal Way, WA 98003 The foregoing addresses may be changed by written notices to the other parry as provided herein. 9. Time. Time is of the essence in every provision herein contained. 10. Binding Agreement. This Agreement shall inure to the benefit of and be binding upon the heirs, personal representative, successors, and assigns of the Parties. 11. Attorneys' Fees. In the event of any litigation regarding the rights and obligations of the parties under this Agreement, the prevailing party shall recover its costs and attorneys' fees, including such costs and attorneys' fees for appeals. 12. Negotiation and Construction. This Agreement was negotiated by the Parties and shall be construed according to its fair meaning and not strictly for or against either Party. 13. Entire Agreement. This Agreement contains the entire understanding between the Parties and supersedes any prior understandings and agreements between them regarding the subject matter hereof. There are no other representations, agreements, or understandings, oral or written, between the Parties relating to the subject matter of this Agreement. No amendment of, or supplement to, this Agreement shall be valid or effective unless made in writing and executed by the Parties. 14. Counterparts. This Agreement may be signed in two or more counterparts, which taken together shall constitute the complete Agreement. 15. Invalid Provision. If any provision of this Agreement is held to be illegal, invalid or unenforceable under present or future laws, such provision shall be fully severable; this Agreement shall be construed and enforced as if such illegal, invalid or unenforceable provision had never comprised a part of this Agreement; and the remaining provisions of this Agreement shall remain in full force and effect and shall not be affected by such illegal, invalid or unenforceable provision or by its severance from this Agreement. [SIGNATURES & ACKNOWLEDGEMENTS APPEAR ON FOLLOWING PAGES] Page 2 of 5 PURCHASER'S SIGNATURE PAGE City of Federal Way EJ Walsh, P.E. Director of Public Works STATE OF WASHINGTON :ss County of _Y► n a i Date: la 1 1ef 17-0`` 72 On this Aq day of [ � . � ao-A x before me personally appeared EJ Walsh. P.E., to me known to be the Director of Public Works, for the City of Federal Way, and that he executed the within and foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said City of Federal Way, for the uses and purposes therein set forth, and on oath states that he is authorized to execute said instrument. GIVEN under nd and official seal the day and year last above written. �Y L Sp +it. (SEAT l �►►► Notary PulWc in and for Q State of �0 Washington, residing at re W ►► Op WA ""'` = My commission expires /- l7 -011 y ATTEST: h 71 ourtney, C MC, City Clerk Date APPROVED AS TO FORM: 4� - ff='A Ryan Call, City Attorne D c")per eX02 Date Page 3 of 5 SELLER'S SIGNATURE PAGE Heirs and rev s es of Sarah Jacobs deceased B Y• Printed Name: Steven J obs Title: Personal Representative Date: �p STATE OF WASHINGTON ) :ss County of / 1 Y) � ) On this ] 3 day of 0G T D (j C-Rc before me personally appeared Steven Jacobs individually, and as Personal Representative of the estate of Sarah Jacobs, deceased, to me known to be the individual in and who executed the foregoing instrument, and acknowledged to me that he signed and sealed the same as his free and voluntary act and in the capacity and for the uses and purposes therein mentioned. GIVEN my hand and official seal this ^ day of 0 C T D e e /� , 2023. (SEAL) ��_� Notary's signatureA ' ��7lt—� — "13 4 Notary's printed name eaa,(, Fzgkel&/[ i80b0� �egwnp a� Notary Public in and for the State of Washington. HiiY�s "131�1�3� 'I tllllbd NOIJNIHSyi d0 31d1S My commission expires o S - D 1- 20 A5 011811d ,MION Page 4 of 5 EXHIBIT A LEGAL DESCRIPTION LOT 2, TOGETHER WITH AN UNDIVIDED INTEREST IN TRACT A, CITY OF FEDERAL WAY SHORT PLAT NO.SPL98-0003, AS RECORDED UNDER RECORDING NUMBER 9902229005, RECORDS OF KING COUNTY,WASHINGTON. EXCEPT THAT PORTION OF TRACT A CONVEYED TO CENTRAL PUGET SOUND REGIONAL TRANSIT AUTHORITY BY DEED RECORDED UNDER RECORDING NO. 20191125000913. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. Page 5 of 5 After recording return document to: City of Federal Way 33325 8" Avenue South Federal Way, WA 98003 Document Title: Warranty Deed Reference Number of Related Document: Grantors: Heirs and Devisees of Sarah Jacobs, deceased Grantee: City of Federal Way Legal Description: LT 2, TGW TRACT A, CITY OF FEDERAL SHP NO. SPL98-0333, RECORDING NO.9902229005. Additional Legal Description is on Page 4 of Document. Assessor's Tax Parcel Number: 092104-9329 WARRANTY DEED City of Federal Way, Joint Operations & Maintenance Facility The Grantors, Heirs and Devisees of Sarah Jacobs, deceased, for and in consideration of the sum of TEN AND NO/100 ($10.00) Dollars, and other valuable consideration, hereby convey and warrant to the City of Federal Way, a municipal corporation, Grantee, the following described real property situated in King County, in the State of Washington, under the imminent threat of the Grantee's exercise of its rights of Eminent Domain: For legal description and additional conditions See Exhibit A attached hereto and made a part hereof. It is understood and agreed that delivery of this deed is hereby tendered and that the terms and obligations hereof shall not become binding upon the City of Federal Way unless and until accepted and approved hereon in writing for the City of Federal Way, by its authorized agent. Project No. 36610 LPA-302 Page 1 of (4) Pages Parcel No. 092104-9329 10/2014 WARRANTY DEED Heirs and D ' ees of Sarah Jacob, e cI By: Printed Name: Steven Jacobs Title: Personal Representative Date: STATE OF WASHINGTON ) :s5 COUNTY OF On this A_ day of O C. T D 13 e R, before me personally appeared Steven Jacobs individually, and as Personal Representative of the estate of Sarah Jacobs, deceased, to me known to be the individual in and who executed the foregoing instrument, and acknowledged to me that he signed and sealed the same as his free and voluntary act and in the capacity and for the uses and purposes therein mentioned. GIVEN my hand and official seal this f 3 day of 061'06& R , 2023. NOTARY PUBLIC STATE OF WASHINGTON PAULA I. FERREIRA-SMITH License Number 104082 Mir Commi " Expiry 05-01.2025 Notary's signature�P , i?,L_ Notary's printed name ea.. j )Ce R,ee,;_,•f S -rrn; .�A_ Notary Public in and for the State of Washington. My commission expires OCI p/ aoas- LPA-302 Page 2 of (4) Pages Parcel No. 092104-9329 10/2014 WARRANTY DEED City of Federal Way Date: la l°t (70 L3 EJ Clsh, P.E. Director of Public Works STATE OF WASHINGTON ss County of -K� nr4 ) On this 1c('wn day of (k . , Aoa,3 before me personally appeared EJ Walsh. P.E., to me known to be the Director of Public Works, for the City of Federal Way, and that he executed the within and foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said City of Federal Way, for the uses and purposes therein set forth, and on oath states that he is authorized to execute said instrument. GIVEN under my hand and official seal the day and year last above written. (SEAL) gVY�,,5�� ��►g� - _ ,,te�aa ' .,,'s . *ar,� t cN r u Notarytgublic in and Or the State o y X �-+ sy Washington, residing at FpA&f-xt W"A4 r �'ec►G i� r7-24 My commission expires 1-1 77 "a Qom` ATTEST: tt{►►►�►�" APPROVED AS TO FORM: Date LPA-302 10/2014 Ryan Call, City Attorney Date Page 3 of (4) Pages Parcel No. 092104-9329 UZItlt%11211Wd1]D1DIC EXHIBIT A LEGAL DESCRIPTION LOT 2, TOGETHER WITH AN UNDIVIDED INTEREST IN TRACT A, CITY OF FEDERAL WAY SHORT PLAT NO.SPL98-0003, AS RECORDED UNDER RECORDING NUMBER 9902229005, RECORDS OF KING COUNTY, WASHINGTON. EXCEPT THAT PORTION OF TRACT A CONVEYED TO CENTRAL PUGET SOUND REGIONAL TRANSIT AUTHORITY BY DEED RECORDED UNDER RECORDING NO. 20191125000913. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. 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Federal Way, WA 98003 I hereby certify under penalty of perjury that the items and amounts listed herein are proper charges against the Agency, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant. SIGNATURE (IN INK) FOR EACH CLAIMANT DATED X J GRANTOR OR CLAIMANT (NAME, ADDRESS) Heirs and Devisees of Sarah Jacobs, deceased. Personal Representative: Steven Jacobs 30902 28th Avenue South Federal Way. WA 98003 TNWSSN: C T y C' Heirs and vises of Sarah cobs, deceased Personal Representative: Steven Jacobs X PROJECT NO. AND TITLE #36610 City of Federal Way. Joint Operations & Maintenance Facility FEDERAL AID NO. PARCEL NO. 1092104-9329 In full, complete and final payment and settlement for the title or interest conveyed or released, as fully set DATED $ AMOUNT LAND:. Land Conveyed in Fee + $220,000.00 IMPROVEMENTS: DAMAGES: Cost to Cure Proximity Other + + + SPECIAL BENEFITS JC (Just Com ensation) Amount $220,000.00 REMAINDER: Uneconomic Remnant Excess Acquisition + + DEDUCTIONS: Amount Previously Paid Performance Bond Salvage Amount Pre Paid Rent Other .ADMINISTRATIVE SETTLEMENT + STATUTORY EVALUATION ALLOWANCE + ESCROW FEE + REAL ESTATE EXCISE TAX + OTHER: ACQUISITION AGENT Brendenn Kralicek DATE 7i3;vu Voucher No. TOTAL AMOUN PAID $220,000.00 AUTHORIZED AGENT FOR AGENCY `:44 --Z-� DATE I 1 01 19 n3 LPA-321 10/2014 Request for Taxpayer Give Form to the Form (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on ur inconme tax return). Name is requlred on this line; do not leave this line blank. 5 2 Business name/disregarded entity name, if different from above M �P 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the Y 4 Exemptions codes apply only to P� ( PP Y Y following seven boxes. certain entities, not individuals; see Q o InIdividual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): c single -member LLC Exempt payee code (if any) ao 0 ❑ Limited liability company, Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Do- 0 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC is disregarded from Exemption from FATCA reporting E w e LLC if the LLC is classified as a single -member that the owner unless the owner of the LLC is code (if any) a another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that 8 w is disregarded from the owner should check the appropriate box for the tax classification of its owner. m ❑ Other (see Instructtons) ► (Applies to accounts mainlained wiside the U.S.) rn 5 Address (numberr,,�street, and apt. orsulte no.) See instruuctionse Requester's name and address (optional) 6 City, state, Z[P ode/ / q eew 7 List account numbags) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Soclal security number — 3 backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to qet a TIN, later. Note: If the account is in more than one name, see the instructions for line 1 or Also see What Name and Employer identification number Under penalties of perjury, I 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. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estat ansactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of de trlbu ' to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are ngt•Cqufred to sign a cati ut you must provide your correct TIN. See the instructions for Part II, later. Sign I Signature of t(� r Date ► to �3, Here U.S. person ► Lam` General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-V (Rev. 10-2018) ESCROW AGREEMENT TO: Chicago Title Company of Washington OWNER: 701 5t" Avenue, Suite 2700 Heirs and Devisees of Sarah Jacobs, deceased Seattle, WA 98104 Personal Representative: Steven Jacobs (206)628-5600 30902 28th Avenue South CTISeattleTitleUnit4@ctt.com Federal Way, WA 98003 Parcel Number: 092104-9329 Title Commitment Number: 0253209-04 Commitment Date: March 30, 2023 DATE: /C%�/3/7,0z3 City of Federal Way, and the undersigned, mutually agree and direct you to close this escrow in accordance with the following instructions: 1. The undersigned grantors hereby authorize the issuance of a City ol'Federal Way warrant payable solely to the above -named Escrow Agent, for our benefit. 2. Receive the Warran , Deed handed herewith from us as grantors to the City of Federal Wav as grantee, conveying the lands described in your above -referenced Preliminary Commitment. 3. Receive the sum of $220,000.00 in the form of a City.oF Federal Way warrant that you are instructed to distribute as follows: Pay and eliminate of record all encumbrances on said premise shown in your preliminary commitment no. 0253209-04 dated March 30`h, 2023. Together with any other encumbrances appearing on record against said premise, on statement of holder or holder's representative prior to closing, except those noted in # 1-6, #8 and # 10 of Schedule B, Special Exceptions. 4. Note: All escrow and recording fees shall be paid by the City of Federal_ Wax 5. The City of Federal Way, at its discretion, reserves the right to withdraw the funds for this transaction from escrow and close this transaction independently or deposit said funds with the Clerk of the Court if deemed necessary. 6. When ready to vest title in City of Federal Way, record instrument shown in instruction 2 above (no recording fee or excise tax is to be charged) and prepare CLOSING DETAIL STATEMENT as explained on the reverse hereof. 7. Remit the balance by your check to: Steven Jacobs 30902 28th Avenue South Federal Way, WA 98003, with your CLOSING DETAIL STATEMENT. 6�>Z<1 3.,)Y,i t t v tT 8. Issue standard form Owner's policy of title insurance in the sum of $220,000.00 insuring City of Federal Way as owner of the estate conveyed. 9. Upon closing, mail recorded instruments, title policy, and copy of CLOSING DETAIL STATEMENT to City of Federal Way. 33325 8" Ave. S.. Federal Way. WA 98003._ City of Federal Way ��'�� lolpl-soz,3 By: Date PgVc: WQr�s Director Heirs and Devisees of Sarah Jacobs, deceased, Personal Repress Z� CLOSING DETAIL STATEMENT As indicated on the Escrow Instructions, the Escrow Agent shall furnish, upon the completion of the escrow transaction, a CLOSING DETAIL STATEMENT that will show thereon: (a) The date of receipt and total amount of escrowed funds. (b) The fee for escrow services and a statement that the entire escrow fee has been paid solely by the City of Federal Way. (c) The date on which the City of Federal Way's grantor(s) is notified that the Escrow Agent is ready to disburse funds to the City of Federal Way's grantor(s). (d) Date of closing of the escrow. (e) Detail of a mortgage payoff that includes: Principal unpaid balance and date. Accrued interest and dates for which interest is paid. Prepayment penalty assessed, if any. Offset of reserves held by mortgagee. Net amount paid to mortgagee and date. (f) Sums, if any, withheld from distribution to the City of Federal Way's grantors at time of closing, and for what reason. (g) Endorsements to the effect that: I.. The statement has been read by the City of Federal Way's grantor, approved, and acknowledgment of receipt of the funds indicated as the net balance due from the Escrow Agent. The closing officer certifies that the statement is true and correct. In case the Escrow Agent has withheld funds from distribution to the City of Federal Way's grantor(s) for any reason, the Escrow Agent shall furnish to the City of Federal Way copies of correspondence transmitting such withheld funds at the time of their final disposition. Heirs and Devisees of Sarah Jacobs, deceased, Personal Representative: Steven Jacobs.docx �1&h-�Lir L.eT SELLER DISCLOSURE STATEMENT (RCW 64.06.020) Page 1 of 6 INSTRUCTIONS TO THE SELLER Please complete the following form. Do not leave any spaces blank. If the question clearly does not apply to the property check "N/A." If the answer is "yes" to any * items, please explain at the end or on attached sheets. Please refer to the question numbers when you provide your explanations. For your protection you must date and initial each page of this disclosure statement and each attachment. Delivery of the disclosure statement must occur not later than five business days, unless otherwise agreed, after mutual acceptance of a written contract to purchase between a buyer and a seller. NOTICE TO THE BUYER THE FOLLOWING DISCLOSURES ARE MADE BY THE SELLER ABOUT THE CONDITION OF THE PROPERTY LOCATED AT ("THE PROPERTY"), OR AS LEGALLY DESCRIBED ON ATTACHED EXHIBIT A. SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL DEFECTS TO BUYER BASED ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS YOU AND SELLER OTHERWISE AGREE IN WRITING, YOU HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO YOU TO RESCIND THE AGREEMENT BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. IF THE SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT. THE FOLLOWING ARE DISCLOSURES MADE BY SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY WRITTEN AGREEMENT BETWEEN BUYER AND SELLER. FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED TO OBTAIN AND PAY FOR THE SERVICES OF QUALIFIED EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUDE, WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING INSPECTORS, ON -SITE WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST INSPECTORS. THE PROSPECTIVE BUYER AND SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE PROPERTY OR TO PROVIDE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY ADVICE, INSPECTION, DEFECTS OR WARRANTIES. Seller ❑ is ❑ is not occupying the property. I. SELLER'S DISCLOSURES *If you answer "Yes" to a question with an asterisk (*), please explain your answer and attach documents, if available and not otherwise publicly recorded. If necessary, use an attached sheet. 1. TITLE YES NO DON'T N/A KNOW A. Do you have legal authority to sell the property? If no, please explain: Q ❑ ❑ *B. Is title to the property subject to any of the following? (1) First right of refusal ❑ ❑ ❑ (2) Option ❑ 'Q ❑ ❑ (3) Lease or rental agreement ❑ u❑ 17 L (4) Life estate? ❑ ❑ ❑ *C. Are there any encroachments, boundary agreements, or boundary disputes? ❑ ❑ ❑ *D. Is there a private road or easement agreement for access to the property? ❑ a Q ❑ *E. Are there any rights -of -way, easements, or access limitations that may affect the Buyer's use of ❑ ❑ ❑ the property? *F. Are there any written agreements for joint maintenance of an easement or right-of-way? ❑ �� ❑ ❑ *G. Is there any study, survey project, -or notice that would adversely affect the property? ❑ 9( ❑ ❑ r *H. Are there any pending or existing assessments against the property? ❑ FQ ❑ ❑ *I. Are there any zoning violations, nonconforming uses, or any unusual restrictions on the property ❑j ❑ ❑ that would affect future construction or remodeling? Seller's Initials: 19 D4- �b"Z� Seller's Initials: _ Date: rl'I y "yt SELLER DISCLOSURE STATEMENT (RCW 64 06 020) Page 2 of 6 *J. Is there a boundary survey for the property? ❑ ❑� ❑ "K_ Are there any covenants, conditions, or restrictions recorded against the property? 0 T' ❑ ❑ 2. WATER YES NO DON'T KNOW N/A A. HOUSEHOLD WATER 9 The source of water for the property is: Private or publicly owned water system 0 Private well serving only the subject property *0 Other water system: ❑ [3 ❑ *If shared, are there any written agreements? *(2) Is there an easement (recorded or unrecorded) for access to and/or maintenance of the ❑ ❑ ❑ water source? ❑ *(3) Are there any problems or repairs needed? El ❑ (4) During your ownership, has the source provided an adequate year-round supply of potable (( 0 0 0 water? If no, please explain: *(S) Are there any water treatment systems for the property? ❑ 0 ` i ❑ If yes, they are: 0 Leased 0 Owned / ❑ *(6) Are there any water rights for the property associated with its domestic water supply, such ❑ Ct ❑ as a water right permit, certificate, or claim? (a) If yes, has the water right permit, certificate, or claim been assigned, transferred, or ❑ ❑ ❑ ❑ changed? *(b) If yes, has all or any portion of the water right not been used for five or more successive ❑ 0 0 ❑ years? *(7) Are there any defects in the operation of the water system (e.g. pipes, tank, pump, etc.)? El El 0 B. IRRIGATION WATER (1) Are there any irrigation water rights for the property, such as a water right permit, certificate, 0 0 ❑ or claim? *(a) If yes, has all or any portion of the water right not been used for five or more successive 0 0 ❑ ❑ years? *(b) If so, is the certificate available? (If yes, please attach a copy.) 0 ❑ 0 ❑ *(c) If so, has the water right permit, certificate, or claim been assigned, transferred, or ❑ ❑ ❑ ❑ changed? *(2) Does the property receive irrigation water from a ditch company, irrigation district, or other ❑ 'IL ❑ ❑ entity? If so, please identify the entity that supplies water to the property: C. Outdoor Sprinkler System ❑ 0 ❑ (1) Is there an outdoor sprinkler system for the property? *(2) If yes, are there any defects in the system? ❑ 0 0 ❑ *(3) If yes, is the sprinkler system connected to irrigation water? ❑ ❑ ❑ 0 3. SEWER/ON-SITE SEWAGE SYSTEM YES NO DON'T N/A KNOW The property is served by: Public sewer system 0 On -site sewage system (including pipes, tanks, drainfields, and all other component parts) ❑ Other disposal system, please describe: B. If public sewer system service is available to the property, is the house connected to the sewer ❑ ❑ 61 ❑ main? If no, please explain. Seller's Initials: _ < Date: 1r✓fy �� Seller's Initials: �z Gate. i - a -0 SELLER DISCLOSURE STATEMENT (RCW 64.06.020) Page 3 of 6 *C. Is the property subject to any sewage system fees or charges in addition to those covered in your ❑ ❑ ❑ regularly billed sewer or on -site sewage system maintenance service? D. If the property is connected to an on -site sewage system: ❑ ❑ ❑ *(1) Was a permit issued for its construction, and was it approved by the local health ❑ ❑ ❑ ❑ department or district following its construction? (2) When was it last pumped? ❑ ❑ ❑ ❑ *(3) Are there any defects in the operation of the on -site sewage system? ❑ ❑ ❑ ❑ (4) When was it last inspected? ❑ ❑ By whom? (5) For how many bedrooms was the on -site sewage system approved? ❑ ❑ E. Are all plumbing fixtures, including laundry drain, connected to the sewer/on-site sewage system? ❑ ❑ 0 If no, please explain: *F. Have there been any changes or repairs to the on -site sewage system? ❑ ❑ `� ❑ G. Is the on -site sewage system, including the drainfield, located entirely within the boundaries of ❑ ❑ ❑ the property? If no, please explain: *H. Does the on -site sewage system require monitoring and maintenance services more frequently ❑ ❑ 'l ❑ than once a year? . IF THIS SELLER DISCLOSURE STATEMENT IS BEING COMPLETED FOR NEW CONSTRUCTION WHICH HAS NEVER BEEN OCCUPIED, THE SELLER IS NOT REQUIRED TO COMPLETE THE QUESTIONS LISTED IN ITEM 4. STRUCTURAL OR ITEMS. SYSTEMS AND FIXTURES. 4. STRUCTURAL YES NO DON'T N/A KNOW *A. Has the roof leaked within the last five years? ❑ Ily ❑ ❑ *B. Has the basement flooded or leaked? ❑ ly ❑ ❑ *C. Have there been any conversions, additions, or remodeling? ❑ 6� ❑ ❑ *(1) If yes, were all building permits obtained? ❑ It ❑ ❑ *(2) If yes, were all final inspections obtained? ❑ ❑ ❑ ❑ D. Do you know the age of the house? If yes, year of original construction: ❑ ❑ Iln ❑ *E. Has there been any settling, slippage, or sliding of the property or its improvements? ❑ S ❑ ❑ *F. Are there any defects with the following: '(If yes, please check applicable items and explain.) ❑ 1)( ❑ ❑ ❑ Foundations ❑ Decks ❑ Exterior Walls ❑ Chimneys ❑ Interior Walls ❑ Fire Alarm ❑ Doors ❑ Windows ❑ Patio ❑ Ceilings ❑ Slab Floors ❑ Driveways 11 Pools ❑ Hot Tub 0 Sauna ❑ Sidewalks ❑ Outbuildings ❑ Fireplaces ❑ Garage Floors ❑ Walkways ❑ Siding ❑ Wheelchair Lifts ❑ Woodstoves ❑ Elevators ❑ Incline Elevators ❑ Stairway Chair Lifts ❑ Other: *G. Was a structural pest or "whole house" inspection done? If yes, when and by whom was the ❑ CI ❑ inspection completed? Seller's Initials;_ Date,, } Seller's initials: Date:l(0-2� SELLER DISCLOSURE STATEMENT (RCW 64.06.020) H. During your ownership, has the property had any wood destroying organism or pest infestation? I. Is the attic insulated? J. Is the basement insulated? 5. SYSTEMS AND FIXTURES *A. If any of the following systems or fixtures are included with the transfer, are there any defects? If yes, please explain. Electrical system, including wiring, switches, outlets, and service Plumbing system, including pipes, faucets, fixtures, and toilets Hot Water Tanks Garbage Disposal Appliances Sump Pump Heating and Cooling Systems Security System ❑ Owned ❑ Leased Other: *B. If any of the following fixtures or property is included with the transfer, are they leased? (If yes, please attach copy of lease.) Security System Tanks (type: ) Satellite Dish Other: *C. Are any of the following kinds of wood burning appliances present at the property? (1) Woodstove? (2) Fireplace insert? (3) Pellet Stove? - (4) Fireplace? If yes, are all of the (1) woodstoves or (2) fireplace inserts certified by the U.S. Environmental Protection Agency as clean burning appliances to improve air quality and public health? D. Is the property located within a city, county, or district or within a department of natural resources fire protection zone that provides fire protection services? E. Is the property equipped with carbon monoxide alarms? (Note: Pursuant to RCW 19.27.530the seller must equip the residence with carbon monoxide alarms as required by the state building code.) F. Is the property equipped with smoke detection devices? (Note: Pursuant to RCW 43.44.110, if the property is not equipped with at least one smoke detection device, at least one must be provided by the seller) ❑ YES NO Seller's Initiais:. Rate:' (F--I? Seller's Initials Date: Page 4 of 6 Cl N/A 0 ❑ 0 11 13 13 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ )@� ❑ ❑ ❑ ❑ ❑ ❑ ❑ C ❑ ❑ ❑ C ❑ ❑ 1 ❑ ❑ 1 J< ❑ ❑ C SELLER DISCLOSURE STATEMENT (RCW 64.06.020) 6. HOMEOWNERS' ASSOCIATIONS / COMMON INTERESTS A. Is there a Homeowners' Association? Name of Association and contact information for an officer, director, employee, or other authorized agent, if any, who may provide the association's financial statements, minutes, bylaws, fining policy, and other information that is not publicly available: B. Are there regular periodic assessments: $ per ❑ Month ❑ Year ❑ Other: *C. Are there any pending special assessments? *D. Are there any shared "common areas" or any joint maintenance agreements (facilities such as walls, fences, landscaping, pools, tennis courts, walkways, or other areas co -owned in undivided interest with others)? Page 5 of 6 YES NO DON'T N/A KNOW ❑ ❑ ❑ 7. ENVIRONMENTAL YES NO DON'T N/A KNOW *A. Have there been any flooding, standing water, or drainage problems on the property that affect ❑ ❑ ❑ the property or access to the property? ❑ ❑ ❑ *B. Does any part of the property contain fill dirt, waste, or other fill material? *C. Is there any material damage to the property from fire, wind, floods, beach movements; ❑ ❑ ❑ earthquake, expansive soils, or landslides? f ❑ D. Are there any shorelines, wetlands, floodplains, or critical areas on the property? ❑ A ❑ *E. Are there any substances, materials, or products in or on the property that may be,environmental ❑ ❑ ❑ concerns, such as asbestos, formaldehyde, radon gas, lead -based paint, fuel or chemical storage tanks, or contaminated soil or water? *F. Has the property been used for commercial or industrial purposes? ❑ ❑ ❑ *G. Is there any soil or groundwater contamination? ❑ ❑ ❑ *H. Are there transmission poles or other electrical utility equipment installed, maintained, or buried Q ❑ ❑ on the property that do not provide utility service to the structures on the property? t� ❑ ❑ *I. Has the property been used as a legal or illegal dumping site? it 11 *J. Has the property been used as an illegal drug manufacturing site? ❑ j� ❑ ❑ *K. Are there any radio towers in the area that cause interference with cellular telephone reception? 11 A9 ❑ ❑ 8. MANUFACTURED AND MOBILE HOMES If the property includes a manufactured or mobile home: *A. Did you make any alterations to the home? If yes, please describe the alterations: *B. Did any previous owner make any alterations to the home? *C. If alterations were made, were permits or variances for these alterations obtained? YES NO DON'T N/A KNOW ❑ ❑ ❑ ❑ 9 ❑ D ❑ o ❑ ❑ 9. FULL DISCLOSURE BY SELLERS YES NO DON'T N/A KNOW I A. Other conditions or defects: ❑ ❑ *Are there any other existing material defects affecting the property that a prospective buyer should know about? �7 Seller's Initials: 5J Bate: �� s7 Seller's Initlals: �% Dater — Z� SELLER DISCLOSURE STATEMENT (RCW 64.06.020) Page 6 of 6 If you answered "Yes" to any questions with an asterisk (*), use the following space to provide an explanation for each answer. Please refer to each question number. Attach additional pages if necessary (and initial and date each page): B. Verification: The Foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the property. ���"` Jti cod S fr rb—Z3 SELLER DATE SELLER NOTICE TO THE BUYER: DATE INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW ENFORCEMENT AGENCIES. THIS NOTICE IS INTENDED ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AND IS NOT AN INDICATION OF THE PRESENCE OF REGISTERED SEX OFFENDERS. II, BUYER'S ACKNOWLEDGMENT A. Buyer hereby acknowledges that: Buyer has a duty to pay diligent attention to any material defects that are known to Buyer or can be known to Buyer by utilizing diligent attention and observation. B. The disclosures set forth in this statement and in any amendments to this statement are made only by the Seller 8nd not by any real estate licensee or other party. C. Buyer acknowledges that, pursuant to RCW 64.06.050(2), real estate licensees are not liable for inaccurate information provided by Seller, except to the extent that real estate licensees know of such inaccurate information- D. This information is for disclosure only and is not intended to be a part of the written agreement between the Buyer and Seller. E. Buyer (which term includes all persons signing the "Buyer's acceptance" portion of this disclosure statement belo) has received a copy of this Disclosure Statement (including attachments, if any) bearing Seller's signature. DISCLOSURES CONTAINED IN THIS DISCLOSURE STATEMENT ARE PROVIDED BY SELLER BASED ON SELLER'S ACTUAL KNDWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS BUYER AND SELLER OTHERWISE AGREE IN WRITING, BUYER SHALL HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO RESCIND THE AGREEMENT BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT. BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS DISCLOSURE STATEMENT AND ACKNOWLEDGES THAT THE DISCLOSURES MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND NOT OF ANY REAL ESTATE LICENSEE OR OTHER PARTY. f� �R 11/16/2023 BUYER DATE BUYER Seller's Initials: Date: Seller's Initials: Date: Form Made Fillable by eForms DATE