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# LINN COUNTY <br /> AA. ---Notik ASSESSMENT AND TAXATION <br /> ' " P.O.Rorx 4,10t0:(3,4 41:any9,17:48:97321 <br /> ,1:11:::ww1(541 vi).co9 6:3 n:r8.lis Assessor ay I L8axtegfliiSector <br /> a -4 1,14, <br /> : i::, <br /> All manufactured home transactions will now require proof of taxes paid. You may submit this <br /> form electronically to manufacturedhorriesaco.linn.or.us or in person at: <br /> Linn County Assessors Office <br /> 300'40"Ave SW Room 214 <br /> Albany OR 97321 <br /> Forms can be found online at: <br /> http:ilwrw.oregon.ocivilaccl/man-home-own/Paces/man-home-own4orms.asox <br /> f f r_71 <br /> Horne ID: ggi 1 <br /> . - W 0 243 <br /> Tax Acct: <br /> — - °LOD PC* nA-42ot <br /> Site Address: . <br /> Moving? Yes 0 No (if yes;a placement.permit Will be required) <br /> Exempt? Yes Ci No <br /> , . <br /> Taxes Paid? tzi Yes 0 No Date: r-9- g <br /> i <br /> n ' <br /> odgAi\jtjakc <br /> C ' Official Signature <br /> a ste, 41.19),,inket4c <br /> . , .County Official Title <br /> ***This form will be valid for 30 days from issuance. <br />