HomeMy WebLinkAbout0013_7_Cottage Lane - Exhibit F Application to PurchaseApplication to Purchase Tax -Defaulted Property from County
This application must be completed by eligible purchasing entity to commence purchase oftax-defaulted property by
Agreemeht sale from the county under applicable provisions of the California Revenue and Taxation Code. Complete the
following sections and supply supporting documentation accordingly,. Completion of this application does not guarantee purchase
A. Purchaser Information
1. Name of Organization:
2. Mailing Address: 13v' /14q.
3. Contact Person: bran Q n— Phone: 95����t"� �� �!Z�} A`270
4. Corporate Structure – check the appropriate box below and provide the corresponding information:
❑ Nonprofit Organization– provide Articles of Incorpors.f or, (if more than ten years old an update is required)
Public Agency— provideHission , fadea a eld on Lefte rhead and if Redevelopment Agency or Special District,
also provide Jurisdiction Vl 1p t
5. Agency is to acquire title "As" and the taxing status: C 0'4y 67r4ci ke fl1'1+1►!`� G ►�^ ✓r.ic q
j� 0 rp4^q -�)O\ At"vera,4 6"al �Y, 4.r q TrA)<, .'rKj
(faxing status example: Cite of Watsonville, a municipal corporation, as a Taxing Agency or Sacramento
as a Revenue District)
my flood ComAil District,
B. Purchasing Information
Check the appropriate box as it relates to the purchasing Entity's Corporate Structure and the intended use of the parcel:
I. Is the parcel currently approved for a Chapter 7 Tax Sale? ❑ Yes KNo – / �er TJ
2. The purchase is by (choose ont1, 1 of the 3):(Aich :t se oarale letter ob•ectin to a: ha i(cr -7 tax gale or-LJK
Purchase =TaxingAgeucy,Revenue District or Special District (circle m l�v one)
❑ Purchase by State or County (ch -le onlo one)
❑ Purchase by Nonprofit
3. The purpose of the purchase is: (check m l.v mw bok) If additional space is needed attach separate sheet as an exhibit.
❑ To preserve a lien
XFor public purpose to Aftci fes+ ��i►-��,y�rne��-
Describe public purlwu
❑ For low income housing (sell or rent) circle one
❑ To preserve open space for
C. Property Information
Provide the following information. If there is more than ane parcel at• you need more space for any of the ct-iteria, consolidate the
information into a separate "Exhibit" document and attach it to this application:
1. County where the Parcel is located: IN Ir$�C
2. Assessor's Parcel Number (if only one, list here more than one list on separate sheet):�02
r
3. State the purpose and intended use for the Pf tvel: r' r j ,K4 a �At a q _ �
e S A.A—TV
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D. Acknowledgement
Provide the signat-ure of the purchasing entity's authorized officer
Print Name Contact Number
!Ir
Aorizing SignAtiltat re Title Date
(SCO 8-16) (2016)