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602771
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Last modified
1/13/2022 5:59:53 AM
Creation date
8/23/2021 8:56:29 AM
Metadata
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Template:
Assessor
Account Number
602771
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
8/11/2021
MTL
062W33A000700
Assessor Section
Manufactured Structures
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Aug 10 21, 04:25p Dougs Mobile Home Service I 503-200-1299 p.3 <br /> Current location: (r) 1 (061 ( jy4 p,v-KI,E13,3ounty:9 <br /> 11 Dealer lot Dealer name: De ?er license number: <br /> [IPark name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> JF BEING MOVED, LOCATION CHAN( ES (including city, state, ZIP) <br /> New location: 6 3 7 - County: piteLf44„,),L._ <br /> Dealer lot Dealer name: Dealer license number: <br /> [1]Park name (if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you you changing the name of an existing owner? Ves ;11\To <br /> A <br /> Changing from: 5 7 W to: - - -. I <br /> _ <br /> Home transfer by inheritance? th_ri A Yes \No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? D Yes :4": No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? D Yes No If yes,attach Abandonment Affidavit(Form 2951) <br /> (Ifyes, attachChange Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? 13 Yes la No Fo5221) <br /> BIJYERJNEW OWNER INFORMATIOTN (one name per box) <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> Rckocics.-‘ & h Pc ,•A <br /> Mailing address: Mailing address: <br /> 6'3as- vie:z e-k yee <br /> Scsle_r‘ (2._ 4 -7 '30S— <br /> Phone number: •:;-: Phone number: <br /> Email address: Email address: <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> Mailing address: Mailing address: <br /> 3 -4 <br /> 111 Same as above D Same as above <br /> Phone number: Phone number: <br /> • <br /> Email address: Email address: <br /> :. <br />
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