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09/29/2015 04:22:21 PM 201509290033 <br />$74.00 Pa9e:1 of 3 <br />Memorandum KCDPW <br />llltl lllllllll 11 l llll l lllll�llllil lllltor <br />llll IIII III II IIIIIII II IIIII III I I III II Iill llll <br />Return Address: <br />�7iRIJIEVVI7r) By <br />p� _ ;:?TT! T Pif � UN T Y T RV,URER� <br />[.)>n?;!!.' <br />Please print or type information WASHINGTON STATE RECORDER'S Cover Sheet (RCW 65.04) <br />Document Title(s) (or transactions contained therein): (all areas applicable to your document must be filled in) <br />1Yld L= 2. <br />3. <br />Reference Number(s) of Documents assigned or released: <br />Additional reference Ws on page of document <br />Grantor(s) Exactly as name(s) appear on document <br />2. <br />Additional names on paAe�- of document. <br />Gr ntee(s) Exactly as name(s) appear on document <br />2. <br />Additional names on page of document. <br />aELU L UILUX IDF'jaa - — F—tl— -- <br />Assessor's Property Tax Parcel/Account Number ❑ Assessor Tax # not yet <br />assigned <br />The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document <br />to veri the accurac or completeness of the indexin information provided herein. <br />"I am signing below and paying an additional $50 recording fee (as provided in RCW 36.18.010 and <br />referred to as an emergency nonstandard document), because this document does not meet margin and <br />formatting requirements. Furthermore, I hereby understand that the recording process may cover up or <br />otherwise obscure some part of the text of the original document as a result of this request." <br />Signature of Requesting Party <br />Note to submitter: Do not sign above nor pay additional $50 fee if the document meets <br />