HomeMy WebLinkAbout20210426_ApplicationPA2021-101
Community Development Department
Planning Permit ApJ>lication 9 A )-Oi-I-10\
1. Check Permits Requested:
D Approval-in-Concept -AIC #
lj] Coastal Development Permit
D Waiver for De Minimis Development
D Coastal Residential Development
D Condominium Conversion
D Comprehensive Sign Program
D Development Agreement
D Development Plan
D Lot Line Adjustment
D Lot Merger
D Limited Term Permit -
D Seasonal D < 90 day 0>90 days
D Modification Permit
D Off-Site Parking Agreement
D Planned Community Development Plan
D Planned Development Permit
D Site Development Review -D Major D Minor
D Parcel Map
2. Project Address(es)/Assessor's Parcel No(s)
I 237 Canal Street
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, California 92660
949 644-3200
newportbeachca.gov/commun itydevelopment
D Staff Approval
D Tract Map
D Traffic Study
D Use Permit -□Minor □Conditional
D Amendment to existing Use Permit
D Variance
0 Amendment -□Code □PC □GP □LCP
D Other:
3. Project Description and Justification (Attach additional sheets if necessary):
Demolition of existing 4 bedroom 3 bathroom, 2,430 s.f. two story residence.
Project to consist of a new 2,754 s.f. single family residence with 421 s.f. attached, enclosed 2 car garage
and contain 4 bedrooms and 4-1/2 batnrooms
4. Applicant/Compa~n~y_N_a_m_e_::::I _E=r=ic=-A=-=u_s=t==========================-::;------;::::==========;''
Mailing Address 162 Balboa Coves Suite/Unit ';::::=========='I
City I Newport Beach State I CA I Zip 192663 I
Phone 1949.637.5220 I Fax ~-----~I Email I aust.architect@gmail.com I
5. Contact/Company Name I Unknown at present I
Mailing Address Suite/Unit ';::::==========:I
City ~;==================i""-~;========~----=.:State '------;:::==========:........:Z=i'..!:p'...::l===========:I
Fax '-------------'I Email -'-----------------~ Phone ~--------~
6. Property Owner Name I Michael+ Michele Greer I
Mailing Address 1263 Cedar Street Suite/Unit ';===========I,
City I Newport Beach state I CA I Zip 192663 I
Phone 1949.548.5907 I Fax ~-----1 Email I mgreer@greerandkirby.com I
7. Property Owner's Affidavit*: (I) (We)'---------------------------'
depose and say that (I am) (we are) the owner(s) of the property (ies) involved in this application. (I) (We) further
certify, under penalty of perjury, that the foregoing statements and answers herein contained and the information
herewith submitted are in all respects tr~.and correct to the best of (my) (our) knowledge and belief.
Signature(s): ~ Title: I Owner I nate: I 23 April 2021
MM/DD/YEAR
Signature(s): _______________ Title:'-------------~ Date:~-----~
*May be signed by the lessee or by an authorized agent if written authorization from the owner of record is filed concurrently with the
application. Please note, the owner(s)' signature for Parcel/Tract Map and Lot Line Adjustment Application must be notarized.
l:\Users\CDD\Shared\Admin\Planning_ Division\Applications\Application _ Guidelines\Planning Permit Application_ 2021 .docx Rev: 01124/17
I:\Users\CDD\Shared\Admin\Planning_Division\Current_Templates\Office Use Only Form Updated 01/27/2020
2700-5000 Acct.
Deposit Acct. No. ________________________
For Deposit Account:
Fee Pd: _______________________________________
Receipt No: ____________________________
FOR OFFICE USE ONLY
Date Filed: _______________________
APN No: __________________________
Council District No.: _________________
General Plan Designation: ____________
Zoning District: _____________________
Coastal Zone: Yes No Check #: __________
Visa MC Amex # ____________
CDM Residents Association and Chamber
Community Association(s): _______________________ Development No: __________________________
_____________________________________________ Project No: ________________________________
_____________________________________________ Activity No: _______________________________
Related Permits: ___________________________
Remarks:
________________________________________________________________________________________
PA2021-101
er1c aust architect
62 balboa coves
newport beach, california 92663
tel 949.637.5220
email aust.architect@gmail.com
date 23 April 2021
attention Planning Department
company City of Newport Beach;100 Civic Center Drive; Newport Beach, CA 92663
tel number 949.644.3200
pages 1
project description and justification
regarding Greer Residence -237 Canal Street
notes City of Newport Beach, the following is the project description and justification for
the new residential development located at 237 Canal Street
An existing 2 story, 4 bedroom 3 bath, 2,430 s.f. residence is located on the
2,389 s.f. site and will be completely demolished. The proposed new structure will
consist of a single family 2,754 s.f., 3 story residence with a 421 s.f., 2 car garage
accessed directly from Canal Street. The house will have 4 bedrooms and 4.5
bathrooms. There will be 19 s.f. of covered patio space at the entry, 119 s.f. of
covered patio space on the 1st floor (rear) and 119 s.f. of covered deck at the 2nd
floor. There will also be 556 s.f. of open roof deck and 239 s.f. of covered roof
deck at the 3rd floor. 250 s.f. of dedicated "open space" has been provided to
comply with the 15% open space requirement. All development on the site will
comply with current City of Newport Beach Planning regulations for setbacks,
height and floor area.
The proposed development conforms to all applicable sections of the certified
Local Coastal Program and conforms with the public access and public recreation
policies of Chapter 3 of the Coastal Act.
Thanks.
eric d. aust
PA2021-101
■■NORTH" ._AMERICAN r.TITLE ■COMPANY
Central Escrow Inc.
2134 Main Street
Huntington Beach, CA 92648-6448
Attn: Heidi James
Your Ref:
Our Order No.:
Property Address:
Preliminary Report Dated as of August 6, 2020 at 07:30 AM.
711 W. Kimberly Avenue, Suite 200
Placentia, CA 92870
Office Phone: (949)419-9400
Office Fax: (800)464-6282
Email: titleteam@nat.com
92002-20-10337
237 Canal Street, Newport Beach,
CA 92663-1843
IN RESPONSE TO THE ABOVE REFERENCED APPLICATION FOR A POLICY OF TITLE INSURANCE,
North American Title Insurance Company
Hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy or Policies of Title
Insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which
may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception below or
not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations of said Policy forms.
The printed Exceptions and Exclusions from the coverage and limitations on covered risks of said Policy or
Policies are set forth in Exhibit A attached. The Policy to be issued may contain an Arbitration Clause. When the
amount of insurance is less than that set forth in the Arbitration Clause, all arbitrable matters shall be arbitrated at
the option of either the Company or the Insured as the exclusive remedy of the Parties. Limitations on covered
risks applicable to the CLTA and ALTA Homeowner's Policies of Title Insurance which establish a deductible
amount and a maximum dollar limit of liability for certain coverages are also set forth in Exhibit A. Copies of the
Policy forms should be read. They are available from the office which issued this report.
Please read the exceptions shown or referred to below and the exceptions and excluslons set forth In
Exhibit A of this report carefully. The exceptions and excluslons are meant to provide you with notice of
matters which are not covered under the terms of the tltle Insurance pollcy and should be carefully
considered.
It is important to note that this preliminary report Is not a written representation as to the condition of title
and may not 11st all liens, defects, and encumbrances affecting title to the land.
This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the
issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed
prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested.
The form of Policy of title insurance contemplated by this report is:
ALTA Loan Policy
America First Homeowner Policy (ALTA/CL TA Homeowner's Policy of Title Insurance)
Please note that the America First Homeowner's Policy (CL TA/ ALT A Homeowner's Policy) can only be issued on
transactions involving individuals as purchasers and residential 1-4 properties. Any indication that the America
First Homeowner's Policy (CL TA/ ALT A Homeowner's Policy) will be issued in a transaction that does not meet
these criteria is hereby revised to state that the policy contemplated is a Standard Coverage Policy.
David Neal, Title Officer
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SCHEDULE A
1. The estate or interest in the land herein after described or referred to covered by this report is:
Fee Simple
2. Title to said estate or interest at the date hereof is vested In:
D & L Lightnerproperties, LLC (Series A), a Delaware Liability Company
3. Real Property In the City of Newport Beach, County of Orange, State of California, described as follows:
See attached Legal Description
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LEGAL DESCRIPTION
Real Property in the City of Newport Beach, County of Orange, State of California, described as follows:
LOT 18 IN BLOCK 11 OF TRACT 772, IN THE CITY OF NEWPORT BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS PER MAP RECORDED IN BOOK 23 PAGES 5 AND 6 OFFICE OF THE COUNTY RECORDER OF SAID COUNTY.
APN: 045-055-45
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SCHEDULE B
At the date hereof exceptions to coverage in addition to the printed exceptions and exclusions in the policy form
designated on the face page of this report would be as follows:
(NOTE: IT ISTHE RESPONSIBIUTY OFALL PARTIESiNVOLVED ro··ReViEWEVERYJTEM:
ccoN1A1N1::oJN rH1$_PRE~1M1NARYR'=PoRr.1NciwoiNo E3UTN0.r·~1M1Tr=o totHE · ·
~lT!zl'v1(S) H!GHLIGljTED HERl;IN .FOR YOUR, IMMI;Ql.A. TE; ATtENlJON 'fQJ3,E PAID AND/QR:
g!=SOWED At OR BEFORE CLOSING, BEFORE A ilTLE POLICY is ISSUED.; . . . --· ---
1. General and special taxes and assessments for the fiscal year 2020-2021, a lien not yet due or payable.
2. Taxes for proration purposes only for the fiscal year 2019-2020.
First Installment: $2,312.15 PAID
Second Installment: $2,312.15 PAID
Tax Rate Area: 07-001
APN: 045-055-45
3. The lien of supplemental taxes, if any, assessed pursuant to Chapter 3.5 commencing with Section 75 of
the California Revenue and Taxation Code.
4. Water rights, claims to water, whether or not shown by the Public Records.
5. Covenants, conditions, restrictions and easements in the document recorded as/in Book 194, Page 438
of Official Records, but omitting any covenants or restrictions, if any, including but not limited to those
based upon race, color, religion, sex, gender, gender identity, gender expression, sexual orientation,
marital status, national origin, ancestry, familial status, source of income, disability, veteran or military
status, genetic information, medical condition, citizenship, primary language, and immigration status, as
set forth in applicable state or federal laws, except to the extent that said covenant or restriction is
permitted by applicable law, as set forth in the document.
6. We find no open deeds of trust, and will require the Open Loans Affidavit form to be submitted for review
prior to close.
1. (l&.llh~r§~~~(1lJQ)6~-tr~fi~tefrecf t9 TrrJh~ ve~Jibg :)
~a .. A., c~rt_ .... i_flf~tio.n pursuant.to se_ct.ion 18100:5 of t.h·e Callforn_. !a Probate Qod.e in a form satisfactoryt.o the
\Cornp~ny,,
~b, Cqpies of those:experpts from the orlglnc:il try$\ document~ and a['1.$~orn~ntsJh~retowhich deslgna!e.
>th~ JJ'IJ$I~E3 ~hd qQnf~r upoo th~ trtJst~eJh~ ppwer to act 111 th~: Pen~:!ing tr~Q$~9.!1_9t1.J . .
\P• Other:r~q_u __ ,r_ em~nts W~ICl'l t~!3 c,o_,rnp~n. y111ay lrnpo~~ following its review of the material required herein;
(and other information whl9h .the·Company may require,.,
8. (With resp$ct to O & L Llghtnerproperties, LLC (Serles A), a Delaware Uability Company , a limited liability
(c<:>mpany:;
Prelim
r a. A copy of Its qper~tlng agreement and any amendments thereto;;
(b. If it is i:! California lltnlteq llablUty company, that a certified copy of its articles of org€1nlzatlon (LLC~1) and:
tany cEJrtifl¢ate qf 09,rrec:;tloti (LLC~11 ), ~ertificc;tt(:) pf amendment (LLC-2)', or restatement of articles of:
(organization (LLQ710) berecord.ed In the pqbllc recwds;)
(c:. lfJ.t ls c1Joteign iirn,ltegJ(clpJllty comp1:1ny, thctt a certified. c9py of its ~pplication for registration (Ll,C-5) be·\
(rce~s>tc-Jed_ id, th~_ p1,1JjJIQ r~99rq~;) . . . . .
(d_. With respect to c111y deed1 cleed of trust, lease, subordlrn:ition agreement ot other document or;
(instrument executed_py sych UmitedliabUlty company_ and pr8$ente<:I for recordation PY the Con:ip!3.hY or,
(upon whlph_ tb~:C<;>mparlyj~ ~ISked to rely, that such docurnerit or instrument be executed.In accordance;
(with one of the following, as appropriate:)
92002-20-10337
PA2021-101
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((i) lfthe limited liability <iompany prqper1y qparate,s thrQugh officer~ app9inted or ejected purs.uantto the;
~terms of a written operating agreenient,'suph.d.o.cu,rnenfrnu~t p/3,e~ElClJted by afl~ast.two duly electetl cir:
>appointed offi9Elt$x~~l9itoW$; tbe ph?irm~n q(the bqard;J~e presid~n~·or any;vt?.8 presJdent, and any,
\Secrntary, 8$S1$tan.t secretary, the Rr1efflpi:1t19i~l9.ffl,qerqr_~ny ~~$1st~ritJrea:sureri) ·... . .. . ·. . ·. ·· .. l(li) If. theJimJted. llabUitycom pany prqperly operate,~ thrd~ghJ1 mart~get or mamtger$ iclentified in the, (?fiiQle$ :of qrg~ni,~§ti(')6 and/or dvly el~~t~clpw$!JM!t·fo.thet~r1Tl&Of a wrjtten Qperating ~gteen;~ot; f_l_Uch\ ~~6fui1·~~tp~upslrrlati~ir1:i1~jb~e:~fathc~u~~o~in~~:rfu~~::~~Je.manager if-the lirnite~ liability:,
(e. Other requirements Which the Comp~hY may lrnpQse following Its review of the materlal required herein (i:tnd other information which the Company may require)
•••••••••••••••******END OF REPORT*****•••••***********
92002-20-10337
PA2021-101
********************NOTES*********************
A. NOTICE OF RECORDING PROCEDURE
Pursuant to Cal. Revenue & Tax Code §480.3, all Deeds and other Documents that reflect a change in ownership must be accompanied by a Preliminary Change of Ownership Report to be completed by the
transferee. If this special report is not presented at the time of recording, an additional recording fee of
$20.00, as required by law, will be charged. Preliminary Change in Ownership forms, instructions on how to complete them, and a nonexclusive list of documents that are affected by this change, are available
from the County Recorder's Office or the Office of the County Assessor.
Effective January 1, 2018, Cal. Government Code §27388.1 imposes an additional fee of $75.00 to be paid at the time of recording for every real estate instrument, paper, or notice required or permitted by law
to record, except those expressly exempted from payment.
B. GOOD FUNDS LAW
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Under Section 12413.1 of the California Insurance Code, North American Title Company may only make
funds available for disbursement in accordance with the following rules:
Same day availability. Disbursement on the date of deposit is allowed only when funds are deposited to
North American Title Company by Cash or Electronic Transfer (Wire). Cash will be accepted only under
special circumstances and upon approval by management.
Next business day availability. If funds are deposited to North American Title Company by cashier's
checks, certified checks or teller's checks, disbursement may be on the next business day following deposit. A "teller's check" is one drawn by an insured financial institution against another insured financial institution (e.g., a savings and loan funding with a check drawn against a FDIC insured bank).
Second business day availability. If the deposit is made by checks other than those described in
paragraphs 1 and 2 above, disbursement may occur on the day when funds must be made available to depositors under Federal Reserve Regulation CC. In most cases, these checks will be available on the second business day following deposit. (For further details, consult California Insurance Code Section
12413, et seq. and Regulation CC).
These are the minimum periods before funds will be made available. North American Title Company Is not obligated to disburse funds at the expiration of the time periods above, and expressly reserves the right to require additional time before disbursing on deposited funds. Close of escrow and final
disbursement will not be made based on deposits In the form of personal checks, corporate checks, credit
union checks, money market checks, travelers checks and official checks until confirmation of final clearance of the funds. ·
North American Title Company will not be responsible for accruals of interest or other charges resulting
from compliance with the disbursement restrictions imposed by state law.
North American Title Company charges for recording the transaction documents include charges for services performed by North American Title Company, in addition to an estimate of payments to be made to governmental agencies.
Note: The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less than the certain dollar amount set forth in any applicable arbitration clause, all arbitrable matters shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. If you desire to review the terms of the policy, including any arbitration clause that may be included, contact the
office that Issued this Commitment or Report to obtain a sample of the policy jacket for the policy that Is to
be issued in connection with your transaction.
92002-20-10337
PA2021-101
C. The map attached, if any, may or may not be a survey of the land depicted hereon. North American Title
Company expressly disclaims any liability for loss or damage which may result from reliance on this map
except to the extent coverage for such loss or damage is expressly provided by the terms and provisions
of the title insurance policy, if any, to which this map is attached.
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AFFILIATED BUSINESS ARRANGEMENT DISCLOSURE
Referring Party: North American Title Company, North American Title Company,
Inc., North American Title Company of Colorado, North American Title, LLC, North
American Title Agency, Inc., or North American Title Company, LLC, as applicable
("NAT")
This is to give notice that NAT has a business relationship with North American Title Insurance Company
("NATIC"). NAT and NATIC, directly or indirectly, are wholly owned subsidiaries of States Title Holding, Inc.
Because of this relationship, this referral of services may provide NAT a financial or other benefit.
Set forth below are the estimated charges or range of charges for the settlement services provided by NATIC.
You are NOT required to use NATIC as a condition for closing your transaction.
THERE ARE FREQUENTLY OTHER SETTLEMENT SERVICE PROVIDERS AVAILABLE WITH SIMILAR
SERVICES. YOU ARE FREE TO SHOP AROUND TO DETERMINE THAT YOU ARE RECEIVING THE BEST
SERVICES AND THE BEST RA TE FOR THESE SERVICES.
Title Insurance Fees
NAT provides closing services and title insurance through numerous title insurance underwriters, one of which is
NATIC. If NATIC is selected as the title insurer, the following fees apply:
10% -40% of costs for lender's and/or owner's title insurance, as applicable, depending on the property
state, and as shown on the Loan Estimate and/or Closing Disclosure provided by your lender.
Contact your local NAT representative for a more detailed title insurance quote based on your specific
transaction.
ACKNOWLEDGMENT
I/we have read this disclosure form, and understand that NAT is referring me/us to purchase the above-described
settlement service and may receive a financial or other benefit as the result of this referral.
Buyer/Borrower: Seller:
Date: ___________ _ Date: ___________ _
Prellm 92002-20-10337
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NORTH AMERICAN TITLE COMPANY
711 W. Kimberly Avenue, Suite 200, Placentia, CA 92870
Office Phone: (949)419-9400 Office Fax: (800)464-6282 Email:
Closing Protection Letters can be ordered directly by emailing cacpl@nat.com with your title order
number and property address.
Attention:
Your Ref:
Our Order No.: 92002-20-10337
LENDERS SUPPLEMENTAL REPORT
Dated as of August 6, 2020 at 07:30 AM.
Title Officer: David Neal
The above numbered report (including any supplements or amendments thereto) is hereby modified and/or
supplemented in order to reflect the following additional items relating to the issuance of an American Land Title
Association loan form policy of Title Insurance:
Our AL TA Loan Policy, when issued, will contain Endorsement Nos. 100 and 116.
There is located on said land a Single Family
Known as: 237 Canal Street, Newport Beach, CA 92663-1843
City of Newport Beach
County of Orange
State of California.
According to the public records, there has been no conveyance of the land within a period of twenty-four
months prior to the date of this report, except as follows:
None
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Privacy Policy Rev. 03/01/2020
The States Title Famil anies
WHAT DOES THE STATES TITLE FAMILY OF COMPANIES DO WITI-I YOUR PERSONAL INFORMATION?
Financial companies choose how they share your personal Information. Federal law gives consumers the right to limit
some, but not all, sharing. Federal law also requires us to tell you how we collect, share, and protect your personal
information. Please read this notice carefully to understand what we do.
The types of personal information we collect and share depend on the product or service you have with us. This
Information can include:
• Social Security number and income
• Transaction history and payment history
• Purchase history and account balances
All financial companies need to share customers' personal Information to run their everyday business. In the section
below, we list the reasons financial companies can share their customers' personal Information, the reasons the
States Title Family of Companies ("ST") chooses to share, and whether you can limit this sharing.
For our everyday business purposes
Such as to process your transactions, maintain your account(s), respond to court
orders and legal Investigations, or report to credit bureaus
For our marketing purposes
To offer our products and services to you
For Joint marketing with other financial companies
For our affiliates' everyday business purposes
Information about your transactions and experiences
For our affiliates' everyday business purposes
Information about your creditworthiness
For our affiliates to market to you
For nonafflllates to market to you
Call 1 (650) 419-3827
Other Important Information
Yes No
Yes No
No We don't share
Yes No
No We don't share
No We don't share
No We don't share
*California Residents -Effective January 1, 2020, the California Consumer Privacy Act allows California residents, upon a verifiable
consumer request, to request that a business that collects consumers' personal Information give consumers access, in a portable and (If
technically feasible) readily usable form, to the specific pieces and categories of personal Information that the business has collected
about the consumer, the categories of sources for that information, the business or commercial purposes for collecting the information,
and the categories of third parties with which the Information was shared. California residents also have the right to submit a request for
deletion of information under certain circumstances. If a business does not produce the Information or delete the consumer's personal
information as requested, it must provide an explanation In terms of the exemptions and exceptions provided under the CCPA. To contact
us with questions about our compliance with the CCPA, call 1 (650) 419-3827 or email info@statestltle.com.
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How does ST protect my personal
information?
How does ST collect my personal
Information?
Why can't I limit all sharing?
To protect your personal Information from unauthorized access and use, we use security
measures that comply with federal law. These measures Include computer safeguards and
secure flies and buildings.
We collect your personal information, for example, when you
• Apply for Insurance;
• Apply for financing;
• Give us your contact Information
• Provide your mortgage Information
• Show your government-Issued ID
We also collect your personal information from others, such as credit bureaus, affiliates, or
other companies.
Federal law gives you the right to limit only
• Sharing for affiliates' everyday business purposes -Information about your
creditworthiness
• Affiliates from using your information to market to you
• Sharing for nonafflllates to market to you
State laws and individual companies may give you additional rights to limit sharing.
What happens when I limit sharing for an Your choices will apply to everyone on your account-unless you tell us otherwise.
account I hold jointly with someone else?
Definitions ----~-----------------------~--~------------·---~ ----~--------------~
Affiliates Companies related by common ownership or control. They can be financial and
nonflnanclal companies.
Nonafflliates Companies not related by common ownership or control. They can be financial and
nonflnanclal companies.
• Nonaffillates we share with can Include collection agencies, IT service providers,
companies that perform marketing services on our behalf, and consumer
reporting agencies.
Joint marketing A formal agreement between nonaffillated financial companies that together market
financial products or services to you.
• ST doesn't jointly market.
The States Title Family of Companies consists of the following entitles:
States Title Holding Inc.
States Title, Inc.
States Title Insurance Company
States Title Insurance Company of California
States Title Agency, Inc.
Spear Agency Acquisition Inc.
Title Agency Holdco, LLC.
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North American Title Company
North American Title Company, Inc.
North American Title Company of Colorado
North American Title Insurance Company
North American Services, LLC
North American Title Agency, Inc.
North American Title, LLC
North American Title Company, LLC
NASSA LLC
North American Asset Development, LLC
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CL TA Preliminary Report Form • Exhibit A (Rev. 05-06-16)
CLTASTANDARD COVERAGE POLICY -1990
EXCLUSIONS FROM COVERAGE
The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of:
1. (a) Any law, ordinance or governmental regulation (Including but not limited to building or zoning laws,
ordinances, or regulations) restricting, regulating, prohibiting or relating (I) the occupancy, use, or enjoyment of the land; (ii)
the character, dimensions or location of any Improvement now or hereafter erected on the land; (Ill) a separation In
ownership or a change In the dimensions or area of the land or any parcel of which the land Is or was a part; or (Iv)
environmental protection, or the effect of any vlolatlon of these laws, ordinances or governmental regulations, except to the
extent that a notice of the enforcement thereof or a notice of a defect, lien, or encumbrance resulting from a violation or
alleged violation affecting the land has been recorded in the public records at Date of Polley.
(b) Any governmental police power not excluded by (a) above, except to the extent that a notice of the exercise thereof or
notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded In
the public records at Date of Polley.
2. Rights of eminent domain unless notice of the exercise thereof has been recorded In the public records at Date of Policy, but not
excluding from coverage any taking which has occurred prior to Date of Polley which would be binding on the rights of a purchaser for
value without knowledge.
3. Defects, liens, encumbrances, adverse claims or other matters:
(a) whether or not recorded in the public records at Date of Policy, but created, suffered, assumed or agreed to by the insured
claimant; ·
(b) not known to the Company, not recorded In the public records at Date of Policy, but known to the Insured claimant and not
disclosed In writing to the Company by the Insured claimant prior to the dale the Insured clalmant became an insured under this
policy;
(c) resulting In no loss or damage to the Insured claimant;
(d) attaching or created subsequent to Date of Polley; or
(e) resulting In loss or damage which would not have been sustained If the Insured claimant had paid value for the Insured mortgage or
for the estate
or Interest Insured by this policy.
4. Unenforceability of the lien of the Insured mortgage because of the inability or failure of the insured at Date of Policy, or the inability or
failure of any subsequent owner of the Indebtedness, to comply with the applicable doing business laws of the state In which the land Is
situated.
5. lnvalldlty or unenforceablllty of the lien of the Insured mortgage, or claim thereof, which arises out of the transaction evidenced by the
Insured mortgage and Is based upon usury or any consumer credit protection or truth In lending law.
6. Any claim, which arises out of the transaction vesting In the insured the estate of interest insured by this policy or the transaction
creating the interest of the insured lender, by reason of the operation of federal bankruptcy, state Insolvency or similar creditors' rights
laws.
EXCEPTIONS FROM COVERAGE. SCHEDULE B, PART I
This policy does not Insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason
of:
1,
2.
3.
4.
5.
6.
Taxes or assessments which are not shown as existing llens by the records of any taxing authority that levies taxes or assessments on
real property or by the public records.
Proceedings by a public agency which may result in taxes or assessments, or notices of such proceedings, whether or not shown by the
records of such agency or by the public records.
Any facts, rights, Interests, or claims which are not shown by the public records but which could be ascertained by an Inspection of the
land or which may be asserted by persons In possession thereof.
Easements, liens or encumbrances, or clalms thereof, not shown by the public records.
Discrepancies, conflicts In boundary lines, shortage In area, encroachments, or any other facts which a correct survey would disclose,
and which are not shown by the public records.
(a) Unpatented mining claims; (b) reservations or exceptions In patents or In Acts authorizing the Issuance thereof; (c) water rights,
claims or title to water, whether or not the matters excepted under (a), (b) or (c) are shown by the public records.
Any lien or right to a lien for services, labor or material not shown by the public records.
CLTA/AL TA HOMEOWNER'S POLICY OF TITLE INSURANCE (12-02-13)
EXCLUSIONS
In addition to the Exceptions In Schedule B, You are not Insured against loss, costs, attorneys' fees, and expenses resulting from:
1. Governmental police power, and the existence or violatlon of those portions of any law or government regulation concerning:
a. building;
b. zoning;
c. land use;
d. improvements on the Land;
e. land division; and
f. environmental protection.
This Exclusion does not limit the coverage described in Covered Risk 8.a., 14, 15, 16, 18, 19, 20, 23 or 27.
2. The failure of Your existing structures, or any part of them, to be constructed in accordance with applicable building codes. This
Exclusion does not limit the coverage described In Covered Risk 14 or 15.
3. The right to take the Land by condemning ii. This Exclusion does not limit the coverage described in Covered Risk 17.
4. Risks:
Prelim 92002-20-10337
PA2021-101
a. that are created, allowed, or agreed to by You, whether or not they are recorded In the Public Records;
b. that are Known to You at the Policy Date, but not to Us, unless they are recorded In the Public Records at the Policy Date;
c. that result In no loss to You; or
d. that first occur after the Policy Date -this does not limit the coverage described In Covered Risk 7, 8.e., 25, 26, 27 or 28.
5. Failure to pay value for Your TIiie.
6. Lack of a right:
a. to any land outside the area specifically described and referred to In paragraph 3 of Schedule A; and
b. In streets, alleys, or waterways that touch the Land.
This Exclusion does not llmlt the coverage described In Covered Risk 11 or 21.
7. The transfer of the TIiie to You Is Invalid as a preferential transfer or as a fraudulent transfer or conveyance under federal bankruptcy,
state Insolvency, or similar creditors' rights laws.
8. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence.
9. Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances.
LIMITATIONS ON COVERED RISKS
Your Insurance for the following Covered Risks Is limited on the Owner's Coverage Statement as follows:
• For Covered Risk 16, 18, 19, and 21 Your Deductible Amount and Our Maximum Dollar Limit of Llablllty shown In Schedule A.
The deductible amounts and maximum dollar limits shown on Schedule A are as follows:
Covered Risk 16:
Covered Risk 18:
Covered Risk 19:
Covered Risk 21:
Your Deductible Amount
1 % of Polley Amount Shown In Schedule A or $2,500
(whichever Is less)
1 % of Polley Amount Shciwn In Schedule A or $5,000
(whichever Is less)
1 % of Policy Amount Shown In Schedule A or $5,000
(whichever is less)
1 % of Policy Amount Shown in Schedule A or $2,500
(whichever Is less)
2006 AL TA LOAN POLICY (06-17-06)
EXCLUSIONS FROM COVERAGE
Our Maximum Dollar
Limit of Liability
$10,000
$25,000
$25,000
$5,000
The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs,
attorneys' fees, or expenses that arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating,
prohibiting, or relating to
(I) the occupancy, use, or enjoyment of the Land;
(ii) the character, dimensions, or location of any Improvement erected on the Land;
(Iii) the subdivision of land; or
(Iv) environmental protection;
or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1 (a) does not modify or limit the
coverage provided under Covered Risk 5.
(b) Any governmental police power. This Exclusion 1 (b) does not modify or limit the coverage provided under Covered Risk 6.
2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8.
3. Defects, liens, encumbrances, adverse claims, or other matters
(a) created, suffered, assumed, or agreed to by the Insured Claimant;
(b) not Known to the Company, not recorded In the Public Records at Date of Polley, but Known to the Insured Claimant and not
disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this
policy;
(c) resulting in no loss or damage to the Insured Claimant;
(d) attaching or created subsequent to Date of Polley (however, this does not modify or limit the coverage provided under Covered Risk
11, 13, or 14);
or
(e) resulting In loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage.
4. Unenforceablllty of the lien of the Insured Mortgage because of the Inability or failure of an Insured to comply with applicable
doing-business laws of the state where the Land is situated.
5. Invalidity or unenforceabllity in whole or In part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the
Insured Mortgage and is based upon usury or any consumer credit protection or truth-In-lending law.
6. Any claim, by reason of the operation of federal bankruptcy, state Insolvency, or similar creditors' rights laws, that the transaction
creating the lien of the Insured Mortgage, Is
(a) a fraudulent conveyance or fraudulent transfer, or
(b) a preferential transfer for any reason not staled in Covered Risk 13(b) of this policy.
7. Any lien on the Title for real estate taxes or assessments Imposed by governmental authority and created or attaching between Date of
Policy and the date of recording of the Insured Mortgage In the Public Records. This Exclusion does not modify or limit the coverage
provided under Covered Risk 11 (b ).
The above policy form may be Issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions
from Coverage, the Exceptions from Coverage In a Standard Coverage policy will also Include the following Exceptions from Coverage:
Prellm 92002-20-10337
PA2021-101
EXCEPTIONS FROM COVERAGE [Except as provided In Schedule B -Part II,[ ![or T]his policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of:
[PARTI
[The above policy form may be Issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage In a Standard Coverage policy will also Include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b} proceedings by a public agency that may result In taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records.
2. Any facts, rights, Interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons In possession of the Land.
3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records.
4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records.
5. (a) Unpatented mining claims; (b) reservations or exceptions In patents or In Acts authorizing the Issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the Public Records. ]
PARTII
In addition to the matters set forth in Part I of this Schedule, the Title is subject to the following matters, and the Company insures against loss or damage sustained In the event that they are not subordinate to the lien of the Insured Mortgage:]
2006 ALTA OWNER'S POLICY (06-17-06)
EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (Including those relating to building and zoning) restricting, regulating, prohibiting, or relating to
(I) the occupancy, use, or enjoyment of the Land;
(Ii) the character, dimensions, or location of any Improvement erected on the Land;
(iii) the subdivision of land; or
(Iv) environmental protection;
or the effect of any violation of these laws, ordinances, or governmental regulations. This exclusion 1(a) does not modify or limit the coverage provided under Covered Risk 5.
(b) Any governmental police power. This Exclusion 1 (b) does not modify or limit the coverage provided under Covered Risk 6. 1. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 2. Defects, liens, encumbrances, adverse claims, or other matters
(a) created, suffered, assumed, or agreed to by the Insured Claimant;
(b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed In writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy;
(c) resulting In no loss or damage to the Insured Claimant;
(d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 9 and 10); or
(e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Title. 3. Any claim, by reason of the operation of federal bankruptcy, state Insolvency, or similar creditors' rights laws, that the transaction vesting the Title as shown In Schedule A, Is
(a) a fraudulent conveyance or fraudulent transfer; or
(b) a preferential transfer for any reason not staled in Covered Risk 9 of this policy. 4. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Polley and the date of recording of the deed or other Instrument of transfer in the Public Records that vests Title as shown In Schedule A.
The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition to the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also Include the following Exceptions from Coverage:
EXCEPTIONS FROM COVERAGE This policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees or expenses, that arise by reason of: [The above policy form may be issued to afford either Standard Coverage or Extended Coverage. In addition lo the above Exclusions from Coverage, the Exceptions from Coverage in a Standard Coverage policy will also Include the following Exceptions from Coverage: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result In taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown In the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons In possession of the Land.
3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and that are not shown by the Public Records.
5. (a) Unpatented mining claims; (b) reservations or exceptions In patents or In Acts authorizing the Issuance thereof; (c) water.rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records.
6. Any lien or right to a lien for services, labor or material not shown by the Public Records.
7. [Variable exceptions such as taxes, easements, CC&R's, etc. shown here.)
Prellm 92002-20-10337
PA2021-101
ALTA EXPANDED COVERAGE RESIDENTIAL LOAN POLICY • ASSESSMENTS PRIORITY (04-02-15)
EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company wlll not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (Including those relating to building and zoning) restrlcllng, regulating, prohibiting, or relating to (I) the occupancy, use, or enjoyment of the Land;
(II) the character, dimensions, or location of any Improvement erected on the Land; (iii) the subdivision of land; or
(Iv) environmental protection;
or the effect of any vlolallon of these laws, ordinances, or governmental regulations. This Exclusion 1 (a) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16.
(b) Any governmental pollce power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 5, 6, 13(c), 13(d), 14 or 16.
2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, Hens, encumbrances, adverse claims, or other matters
(a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded In the Public Records at Date of Polley, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy;
(c) resulting In no loss or damage to the Insured Claimant;
(d) attaching or created subsequent to Date of Polley (however, this does not modify or llmlt the coverage provided under Covered Risk 11, 16, 17, 18, 19, 20, 21, 22, 23, 24, 27 or28); or (e) resulting in loss or damage that would not have been sustained If the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing-business laws of the state where the Land Is situated.
5. lnvalldlty or unenforceablllty In whole or In part of the lien of the Insured Mortgage that. arises out of the transaction evidenced by the Insured Mortgage and is based upon usury, or any consumer credit protection or truth-In-lending law. This Exclusion does not modify or limit the coverage provided in Covered Risk 26.
6. Any claim of Invalidity, unenforceablllty or lack of priority of the lien of the Insured Mortgage as to Advances or modifications made after the Insured has Knowledge that the vestee shown In Schedule A Is no longer the owner of the estate or Interest covered by this policy. This Exclusion does not modify or limit the coverage provided In Covered Risk 11.
7. Any llen on the Title for real estate taxes or assessments Imposed by governmental authority and created or attaching subsequent to Date of Polley. This Exclusion does not modify or limit the coverage provided In Covered Risk 11(b) or 25. 8. The failure of the residential structure, or any portion of It, to have been constructed before, on or after Date of Polley In accordance with applicable bulldlng codes. This Exclusion does not modify or llmlt the coverage provided In Covered Risk 5 or 6. 9. Any claim, by reason of the operation of federal bankruptcy, state Insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is
(a) a fraudulent conveyance or fraudulent transfer, or
(b) a preferential transfer for any reason not stated In Covered Risk 27(b) of this policy. 1 0. Contamination, explosion, fire, flooding, vibration, fracturing, earthquake, or subsidence. 11. Negligence by a person or an Entity exercising a right to extract or develop minerals, water, or any other substances.
Prelim 92002-20-10337
PA2021-101
File No.: 92002-20-10337
OWNER'S DECLARATION
The undersigned Owner(s) of legal age, being duly sworn, deposes and states under penalty of perjury under the
laws of the State of California.
1. That certain real property (the "Property") as described in that certain Commitment of Title
Insurance/Preliminary Report No. 92002-20-10337 dated as of ("Commitment/Report") issued by or on behalf
of is improved by the following (check all that apply)
D Single family residences
□ Apartment building
□ One-to-four family residences
D Office building
D Commercial building
D Industrial building
D Combination office/commercial building
D Vacant Land
D Other:
2. WORK OF IMPROVEMENT: Please respond to A, 8 and C below:
A. For the period of 90-days prior to the date of this Affidavit, no repairs or work of improvement has been
conducted on, nor any materials supplied to, the Property except as follows:
(Enter "None" if such is true.)
If you have described any work of improvement above, please complete the following:
D Started on _______ ,, 20 __ .
D Completed on 20 __ .
□ Will be completed on ________ _, 20 __ .
8. Cessation of Labor (Please place an "X" by 1 or 2 below):
D 1. There has been a cessation of labor where a work of Improvement was discontinued before
completion within 150 days of the date of this Affidavit.
PLEASE DESCRIBE THE NATURE OF THE WORK THAT DISCONTINUED:
D 2. There has not been a cessation of labor where a work of improvement was discontinued before
completion within 150 days of the date of this Affidavit.
C. There are no unpaid bills for labor or material because of any improvements made to the Property except:
(Enter "None" if such is true.)
3. No one is in possession of, or has any right to possession of, the Property except:
D Declarant as owner.
Owners Declaration Commercial 92002-20-10337
PA2021-101
D Tenants based only on month-to-month rental agreements.
D Tenants based upon existing leases as listed on the Rent Roll attached hereto as Exhibit A and
incorporated herein by reference.
D other: ----------------------------------
4. No person{s) or entitles, have {i) any options to purchase or rights of first refusal, including but not limited to
lessees under any leases referred to in Paragraph 3 above, and/or {ii) easements, licenses, agreements or
other rights allowing them to use, encroach on, or access to the Property except {i) as shown in the
CommitmenUReport, and {ii)
(Enter "None" if such is true.)
5. Those certain lease{s) shown as exception number(s) ____ in the CommitmenUReport have either: (a)
expired by their own terms, or (b) if they have not expired, the lessee{s) have vacated the Property and
Oeclarant has been notified of the vacation of the Property either by correspondence from the lessee or by
physical inspection of the property.
6. To the best of Declarant's knowledge, there are no unrecorded real property taxes or assessments against the
Property.
The undersigned is not aware of any release reports or commitment statements which have been issued
pertaining to any environmental issues or liens.
7. This Affidavit is given for the purpose of inducing North American Title Company, Inc. and its agents to issue
policy(ies) of title insurance which may provide coverage with respect to all matters set forth herein. If North
American Title Company, Inc. elects, in its discretion, to (a) accept this Affidavit, and (b) issue title insurance
policy(ies) to third parties, North American Title Company, Inc. will do so in material reliance on this Affidavit
and the representation and covenants In this Affidavit.
8. Declarant acknowledges that he/she has read this Affidavit, that all the statements made in this Affidavit are
true and correct of his/her own actual knowledge, and fully understands the legal aspects of any
misrepresentations or untrue statements made in this Affidavit. Declarant, both personally and on behalf of
Owner, covenants and agrees to defend, indemnify, and hold North American Title Company, Inc. harmless
from and against any and all claims, actions, suits (including arbitration), liabilities, losses, damages, costs,
charges, attorney's fees and other expenses of every nature and character as a result of its reliance on this
Affidavit.
Executed on----------~ 20 __ , at ___________________ _
(City) (State)
"Declarant"
Owner
Owner
Owners Declaration Commercial 92002-20-10337
PA2021-101
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) SS COUNTY OF ________ _
On , before me,---------------------~
Notary Public, personally appeared _________________________ _
_____________________ _, 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/her/their authorized capacity(les), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature
Owners Declaration Commercial
This area for official notarial seal
92002-20-10337
PA2021-101
Date: August 17, 2020
Escrow Number: 92002-20-10337
TRUST CERTIFICATION
PURSUANT TO CALIFORNIA PROBATE CODE SECTION 18100,5
I (Yve), , trustee(s) of the confirm the following facts:
1. The
(Name Of Trust)
is currently in existence and was created on
(Date of Trust)
2. The settlor(s) of the trust are as follows:
3. The currently acting trustee(s) of the trust Is (are):
4. The currently acting trustee(s) of the trust Is (are):
(a) The powers to sell, convey and exchange [ ] Yes [ ) No (check one}
(b) The power to borrow money and encumber the trust property with a deed of trust or mortgage
[ ) Yes [ ) No (check one)
5. The trust Is [ ] revocable; [ ] irrevocable (check one) and the following party(les) If any, Is (are) Identified
as having the power to revoke the trust:
6. The trust [ ] does; [ ] does not have multiple trustees (check one). If the trust has multiple trustees, the
signatures of all trustees or of any ____________ of the trustees is required to
exercise the powers of the trust.
7. The trust identification number Is as follows:
(Social Security number/Employee ldentlflcetlon number)
8. Title to trust assets shall be taken In the following fashion:
Trust Certification 92002-20-10337
PA2021-101
Escrow Number: 92002-20-10337
The undersigned trustee(s) hereby declere(s) that the trust has not been revoked, modified, or amended In any
manner which would cause the representations contained herein to be Incorrect. This certification Is being signed
by all of the currently acting trustees and Is being executed In conformity with the provisions of California Probate
Section 18100.5, Chapter 530, Statutes of 1993.
Date: ____________ _
TRUSTEE
TRUSTEE
A notary public or other officer completing this certlflcate 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.
Trust Certification
TRUSTEE
TRUSTEE
92002-20-10337
PA2021-101
OPEN LOANS AFFIDAVIT
Order No.: 92002-20-10337 Escrow No.: 92002-20-10337
I/We the undersigned being of legal age, hereby declare and swear, under penalty of perjury that the following information, declarations, representations and answers are true, correct and complete:
1. I/We am/are the current owner(s) of the property in this transaction which has an address of:
237 Canal Street, Newport Beach, CA 92663-1843
2. That the following is a complete and comprehensive list of all open loans taken out against said land:
(If no open loans, please write NONE on the 1st Current Lender Line and initial).
1.) Current Lender: _____________ _ Loan Balance$ _________ _
Original Lender: _____________ _ Original Loan Amount: $ ______ _
Are you in default of this Loan: D YES D NO IF YES, how long ('-___ _,) MONTHS
Have you requested or do you have a forbearance agreement for this loan: DYES D NO
2.) Current Lender: ____________ _ Loan Balance$ _________ _
Original Lender: _____________ _ Original Loan Amount: $ ______ _
Are you in default of this Loan: D YES D NO IF YES, how long ____ _, MONTHS
Have you requested or do you have a forbearance agreement for this loan: DYES D NO
3.) Current Lender: _____________ _ Loan Balance $ ----------Original Lender: _____________ _ 0 rig in a I Loan Amount: $ ______ _
Are you in default of this Loan: D YES D NO IF YES, how long ____ _, MONTHS
Have you requested or do you have a forbearance agreement for this loan: D YES D NO
Attach additional page if there are more than three outstanding loans.
3. I/We understand and acknowledge that this Affidavit is made for the protection and benefit of and for all other
parties hereafter dealing with or who may acquire an interest in said Property and for the purpose of inducing (including its affiliates and underwriters) to insure title to said Property. I/We am/are fully aware and know that will rely on this Affidavit and would not insure title without it. We also hereby agree to indemnify and hold
harmless and to become fully financially responsible for any loss that may occur to or any other parties if any of the information, declarations, representations and answers turn out to not be true, correct and/or complete, whether by accidental omission or actual deceit and/or fraud.
tbd tbd Date
Open Loans Affidavit 92002-20-10337
PA2021-101
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