AG 14-186Anna Thach
From: Jeri -Lynn Clark
Sent: Friday, May 25, 2018 4:48 PM
To: Anna Thach; Melissa Plemmons
Cc: Jennifer Marshall
Subject: AG Closing
Hello,
You can close the following AG files:
15-056 — Smith, Paula
15-038—Taboada, Dianne
14-192 — Burns, Ronee
14-186 — Naylor, Judy
Thank you!
Thank you,
Jeri -Lynn Clark
Executive Assistant to Council
Housing Repair Administrator
33325 8th Ave So., Federal Way, WA 98003
Ph: 253.835.2401 1 Fx: 253.835.2409
www.cityoffederalway.com
CITY OF
AFI Way
NOTICE OF PUBLIC DISCLOSURE: This e-mail account is public domain. Any correspondence from or to this e-mail account may be a public record.
Accordingly, this e-mail, in whole or in part, may be subject to disclosure pursuant to RCW 42.56, regardless of any claim of confidentiality or
privilege asserted by an external party.
1
RETURN TO: Jeri -Lynn Clark m, EXT: 2401 `
CITY OF FEDER.,W WAY LAW DEPARTMEN'INCOUTING FORM
1. ORIGINATING DEPT. /DIV: CED /COMMUNITY SERVICES
2. ORIGINATING STAFF PERSON: JERI -LYNN CLARK EXT: 2401 3. DATE REQ. BY:
4. 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
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG #): ❑ INTERLOCAL
❑ OTHER PROMISSORY NOTE
5. PROJECT NAME: JUDY NAYLOR- PROMISSORY NOTE
6.
NAME OF CONTRACTOR: JUDY NAYLOR
ADDRESS: 28023 22ND AVE S, FEDERAL WAY, WA 98003
E -MAIL: N/A
SIGNATURE NAME: JUDY NAYLOR
TELEPHONE
FAX:
TITLE:
253- 839 -8118
N/A
OWNER
7. 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
8.
9
TERM: COMMENCEMENT DATE: 4/29/13 COMPLETION DATE 4/29/2018
TOTAL COMPENSATION $7116.41 (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
❑ PURCHASING: PLEASE CHARGE TO: 119 - 7300 - 996 - 565 -11 -410
10. DOCUMENT /CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER _
❑ DIRECTOR : /Z
• RISK MANAGEMENT (IF APPLICABLE)
• LAW rTY? t� 1�La
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D
❑ , ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSE, EXHIBITS
INITIAL / DATE SIGNED
9�- LAW DEPARTMENT r l Z l5
44� SIGNATORY U&YOR OR DIRECTOR)
ik CITY CLERK
V ASSIGNED AG# AG# k ¢ -
V SIGNED COPY RETURNED DATE SENT 12, 1 t tA--
COMMENTS:
CITY OF CITY HALL
.�
Federal Way 33325 8th Avenue South
Federal Way, WA 98003 8003
-6325
(253)835 -7000
w
wwcj"ffederalwaycom
PROMISSORY NOTE
City of Federal Way Emergency Housing Repair Program (EHRP)
LENDER: City of Federal Way, a Municipal corporation
33325 8 hAvenue South
Federal Way, WA 98003
BORROWER: Judy Naylor
EHRP RESIDENCE: 2802322 d Ave S., Federal Way, WA 98003
PRINCIPAL $7,116.41
AMOUNT:
LOAN DATE: April 29, 2013
DUE DATE: The earlier of "Default Date" or April 29, 2018
In consideration for the mutual undertakings and covenants contained in this Promissory
Note (the "Note "), Lender (also referred to hereinafter as the "City ") and Borrower agrees as
follows:
1. Purpose for Loan. Borrower is eligible to participate in Lender's Emergency Housing
Repair Program (`EHRP "), a program to assist eligible homeowners with emergency housing
problems that pose a combination of unforeseen circumstances that require immediate action to
protect the health and safety of its occupants or the neighborhood as a whole. The program is
funded by Community Development Block Grant funds that have been made available to the
City. Borrower's application for an Emergency Housing Repair Program loan has been
approved and the City is prepared to fund the loan upon Borrower's execution of the "Loan
Documents," which include this Promissory Note, a Deed of Trust and a Closing Statement.
2. Promise to Pay. For value received, on or before the Due Date, Borrower, including its
assigns and successors, promises to pay Lender in lawful money of the United States of America,
at Lender's principal place of business, or such other place as Lender may designate in writing
from time to time, the Principal Amount listed above and as shall have been advanced by Lender
to or on behalf of Borrower under this Note, plus interest (in the event of Default) as provided in
this Note.
3. Interest Rate. The unpaid Principal Amount shall bear interest at the rate of Zero Percent
(0 %) per annum (the "Effective Interest Rate ") unless or until a Default.
4. Payments. No payments will be required to be made on the Principal Amount unless or until
a Default occurs. In the event of Default, the entire unpaid balance of the Principal Amount as of
the date of Default shall immediately become due and payable and interest on the unpaid balance
shall commence to accrue at the "Default Interest Rate" on the date of Default.
PROMISSORY NOTE 10/2012
EMERGENCY HOUSING REPAIR PROGRAM Page 1
CITY OF CITY HALL
► 33325 8th Avenue South
Federal Way Federal Way, WA 98003 8003
-6325
(253)835 -7000
www atyofederalway com
5. Loan Account. All advances made to or on behalf of Borrower under this Note shall be
charged to a loan account in Borrower's name on Lender's books ( "Loan Account ") and Lender
shall debit to Borrower's Loan Account the amount of each advance, and credit the amount of
each repayment made by Borrower or "Forgiveness of Debt" granted by Lender.
6. Forgiveness of Debt. Commencing upon the date on which the Lender issues the last
advance of funds to or on behalf of Borrower under this Note (the "Repayment Commencement
Date "), Borrower shall be entitled to receive, and Lender shall grant, forgiveness of Twenty
Percent (20 %) of the Principal Amount for each consecutive twelve -month period after the
Repayment Commencement Date (a "Repayment Year ") that Borrower actually occupies the
Residence identified above as Borrower's principal place of residence. If Borrower resides in
the Residence for five (5) Repayment Years, the entire Principal Amount shall be forgiven and
this Note shall be satisfied in full. If Borrower fails for any reason to live in the Residence for
five (5) Repayment Years, this Note shall be in Default as of the date upon which Borrower no
longer resides in the Residence. For purposes of calculating the amount of forgiveness, if any, to
which Borrower may be entitled for the Repayment Year in which Borrower vacates the
Residence, the amount of forgiveness to which Borrower would be entitled for that Repayment
Year shall be prorated for the number of days that Borrower actually occupied the Residence in
that Repayment Year.
7. Default. Upon the occurrence of any of the following events ( "Events of Default "), Lender,
at its option, and without notice to Borrower, may declare the entire unpaid Principal Amount to
be immediately due and payable:
a. The Borrower no longer occupies the Residence as Borrower's primary residence;
b. The Borrower sells the Residence or conveys the Residence in lieu foreclosure, or forfeits
the Residence in foreclosure, bankruptcy or other insolvency proceeding;
c. The Borrower makes, or is deemed to have made, any materially incorrect, false,
fraudulent or misleading representation, warranty or certificate to the Lender or makes, or is
deemed to have made, any materially incorrect, false, fraudulent, or misleading representation in
any statement or application to Lender in connection with Lender's consideration of Borrower's
EHRP application;
d. The Borrower defaults under the terms of this Note or the Deed of Trust granted in
connection herewith;
e. The Borrower is enjoined, restrained or in any way prevented by court order from
continuing to reside in the Residence;
f. Formal charges are filed against the Borrower under any federal, state or municipal
statute, law or ordinance for which forfeiture of the Residence is a potential penalty, or the
Residence is in fact so seized or forfeited;
g. The Borrower fails to maintain the Residence, commits waste upon the Residence
property or allows the Residence or Residence property to become a nuisance;
h. The Borrower (1) makes an assignment for the benefit of creditors, (2) consents to the
appointment of a custodian, receiver or trustee for itself or for a substantial part of its assets or
(3) commences, consents to the commencement or continuation of, or has commenced upon it,
PROMISSORY NOTE 10/2012
EMERGENCY HOUSING REPAIR PROGRAM Page 2
CITY OF CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
Federal Way
�►../ (253) 835 -7000
www atyoffedera My com
voluntarily or involuntarily, any proceeding under any bankruptcy, insolvency or similar laws of
any jurisdiction;
i. The Borrower defaults under the deed of trust executed in connection with this Note, it
being understood and agreed that this Note and the deed of trust shall be interpreted and
construed as a single integrated agreement between Lender and Borrower; or
j. The Borrower dies.
The term "Default Date" shall mean the date on which an Event of Default has occurred or the
date Borrower is no longer entitled to cure the Event of Default under the terms of this Note.
8. Default Interest Rate. Upon the occurrence of any Event of Default, the unpaid Principal
Amount balance shall bear interest at the per annum interest rate for judgments provided by
Washington law until the Note is satisfied in full.
9. Security. This Note is secured by and relates to a deed of trust of even date encumbering the
Residence.
10. Default Remedies. Upon the occurrence of any Event of Default, Lender shall have and
may exercise any one or more of the rights and remedies provided in this Note and the deed of
trust relating to this Note. The remedies provided in this Note and deeds of trust are cumulative
to the full extent provided by law.
11. Application of Payments. All payments received on this Note shall first be applied against
accrued and unpaid interest and "Costs and Fees" owed to Lender under this Note, and the
balance against unpaid Principal Amount. Borrower expressly assumes all risks of loss or delay
in the delivery of any payments made by mail, and no course of conduct or dealing shall affect
Borrower's assumption of these risks.
12. Costs and Fees. Borrower agrees to pay all of Lender's costs incurred in the collection,
modification, review, monitoring, or termination of this Note, including actual attorney fees and
those incurred in any foreclosure, bankruptcy, or other similar insolvency proceeding.
13. No Waiver. Acceptance by Lender of any payment in an amount less than the amount then
due shall be deemed an acceptance on account only, and Lender's acceptance of any such partial
payment shall not constitute a waiver of Lender's right to receive the entire amount due.
14. Consent. Borrower hereby jointly and severally (i) waives presentment for payment,
demand, notice of non - payment, notice of protest or protest of this Note, (ii) waives Lender's
diligence in collection or bringing suit, and (iii) waives consent to any and all extensions of time,
renewals, waivers or modifications as may be granted by Lender with respect to payment or any
other provisions of this Note. The liability of the Borrower under this Note shall be absolute and
unconditional, without regard to the liability of any other party.
15. Governing Law and Venue. This Note shall be interpreted, construed and governed by, and
in accordance with, the laws of the State of Washington. Venue for any action commenced by
Borrower or Lender to interpret or enforce this Note or the deed of tru ` `lf t` Wth� Superior
Court of the State of Washington, For King County, at the Maleng Re bift ?iae•Center,
Kent, Washington.
PROMISSORY NOTE
EMERGENCY HOUSING REPAIR PROGRAM
10/2012
Page 3
CITY OF CITY HALL
Federal Wa 33325 8th Avenue South
Way 33325 Way, WA 98003 -6325
(253) 835 -7000
www.aWffederaMay com
16. Entire Agreement. Except as otherwise expressly provided in this Note, this Note and the
deed of trust constitute the entire agreement of the Borrower and the Lender relating to its
subject matter.
ORAL AGREEMENTS OR ORAL COMMITMENTS TO LOAN MONEY, EXTEND
CREDIT, OR TO FORBEAR FROM ENFORCING REPAYMENT OF A DEBT ARE
NOT ENFORCEABLE UNDER WASHINGTON LAW.
Agreed to and accepted by:
LENDER:
CITY OF FEDERAL WAY
Jim
OVED AS TO FORM:
Y'City Attorney, Amy Jo Pearsall
BORROWER:
r
Signature'
f -- 7 (N ,1���
Printed Name
STATE OF WASHINGTON )
ss.
COUNTY OF in )
ATTEST:
*43wt (9y Jerk, Stephanie Co y, CMC
On this day personally appeared before me, :1 L' , to me known to be the
individual described in and who executed the fbregoinfi instrui6ent, and on oath swore that he /she /they
executed the foregoing instrument as his/her /their free and voluntary act and deed for the uses and
purposes therein mentioned.
GIVEN my hand and official seal this -16 4 6 day of 1() clyem�>eT , 20_4
CHERYL A. PROFFITT
NOTARY PUBLIC
STATE OF WASHINOTON
COWASSM EXPM
FEBRUARY 1. 2018
s signature e
s printed name C u rt°-'
Notary Public in and for the State of Washington.
My commission expires a 1 v
PROMISSORY NOTE 10/2012
EMERGENCY HOUSING REPAIR PROGRAM Page 4
.. CERT, .1 F1ED,. COPY, OF,DE T -A C FAT' FI. WE ,
:al File dumber - 7/ Washington State Certificate'of Death estate pie number
'..Death
1, Legal Name (IncludeAKA's.famyl First Middle LAST suffix, -Date.
THOMAS J. NAYLOR Au 08,2005
3. Sex (MtF)"
a. Age - Last Birthday
Under 1_Year_
c. Under 1 Day _',
- -�- �-
. Soc)al Security Number
. County of Death - "-
Male
70
_b_ _ _ _
onths Days
�- �� - -�-�-
ours Minutes:
539 -28 -9998
King
7. Birthdate
a. Birthplace (City, Town, or County)
8b. (State or Foreign Country)
. Decedent's Education "
May 28,1935
Olympia
WA
9th -12th Grade No Dl Loma
'
10. Was Decedent of Hispanic Origin? (Yes or No) If yes, specify.
11. Decedent's Race(s) -.
12. was Decedent ever in U.S.
Forces?
No
White
Armed
NO
Z5
13a. Residence: Number and Street (e.g., 624 SE s° St.) (include Apt. No.) 13b. City or Town
28123 22nd Ave. S. Federal Wa
i5
13c. Residence: County 13d. Tribal Reservation Name (if applicable) 13e. State or Foreign Country 13f. Zip Code + 4 V39. inside City Limits?
King NA WA 98003 Yea Cl No ❑ unk
ax
14. Estimated length of time at residence. 5. Marital Status at Time of Death 16. Surviving Spouse's Name (Give name prior to first marriage)
i
r17.
`'0 Years Ma r:Led I Judv Jensen
L
d
Usual Occupation (Indicate type of work done during most of working life. (DO NOT USE RETIRED). S. Kind of Business /Industry (Do not use Company Name) "
Heavy Equipment Manager Rental
?t
19. Fathers Name (First, Middle. Last, Suffix)
0. Mothers Name Before First Marriage (First Middle. Last) '
CL.
E
$
21. Informant's Name
2 -. Relationship to Decedent
3_ Mailing Address:'. Numyer and sweet or RFD No_; oty or Twm sate zm
Judy Naylor
Spouse
28023 22nd Ave. S. Federal Way WA 98003
C
4. Place of Death, if Death Occurred in a Hospital: - Place of Death, if Death Occurred Somewhere Other than a Hospital
Francis HosRltal -
5. Facility Name (If not a facility, give number & street or location)
6a. City,: Town, or Location of Death
6b." State
7 .Zip Code
St. Francis Hospital
r Federal Wa
WA
1 98003
6. Method of Disposition
9. Place of Final Disposition (Name of cemetery, crematory, other place)
0. Location- City/Town, and State
Cremation r
Seattle Service GrouR Cremator
31. Name and Complete Address of Funeral Facility-
2. Date of Disposition
Bleitz Funeral Home 316 Florentia Seattle, WA 98109
Ati ust`16, 2005
3. Funeral Director Signature X
' Cause of Death (Sea instructions and examples) -
4, Enter the chain of events- diseases, injuries, or co i [ions - that directly caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest. or
ventricular fibrillation without showing the etiology. DO T ABBREVIATE. Add additional lines if necessary. - -
;Interval between Onset & Death
IMMEDIATE CAUSE (Final disease or ;
a. 4C+f� �'�
condition resulting in death) 4
Due to (or as a consequence of): interval between onset & Death
equentially list conditions, if any, leading b
o the cause listed on line a. Enter the Due to (or as a consequence of): Interval between Onset &Death
i
UNDERLYING CAUSE (disease or injury
that initiated the events resulting in C.
eath)LAST Due to (or as a consequence of): 9nterval between Onset & Death
d.
5. Other significant conditions contributing to death but not resulting in the underlying cause given above
6. Autopsy?
7. Were autopsy findings available to
y
mplete the Cause of Death?
m
Cur t C Y vcia �� tV L \�Y C. SC �i �i5t 10 t 1ClT r1C
Q Yes 1qo
❑ Yes ❑ No +, -
8. Mafther of Death Pg. if female
40. Did tobacco use contri bute
.5
atura omit[ a of pregnant vat ir1 pas year of pregnan , u pregnant wlmtn days ere ea
m
0 Accident 0 Undetermined l7 Pregnant at time cf death 0 Not pregnant, but pregnant 43 days to 1 year before death
u Yes 0 Probably
m
a Suicide 0 Pendina Q Unknown if pregnant within the past year
0 No (a- tfknown
CL
E
1. Date of Injury (nntntoorrywt
2. Hour of Injury (2ahrs)
3. Place of Injury (e.g.. Decedent's home, construction site, restaurant, wooded area)
Injury at Work? -
0
8
0 Yes 0 No 0 Unk
'cm
45. Location of Injury: Number & Street: - - Apt No.
CL
City or Town: County: Stale: 7i Code* 4:
6. Describe how injury occurred
7. If transportation injury, specify: _
0 Driver /O,perator 0 Pedestrian -
❑ Passenger 0 Other (Specify)
8a. Certifying Physician -, , :.._ ::, r.... ,
Sb. Medical Examiner /Coroner
9. Name and Add of Certifier - Physician, Medical Examiner or Coroner (Type 11�' l �
ii ti T
0. Hour of Death (24hrs)
4. 99405
1200
"
-In
1.. Name and Title o Attending Ph Ician if other than Certifier (Type or Prin ., y - - 2. Date Signed (mwDoayyq „
3. rite of Certifier License Number Ie Number 6' Was case rate r[ed to ME/Coroner?
C1 Yes 1[Jo
7 KegisfrarSignatwe
✓< Date3Recewed(MMODNYYy>
159-1 4mendments1 0
^,K
-
Ck*I)CHS 003 t v 2 Od20Qd
ikaitqgion State Departxr.t 4
�Health
Cener for
Affidavit for Correction P.O. t B.. 9709 Health Statistics
Olympia, WA gaSO7-9709
This is a legal Document. Complete in ink and do not after. (360) 236-4300
STATE OMCE M OWY,
State File Number Fee Number Initials Date Affidavit Number
Use ft section Wow for requestitig my d1langes -on the record;
Record Type: Ej Birth ❑ Death ❑ Lillarriage ❑ Dissolution
1. Name on record:
2. Date of Event:
3. Place of Event: (City or County)
4. Fathers Full Name (For girth): (Husband for Marriage or Dissolution)
5. Mothers Full Name (For Birth): (Wife for Marriage or Dissolution)
The Record is Incorrect or Incomplete as follows:
The Record now shows:
The True fact is:
6.
7.
8.
9.
40.
12.
13.
14.1 represent the person as: ❑ Self ❑ Parent ❑ Guardian ❑ Informant !Telephone Number:
❑ Funeral Director ❑ Other (Specify) 1
1 declare uqdqr_p Washington that the forgq'n is true and correct.
y of perjury under the laws of the State of Washinc _q
q9alt, L
15. Signature: 1 16. Date: 17. Address:
All vital records are registered as received. An item may be changed by affidavit only once. Subsequent changes must be made by court order. The incorrect
certificate must be returned within one year of the date it was issued to receive a replacement copy free of charge.
All changes must be established by documentary proof submitted with the affidavit
Examples of documentary proof: Certificate of Naturalization Medical Record School Record
Hospital Records Military Record (DD-214) Voter's Registration Card (if it bears an
Insurance Records Birth Record effective date)
Marriage/Divorce Records Passport Alien Registration Card (front and back)
-----------------------------------------------------------------------------------------------------------------
Birth Certificates:
1. Only a parent, legal guardian (if the child is under 18), or the adult themselves (if 18 or older) may change the birth certificate.
2. The proofs) must match exactly the asserted true fact(s). For example, if the affidavit says the name is Mary Ann Doe, then the proof must show the
name to be Mary Ann Doe. Mary A. Doe or M.A. Doe does not prove the name is Mary Ann Doe.
3. Proof must be five (or more) years old or have been established within five years of birth.
4. Up to age one,.the parent(s) or legal guardian may change the child's last name with an affidavit for correction, provided:
This is a one time only change. Subsequent changes will require a certified copy of a court ordered name change.
The new last name may be the mother's maiden name or father's name (if present on the certificate) or any combination of the two.
After age one, last name changes require a certified copy of a court ordered name change. Minor spelling changes may be made with an affidavit and
documentary proof.
15. first by
Parent(s) may change their child's or middle name completing and signing an affidavit for correction (until their child's 18th birthday).
6. This affidavit cannot be used to add a father to a birth certificate. (Use the paternity affidavit - form DOH/CHS 021)
-------------
------------
Death Certi.15,mt�,s:
1. Only the informant, the funeral director, or executors/administrators (if evidence confirming such position is presented) may change the non-medical
information.
2. The medical information (cause of death) may be changed only by the certifying physician or the coroner/medical examiner.
3. If it is less than sixty days from date of death please contact the county health department where the death occurred to make changes.
---- ------------ -----------
Marriage/Dissolution (Divorce) Certificates:
1. Personal fact(s) (minor spelling changes in name, date or place of birth or residence) may be changed by affidavit (with proof) by the person.
2. To change the date or place of marriage or dissolution, the officiant (marriage) or clerk of court (dissolution) must sign the affidavit.
DOH/CHS 023 (Rev. 9/2002)
RT IF I ED
attie - King County
-nent of Public Health
V
oroh y eeter,,MHA
in Dire9tarand Health Officcr
M j G � 217 2 f] 0 S k,,m n n A c4 i A -7Q
20040811000344
NAYLOR OCO 19 00
PAGE001 OF 001
08/11/2004 09 04
KING COUNTY, WA
E2061591
08/11/2004 09 04
KING COUNTY, W2 00
S94.,::,.. t0 00
Deed
PAGE001 OF 001
THE GRANTORS, THONrAS J. NAYLORR Al- D JI7DITH A. NAYLO t„
for and in consideration of-establishmeat and transferio Re, Vbcable LivmiTrust with Grantors and
their children as beneficiaries, and for. -Ao other eorrsideration
convey and quitclaim to THOMAS J; NAYLOR AND k IijTH- -A.24A:YLOR, Trustee of the
THOMAS J. NAYLOR AND JUDITH AA,, NAYI`OR? Revocabtfe )f 'iv ttij Trust dated
l�
'2004,
GRANT&S.,
the following descAed real estate, situate to the County, pMi -091 Siate.;o €:W sh�tigtoo, including any
interest therein which grantor may hereafter acquire
Lot 20,;:Laurelwood Natth No 4, according to the plat thereof recrod4:d in.::Volume 87 q- 4plat'e, Page 8,
Records of Icing C,:ounty, Washington
Tai Parcel,Nt . 4222300200 06':.
Dated:this , day�of .." A U t- 2Q04
THOMAS
�zll l�
V /
State of Washington }' 1
)ss
County of King
On this day personally appeared before me THOMAS J. NAYLOR AND JUDITH A.
NAYLOR,, to me known to be the individuals described' in and who executed the ;within and foregoing
instrument, and acknowledged that such persons stgned'the same as such 'ye sons" :free and voluntary act
and deed, for the uses and purposes therein mentioned
GIVEN under my hand and official seal this / day of J `'' < -,' , 2004
otary Public in and for the State of Washington.
residing at
My commission expires