603611 - Laserfiche WebLink

Home Browse Search

I I i.,.E r v F a ;:. a� � kyr. T ,� : , % r rt : k r ,00AIV q.CURINtlN¢81i THOLP/� 8c4 ' C , PZi':: - %: i $ ichn, :. t ,G3s1�. �4 �..� r. .S+iA.. ,. , ` . ., fi( . , . .F, r ;tf :SY 'r '' ' , Security-interest holder name: 1 i Mailing address: j Security-interest holder name: 1 as Mailing address: ' gip; i e,: v1, Buyer/new owner acknowledgement of sale/change of ownership �� of the structure at the completion of the I A� I affirm that the information provided herein accurately reflects the ownership P , Isale/change of ownership. purchasing a trip permit from the . I understand that the home cannot Division orrelocated onewithout of Its county agentsng this form andP VI ,��,` State of Oregon,Building Codes ent af o I re understand that the seller/owner is responsible for submitting g within30Ownership tDocumng of Application sale,and thaSt to of yeand seller Codes Divisionna ieor one oits county agentsI further buyersl sellers will be notified by mail when the application is completed.I understand that,should the seller/owner er owner• a ail toApplication within 30 days,I may complete the filing[ORS 446.641(1)1. �.. fail efileathis OwnershiphlesDocument mortgagee, trust-deed beneficiary,lien holder of record, and security-interest holer d st understand on that each les or,irno none a ds `�' be listed this notice,or,if are listed,the manufactured structure must be free and clear of all mortgages, of trust,security interests,and liens. Date: w owner signature: •::;' Buyer/newowner name(print): 0 Right of survivorship B 9/17/2021 Roger Lemons �y,,jj''''// 0 Buyer/Buyer/new owner name(print): Date: : ❑Right of survivorship Buyer/new owner signature: ent) • ;oDate: :El Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: lz Buyer/new owner name(print): 0 Right of survivorship Buyer/new owner signature: Date: Seller/current owner acknowledgement of sale/change of ownership anufactured Home Notification form. Application must be accompanied by the appropriate valid County f All owners must release their interest or acknowledge this sale/change olo ownership int he the sale/chof structure in order to complete o this application.All current owners,including security intthe section below.Security-interest holders ownership by signing the ownership document or DMV title or completing may electto acknowledge the sale/change of ownership,but maintain their security interest until such time as they no longer have an interest in the home. Seller/current owner affidavit I affirm that I am the current tooter Statener fis structuref Oregon Build,g Codes acknowledge vat the or seller is sf responsible notice of sale/change of ownership responsible for submitting its county agents within 30 days of the closing of the sale[ORS 446.641(1)1. Page 4 440-2952(1117/COM)