602373 (2) - Laserfiche WebLink

Home Browse Search

1431266 I further certify that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and security-interest holder has been listed on this notice, or if none are listed, that this structure is free and clear of all mortgages, deeds of trust, security interests, and liens and that I have the legal right to sell this manufactured structure. Seller/current owner name(print) ' int owner signature: Date: i I release my interest in this structure CLAYTON HOMES ALBANY OR 41 Phone:(541)967-8555 Air �� Email: � � �� FLCII ElI acknowledge this sale/change of ownership, but do not e my st in the structure. Seller/current owner name(print) Seller/current owner signature: Date: 0 I release my interest in this tructure. Phone: Email: D I acknowledge this sale/change of ownership, but do not tructure. Seller/current owner name(print) Seller/current owner signature: Date: 0 I release my interest in this structure. Phone:Phone: Email: D acknowledge this sale/change of ownership, Seller/current owner name(print) Seller/current owner signature: Date: El release my interest inbut do not release my this interest,cture.structure. Phone: Email: 0 I acknowledge this sale change of ownership, but do not release my interest in the structure. SECURITY-INTEREST HOLDER ALREADY ON RECORD (if applicable) Security holder's name(print) Security holder's signature: Date: 0 I release my interest in this structure. Vanderbilt Mortgage&Finance, Inc. D I acknowledge this sale/change of ownership, Security holder's name tintbut do not release my interest in the structure. (p ) Security holder's signature: Date: ❑1 release my interest in this structure. owledge this sale/change of ownership, PRIOR TO SUBMITTING,CHECK THE FOLLOWING: do not release m interest in the stmetrue. 0 Lackn 0 Signatures from all applicable parties must be complete(current owners/sellers,new owners/buyers,and security interest holders). • []A valid tax certification from the county tax assessor.The tax certification form will be provided by the county office and must be signed by a county official. [i Any additional documents needed to establish your authority to buy/sell this home as required by ORS 446 and OAR 918 and posted at www.oregon.gov/bcd. 0 If the home is being moved to a different coup a valid ty, taxc ' (A)the countycertification form is needed from the home is movingfrom both: and (B)the county the home will be moved to ❑If recording in or removing from county deed records,you must also submit a copy of the recorded application(Form 5176 or 5175 found at www.oregon.gov/bcd). 0 If signing by Power of Attorney,submit a Change Affidavit(Form 5221). n If this application is being submitted by the seller,you must also submit a bill of sale. 440-2952(7/19/COM) OR Title Application-10/2019-TitleApp11211 Page 5 004354784-00001