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UUUU,DI II CI IVelUt1C IU. IyUyCrM1-J4CU-4UO1-D4L J-uUUOr4JIJCU I <br /> •SECTION'6 NEW OWNER AC:KNOWLEDGEMENT(One name per box) , <br /> ❑Person 0 Business ❑Trust ❑Guardian <br /> Legal Name'KMS Enterprises Ilc Phone:520-328-9173 <br /> - �,i (last,first,middle) <br /> 'W=; Mailing Address:5225 E Pima St. <br /> -'c `P City:Tuson State:AZ ZIP:85712 <br /> t.®'" Email:Kacyr@cadwellrealtygroup.com <br /> .v:;W Right ofIli Yes n No <br /> Z'.'• Survivorship:r—tocuSigneT6y: <br /> - g Sinature; Lt. A.t OLVAVI Date: 2/2/2023 <br /> t—a A3r814.3E 41k, <br /> ❑Person ❑Business ❑Trust ❑Guardian <br /> N > Legal Name: <br /> (last,first,middle) Phone: <br /> "'W' " Mailing Address: <br /> Z; <br /> ? "'`. City: State: ZiP: <br /> Email: <br /> W: Right of ❑Yes ❑No <br /> Z Survivorship: <br /> Signature: Date: <br /> ❑Person ❑Business ❑Trust ❑ Guardian <br /> .' Legal Name: Phone: <br /> :_ ; (last,first.middle) <br /> ''uJ' Mailing Address: <br /> '.; .• City: State: ZIP: <br /> Email: <br /> W s Right of ❑Yes El No <br /> :g,, Survivorship: <br /> Signature: Date: <br /> '=' " ❑Person ❑Business <br /> ❑Trust ❑Guardian <br /> ,�. Legal Name: Phone: <br /> .; <: '?: (last.first,middle) <br /> LLI'. Mailing Address: <br /> Z <br /> %'';. City: State: ZIP: <br /> Email: <br /> W:'` Right of <br /> '•Z Survivorship: ❑Yes ❑No <br /> Signature: Date: <br /> ' NEW OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP ' <br /> 1 affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the sale or change <br /> of ownership. I understand that the home cannot be relocated without first completing this application and purchasing a trip permit - <br /> from the Building Codes Division or through one of its county agents. <br /> I understand that the seller/owner is responsible for submitting this application within 30-days after the close of the sale,and that all <br /> buyers and sellers will be notified by mail when the application is approved. If the application has not been submitted after 30 days,I <br /> may complete the filing under ORS 446.64(1). <br /> i understand that each lessor,mortgagee,trust-deed beneficiary, lien holder of record,and security interest holder must be listed on <br /> this notice. If none are listed,the structure must be free and clear of all mortgages,deeds of trust,security interests, and liens. <br /> Page 3 <br />