360639 - Laserfiche WebLink

Home Browse Search

. . 4•4 9� ,. 7 LY0.iv4a� 1 ' � pS (, � , � Li'a'NriA� ,4 ?� _ Aid5'dP . uY4t �AA : f R � \Y ,Cnr,a .. 4 -�y . w .t � A : 6'4,,4 1 , y'? =:Ait. '1 .yr�i1�' F ii .- s . � frh',i, c .rSecurity-interest holder name; ...4 Mailing address; ,: z 0. 0 €. '.., Security-interest holder name: b' Mailing address: •V' • Buyer/new owner acknowledgement of sale/change of ownership • ; I affirm that the information provided herein accurately reflects the ownership of the structure at he completion of the ; sale/change of ownership. b I understand that the'home cannot be relocated without first completing this form andur ' State of Oregon, Building Codes Division or one of its county agents. P chasing a trip permit from the o o I understand that the seller/owner is responsible for submitting this Ownership Document Applic•tion to the State of Oregon, Building Codes Division or one of its county agents within 30 days after closing,of the s.,le, and that all _\. buyers and sellers.wife be notified by mail when the application is completed. I understand that, s.ould the seller/owner ''� fail to file this Ownership Document Application within 30 days, I may complete the filing [ORS '46,641(1)]. I further understand that each plessor, mortgagee, trust-deed beneficiary, lien holder of record, and security- nterest holder must at be listed on this notice,or, if none are listed, the manufactured structure must be free and clear of.,Il mortgages, deeds of trust, security interests, and liens. Buyer/new owner narrie(print): ❑Right of survivorship Buyer/new owner signature: • .'�e C��-G ' r / / t . l `C Buyer/new owner name(print : ►`—��i` / / 76) ❑Right of survivorship - L;� Bu . r new owner signature: Date: Buyer/new owner namprinc);( C.1 ❑ Right of survivorship Buyer/new owner signature: Date: al '' Buyer/new owner name-(print); ❑ Right of survivorship Buyer/new owner signature; Date; • Seller/current owner acknowledgement of sale/change of ownership • Application must be accompanied by the appropriate valid County Manufactured Home Notif 'i- icatton fo All owners must release their interest or acknowledge this sale/change of ownership in the struct re in order complete this application-.All current owners, including security-interest holders, must acknowledge t e sale/change of ownership by signing the Ownership document or DMV title or completing the section below.Security- nterest holders may elect. to acknowledge the sale/change of ry longer have an interest in the home. ownership, but maintain their security interest until such tine as they no Seller/current owner affidavit I affirm that r am the current owner of this structure and acknowledge t at responsible for submitting notice of sale/change of ownership to the State of Oregon Building Codes Di ision or one of its county agents within 30,days of the closing of the sale[ORS 446.641(1)3. g the seller is 440.2952(7/17/COh:) Page 4