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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4889
PATENT EASEMENT ABANDONMENT APPLICATION
Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or mailed to the MCDOT office.
Incomplete applications may result in delay of review.
| Contact Information
Applicant Name: Nick SUWU PAB Number: PA B- 0214
Mailing Address: 4-909 _f. (St AVE.
City: Sul n_Ci aa state: AZ zip:_ 85212
Phone (0222) - 44 - a) St Email: Nick @ Promin2o. Tech
| Parcel Detail
Assessor's Parcel Number: QQ) - ad. - 028E
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
DH Txx w. WAM Aye. Sun City, Arizona 85573 - 30%* Happy Valley
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
Abandon easement borderi Ag the. East anal Nortn Sides of parce] 2022028
3. Applicant is REQUIRED to be the current owner of the described property. A copy of your property deed
must be attached to the application.
I certify, under penalty of perjury, that no loss of currently existing legal and physical access to any property
will occur if the County grants the patent easement abandonment requested in this application.
4. If you have a mortgage, deed of trust, upon your property you are REQUIRED to provide a letter from the
lender approving your request to abandon a patent easement. Applications submitted without lender approval
will not be processed. If you don’t have a mortgage or deed of trust on the subject property, you will need
to sign, before a notary, the affidavit below attesting to that status.
I, N iCho\ od Suw yin attest that I own the subject property and that it is not encumbered by
mortgage or deed of trust.
Subscribed and sworn to before me this My Commission Expires:
A day of ft ) (244-4
.
ogre: G/4/ 91),
i ELALEXIS ORTEGA
ern, Ay Pu Sil of ora
zl MARICOPA COUNTS
Expires Laces 44, 2024
Signature of Applicant — Date
| Maricopa County Use Only
Application Fee*: $1,600
Check #: EL 7 = Total Received: 4/357. Date: ge Recid By
WaT CU UF v Oo
*Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided; demonstrating an initial revie
of the narcel was conducted by the County within the last six months. The annlication fee is NOT refiindahle. Make checks
AEFIDAVIT OF PROPERTY VALUE
1. ASSESSOR'S PARCEL INDENTIFICATION NUMBER(S)
Primary Parcel: 201 - 22) -_—sO2BE__s-
BOOK MAP PARCEL SPLIT
Does this sale include any parcels that are being split / divided?
Check one: Yes] No
How many parcels, other than the Primary Parcel, are included
in this sale?
Please list the additional parcels below (attach list if necessary):
@) @)
MARICOPA COUNTY RECORDER
STEPHEN RICHER
FC20220546261 07/01/2022
ELECTRONIC RECORDING
SALES AFFIDAVIT
213212730-2-3-3-Y-
amine
10:5°
(2) (4)
2. SELLER'S NAME AND ADDRESS:
3K GROWTH, LLC, MICHAEL DEMORE
9. TYPE OF DEED OR INSTRUMENT (Check Only One Box):
a. &] Warranty Deed d. (1) Contract or Agreement
b. (1 Special Warranty Deed e. C1) Quit Claim Deed
8711 E. Pinnacle Peak Road, Sute 304 c. [1 Joint Tenancy Deed f. (Other:
Scottsdale AZ B5255 10. SALE PRICE: | g[i65,000. [oo |
3. (a) BUYER'S NAME AND ADDRESS: 11, DATE OF SALE (Numeric Digits): __05 / 22
NICHOLAS SUWYN, CHERRISH SUWYN Honth 7 Year
25710 N. 12nd Ave 12. DOWN PAYMENT g[i65,000. [oo |
Peoria AZ 85383 :
(b) Are the Buyer and Seller related? Yes L] No XJ
If Yes, state relationship:
4, ADDRESS OF PROPERTY:
247XX W 114th Ave, Sun City, Arizona 85373
13. METHOD OF FINANCING:
a. BX] Cash (100% of Sale Price)
b. £2) Barter or trade
c. F) Assumption of existing loan(s)
d. 7] Seller Loan (Carryback)
e. LJ New toan(s) from
financial Institution:
(1) Conventional
2) va
@)C] FHA
f. 7] Other financing; Specify:
5. (a) MAIL TAX BILL TO: (Taxes due even if no bill received)
NICHOLAS SUWYN, CHERRISH SUWYN
25716 N 69th Ave
Peoria AZ 85383
(b) Next tax payment due 10/2022
6. PROPERTY TYPE (for Primary Parcel}: NOTE: Check Only One Box
a.B] vacant Land f, ([] Commercial or Industrial Use
gD Agricultural
bh. Mobile or Manufactured Home
Caffixed — CINot Affixed
i, CD Other Use; Specify:
b.(7] Single Family Residence
cD Condo or Townhouse
dD) 2-4 Plex
el] Apartment Building
7, RESIDENTIAL BUYER'S USE: If you checked b, c, d or hin item 6
above, please check one of the following:
a.L1 To be used as a primary residence.
b.{J To be rented to someone other than a “qualified family member,”
c.LJ To be used as a non-primary or secondary residence.
See reverse side for definition of a “primary residence,
secondary residence” and “family member.”
14. PERSONAL PROPERTY (see reverse side for definition):
(a) Did the Sale Price in Item 10 include Personal Property that
impacted the Sale Price by 5 percent or more? Yes{_] Noh
{b) If Yes, provide the dollar amount of the Personal Property:
s| [00 | AND
briefly describe the Personal Property:
15. PARTIAL INTEREST; If only a partial ownership interest is being sold,
briefiy describe the partial interest: NA
16. SOLAR / ENERGY EFFICIENT COMPONENTS:
(a) Did the Sale Price in Item 10 include solar energy devices, energy
efficient building components, renewable energy equipment or
combined heat and power systems that impacted the Sale Price by
5 percent or more? =—-- Yes oO No
If Yes, briefly describe the solar / energy efficient components:
17. PARTY COMPLETING AFFIDAVIT (Name, Address, Phone Number):
BUYER AND SELLER AS SHOWN ABOVE
8. If you checked e or f in Item 6 above, indicate the number of units:
For Apartments, Motels / Hotels, Mobile Home / RV Parks, etc.
18. LEGAL DESCRIPTION (attach copy if necessary):
EXHIBIT "A* ATTACHED HERETO
he UNDERSIGNED BEING DULY SWORN, ON OATH, SAYS THAT THE FOREGOING INFORMATION IS A TRUE AND CORRECT STATEMENT OF THE
i
CTS PERTAINING TO THE TRANSFER OF THE ABOVE DESCRIBED PROPERTY.
OD po
Signature of Seiler 7 Agent
State of Maricopa , County of Arizona
Subscribed and sworn to before me on this _| day of JUt i 2022
Notary Public hrpte Pile _
Notary Expirg Bate i SRYSTAL MANNE S
oy 2 Public - State of Arizona
State of
Subscribed and ye i me on this So day of Mae 2022
Signature of Buyer / Agent .<<—<——~_
Maricopa , County of Arizona
Notary Public
Notary Expiration ‘pttel / Ce yPleouzes
JEAN JACK IRIGOYEN GONZALEZ
Notary Public - Arizona
Maricopa Co. / #583973
Expires 06/15/2024
AFFIDAVIT OF PROPERTY VALUE
1. ASSESSOR'S PARCEL INDENTIFICATION NUMBER(S)
Primary Parcel: 201. -_ 22) -__—(O28E_-
BOOK MAP PARCEL SPLIT
Does this sale include any parcels that are being split / divided?
Check one: Yes No]
How many parcels, other than the Primary Parcel, are included
in this sale?0
Please list the additional parcels below (attach list if necessary):
FOR RECORDER'S USE ONLY
(1) (3)
(2) (4) 9. TYPE OF DEED OR INSTRUMENT (Check Only One Box):
2. SELLER'S NAME AND ADDRESS: a. KJ Warranty Deed d. C Contract or Agreement
3K GROWTH, LLC, MICHAEL DEMORE b. C1 Special Warranty Deed e. LJ Quit Claim Deed
8711 E. Pinnacle Peak Road, Sute 304 c. [Joint Tenancy Deed f. D Other:
Scottsdale AZ 85255 10. SALE PRICE: l ${165,000. Joo |
3. (a) BUYER’S NAME AND ADDRESS: 11. DATE OF SALE (Numeric Digits): 05 / 22
NICHOLAS SUWYN, CHERRISH SUWYN Month / Year
25710 N. 122nd Ave 12. DOWN PAYMENT g[t65,000. [oo |
Peoria AZ 85383 13. METHOD OF FINANCING:
(b) Are the Buyer and Seller related? Yes L] No a a. KX] Cash (100% of Sale Price) e. LJ New loan(s) from
If Yes, state relationship: b. C1 Barter or trade financial tala
4. ADDRESS OF PROPERTY: (1)00 Conventional
. ; c. C1 Assumption of existing loan(s) (2)0) va
247XX W 114th Ave, Sun City, Arizona 85373
(3)D0 FHA
d. O Seller Loan (Carryback) . L1 other financing; Specify:
5. (a) MAIL TAX BILL TO: (Taxes due even if no bill received)
NICHOLAS SUWYN, CHERRISH SUWYN
25716 N 69th Ave
Peoria AZ 85383
(b) Next tax payment due 10/2022
6. PROPERTY TYPE (for Primary Parcel): NOTE: Check Only One Box
a.EX] Vacant Land f. J Commercial or Industrial Use
b.L Single Family Residence 9. Agricultural
h.Z Mobile or Manufactured Home
Daatfixed — CINot affixed
d.Z) 2-4 Plex i. J Other Use; Specify:
e.L] Apartment Building
c.L] Condo or Townhouse
7. RESIDENTIAL BUYER’S USE: If you checked b, ¢, d or h in item 6
above, please check one of the following:
a.) To be used as a primary residence.
b.LJ To be rented to someone other than a “qualified family member.”
c.L] To be used as a non-primary or secondary residence.
See reverse side for definition of a “primary residence,
secondary residence” and “family member.”
14, PERSONAL PROPERTY (see reverse side for definition):
(a) Did the Sale Price in Item 10 include Personal Property that
impacted the Sale Price by 5 percent or more? Yes] No
(b) If Yes, provide the dollar amount of the Personal Property:
$| [00 | AND
briefly describe the Personal Property:
15. PARTIAL INTEREST: If only a partial ownership interest is being sold,
briefly describe the partial interest: NA
16. SOLAR / ENERGY EFFICIENT COMPONENTS:
(a) Did the Sale Price in Item 10 include solar energy devices, energy
efficient building components, renewable energy equipment or
combined heat and power systems that impacted the Sale Price by
5 percent or more? = Yes Oo No XJ
Tf Yes, briefly describe the solar / energy efficient components:
17. PARTY COMPLETING AFFIDAVIT (Name, Address, Phone Number):
BUYER AND SELLER AS SHOWN ABOVE
8. If you checked e or f in Item 6 above, indicate the number of units:
For Apartments, Motels / Hotels, Mobile Home / RV Parks, etc.
18. LEGAL DESCRIPTION (attach copy if necessary):
EXHIBIT "A" ATTACHED HERETO
THE UNDERSIGNED BEING DULY SWORN, ON OATH, SAYS THAT THE FOREGOING INFORMATION IS A TRUE AND CORRECT STATEMENT OF THE
rs mera TO THE TRANSFER OF THE ABOVE DESCRIBED PROPERTY. LL _
Fy
SiGnaturé of Seller / Agent_ Signature of Buyer / Agent =<
State of Maricopa , County of Arizona State of Maricopa , County of Arizona
Subscribed and mneeee: to before we (eos of JULY 2022 Subscribed and pe me on this So day of _\Une. 2022
Notary Public Notary Public
Notary E: = GRYSTAL 2 Ls Notary Expiration Datel / Ce Ly Hlzy74,
DOR FORM Fe raees fAtzona JEAN JACK IRIGOYEN GONZALEZ
Commission # 616620 Notary Public - Arizona
Maricopa Co. / #583973
Expires 06/15/2024
Maricopa County Department of Transportation
2901 W. Durango Street, Phoenix, AZ 85009
Receipt
Payer Name: Receipt #:
NICK & CHERRISH SUWYN Payment Date:
10963 W MARIPOSA DR Receipt Type:
PHOENIX , Arizona 85037 Reference #:
Description Payment Type
PATENT EASEMENT ABANDONMENT // PAB 0214 // NICK Check
SUWYN
101106
8/9/2022
Patent Easements
APN 201-22-028E
Transaction # Amount
207 $1,350.00
Total: $1,350.00