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<br /> e en<etr�'!: Security interest
<br /> fh `iill holder name: Phone:
<br /> 1mI
<br /> �L;C4=• .gl, Mailing Address:
<br /> ,rw r' City: State: ZiP; •
<br /> K, ,,,z,f.,,,„,,1. Email:
<br /> wo
<br /> '`O=air r i , Security interest •
<br /> '`4A `s holder name: Phone:
<br /> jp: ;,ir Mailing Address:
<br /> x o• K, City; State: • ZIP :...
<br /> f Email
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<br /> ] F t .(,r•. .• .. •.,, .. .•fix- ll.q_.t...,1 ... _ ., r r. ..
<br /> All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing the
<br /> ownership document, signing the DMV title,OR completing the section below. Applications missing signatures will be rejected,
<br /> i'ilh v e r,
<br /> , Legal Name:
<br /> 3 4 rC,1M 17.
<br /> : at „'> (last,first,middle) OcA Q R. kk' Ca r✓m� �L� Phon 3
<br /> 1f • 14 U
<br /> '' Email:
<br /> 3� 4 I acknowledge this sale/change of ownership,
<br /> ,7 ,.Y 5�' I release my interest in this structure ❑ but do not release my interest in this structure
<br /> •? ,; o r Signature: ��� .i' OVrn 6 P Date: 0/2.3
<br /> ` 'LIN EA-.g Name:
<br /> . a` (lost,firs!, middle) Phone:
<br /> � x W Email:
<br /> '''C h a I acknowledge this sale/change of ownership,
<br /> 4,...,ra
<br /> a�;•:aj f��.I ❑ I release my interest in this structure ❑
<br /> v1.[� but do not release my interest in this structure
<br /> _71J:
<br /> t:-
<br /> _%r;ii
<br /> ' •
<br /> .,}Witft Signature: Date:
<br /> •Mii7 1P Name:
<br /> rn.- o `��,r Phone:
<br /> A �•, t (last,first, middle)
<br /> a 1 ' Email:
<br /> k C4•. "'` I acknowledge this sale/change of ownership❑ I release my interest in this structure ❑
<br /> -��•, I but do not release myinterest in this structure
<br /> `• .I'Ar= Signature: Date:
<br /> r t ,,. Phone:
<br /> • to
<br /> T.Ir � �; Name;
<br /> .}fr ; # (last,first, middle)
<br /> d 71' Email:
<br /> ''R'C_,,;;r >•!. I acknowledge this sale/change of ownership,
<br /> Pa ❑ I release my interest in this structure ❑ g g i:eCj but do not release my interest in this structure
<br /> (f%hA.e.1,ti`{p'
<br /> 1 k Signature:
<br /> Date:
<br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP
<br /> I affirm that I am a current owner of this structure, and that I am responsible for submitting notice of sale or change of ownership to
<br /> Building Codes Division or one of its county agents within 30 days of tie closing of the sale per ORS 446.641(I).
<br /> I further certify that I have the legal right to sell this structure,and that each lessor,mortgagee, trust-deed beneficiary, lien holder of
<br /> •,;record,and security interest holder has been listed on this notice, If none are listed, this structure is free and clear of all mortgages,
<br /> deeds of trust,security interests,and liens. . .
<br /> <,.,.,,r.., ,., Securityinterest
<br /> �` "q '• Phone;
<br /> f holder name:
<br /> M1�
<br /> `4: Email:
<br /> • :•l•s•-ets I acknowledge this sale/change of ownership,
<br /> x. .:d,.•_: ❑ I release myinterest in this structure g g P!
<br /> =.' .' �'1 ❑ but do not release my interest in this structure
<br /> 1 !r ` Signature: Date:
<br /> • Page 4
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