603623 - Laserfiche WebLink

Home Browse Search

DocuSign Envelope ID:8B3B090D-DAE9-4ACB-A452-59M00150A2E 1448441 . . . .. • • , NEW SECURITY-1NTEREST:HOL-®ERS Security-i'nte'rest holder name: Mailing address: • d - Security-interest holder name: Mailing address: ar to Buyer/new owner acknowledgement of sale/change of ownership I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of 'S the sale/change of ownership. I understand that the home cannot be relocated without first completing this form and purchasing a trip permit from the State of Oregon,Building Codes Division or one of its county agents. p I understand that the seller/owner is responsible for submitting this Ownership Document Application to the State 3 of Oregon,Building Codes Division or one of its county agents within 30 days afterclosing of the sale,and that all G buyers and sellers will be notified by mail when the application is completed. I understand that, should the d seller/owner fail to file this Ownership Document Application within 30 days, I may complete the filing [ORS 446.641(1)1 I further understand that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and 14 security-interest holder must be listed on this notice,or,if none are listed,the manufactured structure must be free and clear of all mortgages,deeds of trust,security interests,and liens. Buyer/new owner name(print) E Right of survivorship r:uygilj ei ow°��` Susan Crowder r �er signature: Date: clgain: Craw la 0/22/2021 ., • ..F774GC 3 Buyer/new owner name(print) El Right of survivorship Buyer/new owner signature: (Date: aBuyer/new owner name(print) 0 Right of survivorship Buyer/new owner signature: Date: ce Buyer/new owner name(print) El 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 Notification form. All owners must release their interest or acknowledge this sale/change of ownership in the structure in order to complete this application.All current owners,including security-interest holders, must acknowledge the sale/change of ownership by signing the ownership document or DMV title or completing the section below. Security-interest holders may elect to 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 owner of this structure and acknowledge that the seller is responsible for submitting notice of sale/change of ownership to the State of Oregon Building Codes Division or one' of its county agents within 30 days of the closing of the sale[ORS 446.641(1)1. 440-2952(7/19/COM) OR Title Application-10/2019-TitleApp t 1211 Page 4 004499938-00002 L