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2002-027771 Return Recorded Document to: - -- - - - City Hall Records Department Washli. , County, Oregon 2002-027771 1 \ City of Tigard 03/08/2002 03:28:45 PM 13125 SW Hall Blvd. D -IPPS Cnt =1 stn =22 RECORDS! Tigard, OR 97223 $5.00 $6.00 $11.00 - Total = $22.00 TRAFFIC . 'IMPACT FEE 0006369320020027771001 Installment Payment Application and Disclosure State I, Jerry Hanson, Director of Assessment and Taxation • and Ex -Officio County Clerk for Washington County, do hereby certify that the within Instrument of writing was received and recorded In the bock of records of In the Matter of the Traffic Impact Fee for Southwest Family Medical Offices said county. , .�sov. •:�y Tax Map 1 S135DD Jerry R. Hanson, ssessment and Taxation, 'r+ � Ex- Officio Director County Clerk Lot Number(s) 4400, 4405, 4406 • and as further described in Deed # Building Permit # BUP2001 -00307 • Site Address 11900 SW Greenburq Rd. Subdivision Case File # SDR2001 -00006 TIF Land Use District C -P To Be Billed To: Ben Stutz Address: 1128 SW Englewood Lake Oswego OR. 97034 (503) 245 -4479 To the City of Tigard: In accordance with the provision of Oregon Revised Statute 223.230 and Washington County Code 3.17 which relates to the imposition of a traffic impact fee for the financing of major collector roads and arterials of Washington County, I /we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND SEVERALLY, to pay my /our traffic impact fee, as has been determined by Washington County Code 3.17 in 20 semi - annual installments of the amount financed together with one -half of one years interest thereon at a rate of 7.01 annual percentage rate on the unpaid amount owed. The lien date is the first day of the month following the date the application is signed. The first payment is due six months thereafter and at six (6) month intervals thereafter for a period of 10 years. Each installment payment will include principal and interest. If I\we neglect or refuse to pay any part of the installments provided herein, including interest, within one (1) year after the same shall have become due and payable, then the whole amount of the unpaid assessment shall become due and payable at once and shall be collected in the manner provided by law including foreclosure on the above - described real property. The traffic impact fee, annual percentage rate of interest ( 7.01 %) and finance charges which I /we agree to pay are as follows: HIGHWAY TRANSIT 1) Amount of Traffic Impact Fee $ 12,334 $1,105 2) Amount Financed $ 12,334 $1,105 3) Equal Semi - Annual Principal Payments $ 616.70 $55.25 4) Interest on Balance at Rate of 7.01 I \We understand that the amount owed, as stated above, shall be a lien on the above - described subject property pursuant to Washington County Code 3.17.060 (C) and ORS 223.230 (3). DATED this? ' day of N © v c - - , - 2 0 . Signature of Property Owner(s) Signature of Propertyy STATE OF OREGON ) Name (Please Print): Iv eh Qvr^ e ^ S � i �l� c^ County of Washington ) Address: � �z r`3 S �' G � lFw Osw f SUBSC- IBED AND SWORN TO BEFORE me this 7 g day of 4/6 V. , 20 0 I 7-9-0 3 / �/ • �� .L1i /. „ �. , Notary Public for Oregon S aie � p C .^�+ l/z/tc• I ? 2 SEAL � �� OFFICIAL - ER . NO��� TAR PUBLI -OREGON My Commission Expires: COMMISSION NO.3234 Y COM MISSION EX PIRES MAY 13, 200 is \dsts \tif\TIF- Paylnstall.doc 11/28/01