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Permit Support Document (2) M5T' e-,- oo21_14 City ofTigard C n FINANCE DEPARTMENT Ph TIcARp Systems Development Charge (SDC) Exemption Application ..� r n... . ,. . REQUEST FOR ACCESSORY DWELLING UNIT SDC EXEMPTION (Allowed under TMC 3.24.100.E) Note:Refer to TMC 3.24.180 and the Systems Development Charge(SDC)Exemptions for Accessory Dwelling Units Guideline for eligibility requirements before completing application. City Transportation and Park SDCs exemption only. REQUIRED SUBMITTAL PROPERTY INFORMATION ELEMENTS Name of property owner: c.Ylli)V1 le jpytV\ El Recorded Deed Restriction: V.-Ad/v.-NA L-• O nv1 '' *blUY,e� �61,0,, it Legal Description of Property 0 Estimate of Exempt SDCs Location (address if available): W2,I4 0 2,W s i s}- A {7 Cal Proof of Ownership/ T1�.� 6 9-- '1'15113 Authorized Representative Tax map and tax lot numbers: ' 10 13653 S i!w r,v k...o* k 2O )T.vc. t 94Oo T e of Unit I Total Units Square footage of each unit Attached ADU I Detached ADU , (•p C 2 . QF, T_ APPLICANT INFORMATION Name,as appears on title of property: ksoy, L. r7t 't h 1 �l014fxr.�A L. i3p,,,vv) 4lores 6i . Mailing address: 1 1rL42 S1A) 9 E Sk- A U E City/State:Tea r4 012- Zip:C _23 Phone:c'k( •59, •1'9Q; 1 Email: EMv.-L!) 6-9--N �-1\ lam,Z.It • &AAA Applicant's representative: W p(,i,\.Qd ftc ctsn 1,an— 5QkrtIn ��,�� PhoneT�"l S'--D �'�"�) Email: E M1zLab CI —N N YP c3" a:il " THE PROPERTY OWNER ACKNOWLEDGES AND AGREES TO THE FOLLOWING: 1. I understand that acceptance of this application and documents by the City does not constitute an approval of an exemption. Exemptions are not granted until after all documentation is received and city staff have reviewed and approved my request. 2. I understand that if at any time during a period of 10 years from the time my final inspection is approved the City ofTigard • 13125 SW HallBlvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page I oft accessory dwelling unit for which an exemption is granted is rented or listed as a short-term rental(AirBnb, VRBO,etc.),the owner of the property at that time will be required to pay to the city the amount of the exempted system development charges,plus interest I also understand that an advertisement of the accessory dwelling unit as a short-term rental is sufficient evidence for the city to assess the amount of the exempted SDCs. I understand that this restriction will bind the property even through transfers of ownership. 3. I understand that the City may verify any of the information contained in this application at any time. 4. I understand that the City,its agents,successors and assigns will rely on the information contained in this application and the information represented herein;if any information should change prior to obtaining a certificate of occupancy,I will notify the City. I certify that to the best of my knowledge,all the information provided in this application is true and accurate as of the date provided opposite my signatures below. I /©.� 'b��je^T-yam' R'Gh a s- I/ g esoy f / ‘/r" t Q ()o O72f_S' A 6U/1/A) lnf2S�z� ZO Property owner signature Print Name Date Properity srgnature Print Name Date APPLICANTS It is the responsibility of the applicant to ensure that the application for the SDC exemption is submitted and approved before the payment of all SDCs are due to the City. SDCs are calculated and due and payable pursuant to Tigard Municipal Code 3.24.080. In accordance with TMC 3.24.080.B,the City may not issue a building permit or allow connection to the City's systems until either all SDCs have been paid in full or an exemption has been granted. It is the applicant's sole responsibility to ensure an exemption application is submitted to the City in a timely manner in order to meet the timelines in TMC 3.24.080. SUBMIT COMPLETED APPLICATION TO:SDC Administrator,Finance and Information Services,City of Tigard, 13125 SW Hall Blvd.,Tigard,OR 97923.If dropping the application off in person,drop off at the Utility Billing(UB) front counter located within Tigard City Hall. Questions can be directed to the SDC Administrator at SDC@Tgard-or.gvv or 503-718-2460. ADU File #: ADU2020-00007 STAFF t=SE oNi_A Received by: Mai Quach Date: 7/13/2020 Approved by: MQ Date: 7/22/2020 Amount of SDCs Exempt: Park: $6,678 Transportation: $3,909 Total SDCs Exempted: $10,587 City, ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • ww tigard-or gov • 503-718-2421 • Page 1 of2 Washington County,Oregon 2020-063858 07/15/2020 10:57:08 AM D-IRUL Cnt-1 Stn-31 RECORDSI $40.00$5.00$11.00$60.00•Total-$116.00 RETURN TO: I 11111 llI IlIlIl 02521122202000638580080083 Cie of Tigard I.Margaret Oarz..Director of Me.eement end Community Development Taxation and Ex.Ofncto County Clark for Washington County.Oregon.do hereby certify that the within �(' ^';• 13125 SW Hail Blvd. Instrument of writing was received and recorded In the Tigard,OR 97223 Eook of record.of laid county. r Y Margaret Gene,Director of Assessment and Taxation. `2•,i,.i:i" Ex-0Rleto County Clerk SPACE ABOVE FOR RECORDER'S USE CITY OF TIGARD COMPLIANCE AGREEMENT.DECLARATION OF RESTRICTIVE COVENANTS AND EQUITABLE SERVITUDE SDC EXEMPTION FOR ACCESSORY DWELLING UNIT THIS COMPLIANCE AGREEMENT, DECLARATION OF CTIVE COVENANTS AND EQUITABLE SERVITUDE(the"Agreement")is made and entered into this l` day of 14 20v�,0 by and between Jason Bonn and Nodle Fistonich-Bonn(the"Grantor")and the City of Tigard(the"City'). PURPOSE The City desires to exempt the construction of an accessory dwelling unit("ADU')located at 11240 SW 81- Avenue,Tigard,Oregon,and approved through case File No. ADU2020-00007, (the 'Project"), from payment of City of Tigard parks and transportation system development charges("SDCs")pursuant to Tigard Municipal Code. The legal property description of said Project is set forth in Exhibit A,which also is attached hereto and incorporated herein by reference. The SDCs exempted for eligible Project units are shown on Exhibit B. Grantor desires to receive the exemption,to satisfy the conditions thereof,and to execute and record this Agreement for the purpose,in part,of creating restrictive covenants and an equitable servitude that shall run with the Project land and bind any and all subsequent owners of the Project for the term of this Agreement AGREEMENT SECTION L REPRESENTATIONS,COVENANTS AND WARRANTIES OF THE GRANTOR CONCERNING USE OF THE ACCESSORY DWELLING UNIT. Grantor hereby represents,covenants, warrants,and agrees that Grantor will not use the ADU on the Property as a short-term rental,as defined in Tigard Municipal Code 3.24(as amended July 9,2019),for a period of 10 years(the"Exemption Period") from the date of final approval of final inspection of the building permit ("Exemption Date"). For the purposes of this Agreement, posting a listing of the ADU on the Property on a short-term rental website is prima facie evidence that the property owner has violated this requirement. SECTION 2. COVENANTS TO RUN WITH THE LAND; EQUITABLE SERVITUDE. The Grantor represents,covenants,warrants and agrees that a. The City is granting the exemption to the Grantor as an inducement to the Grantor to construct and operate the Project in accordance with the terms of this Agreement. In consideration of the receipt of the exemption, the Grantor has entered into this Agreement with the City and has agreed to restrict the use of the Project dtsiog the Esc:vow-Period as set forth in this Agreement SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 1 of 7 b. The representations,covenants,and restrictions granted by Grantor therein with iwpei.t to the Project shall be deemed restrictive covenants running with the Project land and also shall be deemed an equitable servitude running with the Project land in favor of and enforceable by City.These restrictive covenants and equitable servitude shall pass to and be binding upon the Grantor's successors in title including any purchaser,grantee, or lessee of any portion of the Project, shall pass to and be binding upon the tcapaa.tive heirs,executors, administrators,devisees,successors,and assigns of the Grantor or any purchaser,grantee,or lessee of any portion of the Project and shall pass to and be binding upon any other person or entity having any right,tide, or interest in the Project. Each and every contract,deed,or other instrument hereafter executed covering or conveying the Project or any portion thereof or interest therein shall contain an express provision making such conveyance subject to the covenants,restrictions,and charges contained herein;provided,however,that any such contract, deed, or instrument shall conclusively be held to have been executed, delivered, and accepted subject to such covenants,restrictions and charges regardless of whether or not such covenants, restrictions and charges are set forth or incorporated by reference in such contract,deed,or instrument SECTION 3. BURDEN AND BENEFIT. The parties hereby declare their understanding and intent that the burdens of the covenants,restrictions,and charges set forth herein touch and concern the Project land and that the Grantor's legal interest in the Project may be rendered less vahiable thereby. The parties further declare their understanding and intent that the benefits of such covenants,restrictions,and charges touch and concern the Project land by enhancing and increasing the enjoyment and use of the owners and tenants of the development,the intended beneficiaries of such covenants, restrictions, and charges and by furthering the public purposes for which the exemption is granted. SECTION 4. COMPLIANCE. The Patties hereby agree that Grantor,if requested by the City,will provide certification,in a format approved by the City in its sole discretion,that the Grantor is fulfilling its obligations under this Agreement SECTION 5. TERM OF AGREEMENT.The parties agree that this Agreement and the restrictive covenants and equitable servitude created hereunder become effective upon execution of this Agreement and will remain in full force and effect for a 10-year Exemption Period. Notwithstanding any other provision of this Agreement,this Ag w,. ttwill terminate and be of no further force and effect in the event of a completed foreclosure by the primary financing lender or by a lender to whom the City has subordinated this Agreement,or their successors or assigns,or in the event of a delivery by the Grantor of a deed for the Project to the primary financing lender in lieu of foreclosure,or to a lender to whom the City has subordinated this Agreement,or their successors or assigns. SECTION 6. TERMINATION. The City may terminate this Agreement,without further liabiihry,upon 30 days'notice and opportunity to cure.Notwithstanding termination,City may pursue any remedy provided for in Section 7. If the Grantor fails to perform or breaches any of the teems of this Agreement;or irnm.Yli.tely and without notice and opportunity to cure if the City loses the authority to grant the exemption,as determined by its counsel or otherwise as lacking the authority to administer the exemption, or fails to receive or loses necessary finding, appropriations, limitations, or other expenditure or position authority sufficient to carry out the terms of this Agreement. SECTION 7. REMEDIES. If the Grantor defaults in the performance or observance of any covenant, agreement,or obligation set forth in this Agreement and if such default remains uncured for a period of 30 days after the notice thereof shall have been given by the City to the Grantor,then the City,at its option,may take any one or more of the following steps: a. Terminate the exemption of the Project or a portion thereof,in which case the SDC's exempted herein shall be irnmediatrly due and payable to City in the amounts shown on Exhibit B,along with interest accruing from the Exemption Date at the rate shown on the City's Master Fees and Charges Schedule for"SDC Financing" ealamhted semi-annually.City may,in addition to an action to collect SDCs due,withhold issuance of building or development permits until paid in full; SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 2 of7 b. Take such other action under this Agreement,at law,or in equity as may appear necessary or desirable to the City to enforce the covenants,agreements,warranties,and obligations of the Grantor hereunder. No waiver or delay in enforcing the provisions hereof as to any breach or violation shall impair,damage,or waive the right of any person entitled to enforce the same to obtain relief against or recover for the continuation or repetition of such breach or violation or any similar breach or violation thereof at any later time or times. SECTION 8. RECORDING AND FILING. The Grantor shall cause this Agrcanrat and all amendments and supplements hereto to be recorded and filed in the real property records of Washington County and in such other places as the City may reasonably request. The Grantor shall pay all fees and charges incurred in connection with any recording.The Grantor shall provide either the original recorded document or a certified copy of the recorded document within ten days of the date of this Agreement. SECTION 9. GOVERNING LAW;VENUE. This Agreement shall be governed by the laws of the State of Oregon. The courts of the State of Oregon,or to the degree necessary,the U.S.District Court for the District of Oregon,shall have exclusive jurisdiction over any action brought by or against the City under this Agreement. The Grantor hereby consents to such exclusive jurisdiction and waives any and all objections it might have thereto. SECTION 10. AUTHORITY. Grantor hereby represents,warrants,and certifies that a. It possesses legal authority to apply for and accept the terms and conditions of the exemption and to carry out the proposed Project: b. Its governing body,if any,has duly authorized the filing of the application,including all understandings and assurances contained therein; c. The person identified as the official representative of the Grantor in the application is duly authorized to act in connection therewith and to provide such additional information as may be required The Grantor's official representative has sufficient authority to make all certifications on its behalf; d This Agreement does not and will not violate any provision of any applicable law,rule,regulation,or order of any court, regulatory commission, board, or administrative agency applicable to the Grantor or any provision of the Grantor's organic laws or documents; c. This Agreement has been duly executed by an official representative of Grantor,delivered by Grantor,and will constitute the legal,valid,and binding obligations of the Grantor,enforceable in accordance with their te»ffi. SECTION 11. AMENDMENTS. This Agreement may be amended only by a written instrument executed by the parties hereto or by their successors and duly recorded in the real property records of Washington County. SECTION 12. SEVERABILITY. If any provision of this Agreement shall be invalid, illegal, or unenforceable,the validity,legality,and enforceability of the remaining portions hereof shall not in any way be affected or impaired thereby. SECTION 13. CONSTRUCTION.The parties to this Agreement acknowledge that each party and its counsel have participated in the drafting and revision of this Agreement.Accordingly,the parties agree that any rule of construction to the effect that ambiguities are to be resolved against the drafting party shall not apply in the interpretation of this Agreement or any amendment,modification,supplement,or restatement of the foregoing or of any exhibit to this Agreement. SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 3 of 7 SECTION 14. NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS GOVERNMENTAL POWERS. Nothing in this Agreement is intended,nor shall it be construed,to in any way limit the actions of the City in the exercise of its governmental powers.It is the express intention of the parties hereto that the City shall retain the full tight and ability to exercise its governmental powers with respect to the Grantor,the Project,the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract arising under this Agreement by virtue of any exercise of its governmental powers. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their,duly authorized representatives as of the day and year first above written. GRANTOR(s): FULL NAME: By: By: lure Signature Name: gams llr{ -6,p. Name NCI' F1 7Y11 (31 y) STATE OF '-e q9� ) U. ) ss: County of no-)An ) The,,foregoing instmment Was acknowledged before me this`day of �1 ,� _,by �L(hnrle/ bee ‘..)'cUAtro4 4frfiir) (47_1z. LX.I. Notary Public for the State of My commission expires ell Di l 410 OFFICIAL STAMP Summer Les Newman NOTARY PUSLIC-OREGON COMMISSION NO.900014 MY COMMi55bN WIRES January tr,22t4 SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 4 of 7 !1r SECTION 14. NO LIMITATIONS ON ACTIONS OF CITY IN EXERCISE OF ITS GOVERNMENTAL POWERS. Nothing in this Agreements intended,nor shall it be construed,to in any way limit the actions of the City in the exercise of its governmental powers.It is the express intention of the parties hereto that the City shall retain the full right and ability to exercise its governmental powers with respect to the Grantor,the Project,the land,and the transactions contemplated by this Agreement to the same extent as if it were not a party to this Agreement or the transactions contemplated thereby,and in no event shall the City have any liability in contract arising under this Agreement by virtue of any exercise of its governmental powers. IN WITNESS WHEREOF,the parties have caused this Agreement to be executed by their duly authorized representatives as of the day and year first above written. GRANTOR(s): FULL NAME: • By: GW ( 1 BP CZ; Signature / gna Name r?/e-tl al"4J f- 501Y y !/Name: c%/O c e e STATE OF OILE&OtJ } C� �, is: ttl County of ) The foregoing instrument was acknowledged before me this Lday of JUL./ d tW by picr ►eo I1.)Ows s &Ad • No Public for the State of 2Q F‘bis) - y commission expires: ( iL I Tj 2122 <<,.. or,lm nor usd+raw atom °. sown PUltrr•0 . \ �:_ N0.9999M luW ,� t " � MYC6510N DIMES Will,2024 SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 4 of 7 CITY: CITY OF TIGARD,an Oregon muniapal corporation By. Marty Wine,City Manager SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 5 of 7 EXHIBIT A LEGAL DESCRIPTION OF TILE PROJECT Lot 20, HERB AND PEGGIE'S PLACE, In the City of Tigard,County of Washington and State of Oregon. The subject property (11242 SW 81"Avenue; WCI11 1S136CB,Tax Lot 9400) is located east of SW 81" Avenue, north of SW Pfaffle Street,west of SW 79's Avenue, and south of SW Thorn Sweet. The subject tax lot was originally approved as Lot 20 of the Herb and Peggie's Place Subdivision. The Low-Density Residential (R-4.5) subject tax lot contains one single detached house and one accessory structure. GIS SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 6 of 7 EXHIBIT B cr ireELL F OF SDOs E Exemption Amount System City Ttanspofmtion $ 3,909 Parks $ 6,678 Water NOT ELIGIBLE Sanitary Sewer NOT ELIGIBLE Stonmvaoef NOT ELIGIBLE County Tninspoctation Development Tax NOT ELIGIBLE Total Exemption $ IO,587 This SDC exemption is granted to the units located at the property address(es)listed below: 11240 SW 81•Avenue,Tigard,Oregon . I,Margaret Garzs, Director of Assessment and • Taxation and Ex-Otficio County Clerk for �P } Washington County,Oregon,do hereby certify this W Fs, <<�.}(?l =+, to be a true and correct copy of the original. iy z ., • 4 ��`'1''' Witness m hand this l5th of Jul ,2020 "t . Y y By: 1. opez•Deputy SDC EXEMPTION FOR ACCESSORY DWELLING UNIT Page 7 of 7 Margaret Garza, Ex Officio Receipt#: 902224 Receipt Date: 07/15/2020 10:59 AM Washington County Clerk Station: 31 Cashier: M LOPEZ 155 N 1st Avenue Suite 130, MS 9 Hillsboro, Or 97124 Receipt Name: FISTONICH-BONI, NOELLE PHONE 503-845-8752 Comments: RECORDING Document# Recording Date Doc Type Recording Survey Housing A&T Fund NonStd Other Subtotal Transfer Total 2020-063858 07/15/2020 10:57:08 AM 0-IRUL 40.00 5.00 60.00 11.00 116 CO $116.00 Totals: $40.00 $5.00 $60.00 $11.00 $0.00 $0.00 $116.00 $0.00 $116.00 Thank You Miscellaneous Fees Retain this receipt for your records ENTER#OF PAGES COPIED g $2.00 ENTER#CERTIFIED COPIES&LOC 1 $7.50 Receipt Total $125.50 CHECK 105 $125.50 Page 1 of 1 • Washington County,Oregon D-DW 2020_024584 Sin=10 A DUYCK 0312312020 01:29:29 PM $15 00 511.00$5.00 S60.00 5410.00 5501.00 After recording return to: i,Margaret Gana,Interim Director of Assessment and Taxation and Ex.Oakio County Clerk for Washington County,Oregon,do hereby certify that the within instrument of writing was received and f/t ..Jos oa..8onS1 recorded in the book of records of Bald county. gr...S.WOR 972Ve Margaret Garza,Interim Director of Tigard, OR 97223 ...... .. ............ Assessment and Taxation,Ex-Officio 7 Name,Address,Zip `0 Until a change is requested all tax statements shall be sent N to the following address. Jason„Bonn,.,,Noelle Fistonich-$onn p Richard Bonn, Dolores Bonn N SAME AS ABOVE Name,Address,Zip I- ]' 823858 486946-003560 WARRANTY DEED - STATUTORY FORM J (INDIVIDUAL) IH F Stacy T.Wong, a single woman 0 Grantor, conveys and warrants to Jason Bonn, Richard Bonn, Dolores Bonn and Noelle Fistonich—Bonn, tenants in common • C) 7Q Grantee, the following described real property free of encumbrances except as specifically set forth herein: Lot 20, HERB AND PEGGIE'S PLACE, in the City of Tigard, County of Washington and State of Oregon. Before signing or accepting this instrument,the person transferring fee title should inquire about the person's rights, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to 11, Chapter 424, Oregon Laws 2007, Sections 2 to 9 and 17, Chapter 855, Oregon Laws 2009, and Sections 2 to 7, Chapter 8,Oregon Laws 2010. This instrument does not allow use of the property described in this instrument In violation of applicable land use laws and regulations. Before signing or accepting this Instrument, the person acquiring fee title to the property should check with the appropriate city or county planning department to verify that the unit of land being transferred is a lawfully established lot or parcel,as defined In ORS 92.010 or 215.010,to verify the approved uses of the lot or parcel, determine any limits on lawsuits against farming or forest practices, as defined in ORS 30.930, and to Inquire about the rights of neighboring property owners, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to 11, Chapter 424,Oregon Laws 2007,Sections 2 to 9 and 17, Chapter 855,Oregon Laws 2009,and Sections 2 to 7,Chapter 8,Oregon Laws 2010. Subject to and excepting: Covenants, Conditions, Restrictions, Reservations, set back lines, Power of Special Districts,and Easements of Record,If any. The true consideration for this conveyance is $409.....9,.99....... (Here comply with the requirements of ORS 93.030'). After recording return to: ..Jason..Bonn 7. 0142..SW.ORnAt 97223g Tigard, .......................... 7 Name, Address, Zip `0 Until a change is requested all tax statements shall be sent N to the following address. QJason...Bo nn.,,..No i e11e..,Fstonich„ onn,,,,,,,,,,,,,,,, 0 Richard Bonn, Dolores Bonn 0 SAME AS ABOVE N Vs Name, Address, Zip N r T 823858 486946-003560 W WARRANTY DEED - STATUTORY FORM J (INDIVIDUAL) 1- 1:: Stacy T. Wong, a single woman 0 Grantor, conveys and warrants to Jason Bonn, Richard Bonn, Dolores Bonn and Noelle Q Fistonich—Bonn, tenants in common U C= Grantee, the following described real property free of encumbrances except as specifically set forth herein: Lot 20, HERB AND PEGGIE'S PLACE, in the City of Tigard, County of Washington and State of Oregon. Before signing or accepting this instrument, the person transferring fee title should inquire about the person's rights, if any, under ORS 195.300, 195.301 and 195.305 to 195.336 and Sections 5 to 11, Chapter 424, Oregon Laws 2007, Sections 2 to 9 and 17, Chapter 855, Oregon Laws 2009, and Sections 2 to 7, Chapter 8, Oregon Laws 2010. This instrument does not allow use of the property described in this instrument in violation of applicable land use laws and regulations. Before signing or accepting this instrument, the person acquiring fee title to the property should check with the appropriate city or county planning department to verify that the unit of land being transferred is a lawfully established lot or parcel, as defined in ORS 92.010 or 215.010,to verify the approved uses of the lot or parcel, determine any limits on lawsuits against farming or forest practices, as defined in ORS 30.930, and to inquire about the rights of neighboring property owners, if any, under ORS 195.300, to 95.336 er 424, Oregon Laws 2007, Sections 2 to99 and 17, Chapter 195.305 1 and 855, OregoLaws 2009, and Sections 2tto 7, Chapter 8, Oregon Laws 2010. Subject to and excepting: Covenants, Conditions, Restrictions, Reservations, set back lines, Power of Special Districts, and Easements of Record, if any. The true consideration for this conveyance is $409,400.00....... (Here comply with the requirements of ORS 93.030') • Page 2 Warranty Deed—Statutory Form Acknowledgment Dated this .. ."T . day of Q01014ta., 2 ) .; if a corporate grantor, it has caused its name to be signed�, ord�its board of directors. X .. ...: .. .. .. .. . ............................................ Stacy T •n9 STATE OF 4RECON, C Se e_ e MaC-�^ A) County of ss. Personally appeared on the above named Stacy T Wong (fill in marital status) and acknowledged the foregoing instrument to be his/her voluntary act and deed. Before me. Notary Public for Oregon My commission expires: ✓ * If the consideration consists of or includes other property or value, add the following: "The actual consideration consists of or includes other property or value given or promised which is part of the whole consideration(indicate which)". , LLS Go All-purpose Acknowledgment California only A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Stir MGAte OnSe-tiE•04441 Zaf9before me, A ga� ram^ - (here insert name and title of the officer), a personally appeared -T' WQ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument , ` and acknowledged to me that he/she/they executed the same in his/ �j `' � A her/their authorized capacity(ies),and that by his/her/their signature(s) d v'�;_A� COMM.#2260971 z on the instrument the person(s),or the entity upon behalf of which the z 1,4 NO .CAI u person(s)acted,executed the instrument. = My Commuuon Expires 10N4/2022 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Notary Seal WITNESS my hand and official seal. Signature alAtA"'"? For Bank Purposes Only Description of Attached Document CAMl,,�,� Type or Title of Document � ,�+ F`-" Document Date 09 I 0 411019 Number of Pages 2- Signer(s)Other Than Named Above k)A1AQ. 0565350CA(Rev 02.05.171 F001-0000SG5350CA-0 1