Laserfiche WebLink
NEW SECURITY.INTERES?HOLDERS • <br /> • <br /> • <br /> Security-interest holder name: <br /> L <br /> CC <br /> le Mailing address:cs <br /> • <br /> L., <br /> C., <br /> a <br /> rn <br /> Security-interest holder name: <br /> • <br /> es <br /> Mailing address: <br /> s <br /> 0 <br /> u <br /> a <br /> c <br /> • <br /> Buyer/new owner acknowledgement of sale/change of ownership <br /> �. I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the <br /> sale/change of ownership. <br /> aI understand that the home cannot be relocated without first completing this form and purchasing a trip permit from the <br /> • <br /> a State of Oregon,Building Codes Division or one of its county agents. <br /> oI understand that the seller/owner is responsible for submitting this Ownership Document Application to the State of <br /> 3.- Oregon,Building Codes Division or one of its county agents within 30 days after closing of the sale,and that all <br /> buyers and sellers will be notified by mail when the application is completed.I.understand that,should the seller/owner <br /> 13 fail to file this Ownership Document Application within 30 days, I may complete the filing[ORS 446.641(1)].1 further <br /> 4 understand that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security-interest holder must. <br /> be listed on this notice,or,if none are listed,the manufactured structure must be free and clear of all mortgages,deeds <br /> • of trust,security interests,and liens. <br /> . <br /> Buyer/new owner name(print): ©Right of survivorship Buyer/new owner signature: Date: <br /> n /Warriner <br /> Gib f✓lr �/�V,'`^ V/."‘ <br /> li/t/ <br /> L. Buyer/new owner namerur!; <br /> (p ) ( j Right oIsurvivorship Buyer/new owner signature; Date: <br /> •0 <br /> Sinn a <br /> 3 y Warriner Cyt; <br /> a `' '0l tlVi <br /> e <br /> Buyer/new owner namerint: <br /> L'' <br /> fp ) 0 Right ofsurvivorship Buyer/new own rsignature: <br /> Date: <br /> = <br /> 151 <br /> payer/new owner name(print): 0 Right of survivorship Buyer/new ownersignature: Date: <br /> Seller/current owner acknowledgement of stile%hinge of ownership <br /> Application must be accompanied by the appropriate valid County Manufactured Home Notification form. <br /> All owners must release their interest or acknowledge this sale/change of ownership in the structure in order to <br /> complete this application.All current owners,including security-interest holders,must acknowledge the sale/change of <br /> ownership by signing the ownership document or DMV title or completing the section below.Security-interest holders <br /> may elect to acknowledge the sale/change of ownership;but maintain their security interest until such time as they no <br /> longer have an interest in the home. <br /> Seller/current owner affidavit I affirm that tam the current owner of this structure and acknowledge that the seller is <br /> responsible for submitting notice of sale/change of ownership to the State of Oregon Building Codes Division or one of <br /> its county agents within 30 days of the closing of the safe[ORS 446.641(()]. • <br /> • 440.2952(7/17/COM r <br /> Page 4 • <br />