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r "Requested By: 545485 134197 03/10/2023sy' , ' l JO_ . : - - 1'kJ , .� M-.vL. "tL� REEL PAGE _ 1 �� 1� - 1204 569 _ �r �T0 APPLICA-TION-TO EXEMPT A MANUFAGTURED-STRUCTURE -DEPARTMENT OF TRANSPORTATOON FROM REGISTRATION AND TITLING DRIP ER AND MOTOR VEHICLE SEFNICES . 1005.LANA AYE,NESALEMOR97314: - Owner's Certificate of Legal Interest INSTRUC7/ONS: :. - Complete all.sections. This form mustbe signed by.all interest-holding parties and have a Title Report or Loi Book Report attached which cannot be over 7-days old when submitted to DMV. . . This form and Title Report or Lot Book Report must be-submitted with your manufacturedtructure.ownership documents and,if the -manufactured structure is to be financed by a third party,.proof of a loanapproval. -• • PART I A Legal description and location of real property which is (description as recorded by county recorder or a certified copy of your deed may be substituted): . .... ........................................ ....... . PARCEL II OF PARTITION PLAT NO. 90-58, RECORDED SEPTEMBER 19, 199_ IN REEL 800, PAGE 307, FILM RECORDS FOR MARION COIJNTY, OREGON. .s\ ff there is a-mortgage,.deed of trust or lien on this land list all mortgagees and beneficiaries-of deeds of trustbelow.Space is provided for two names-and addresses. Ifithereare none,write"none". NAME AND ADDRESS WESTERN SUNRISE MORTGAGE 2-865 SUNRISE -BLVD, SUITE 101 _RANCHO CORDOVA CA 957.42 NAME AND ADDRESS Tax Lot Number(from assessor): 70690-060 PART II ii Legal description of the manufactured structure which is located on the real-property described above: SEAR. MAKE WIDTH LENGTH VEHICLE IDENTIFICATION NO. - �"-19-95 I. LEXINGTON 42' I 52' 2T91-0394—H ABC ., , ist all security interest holders, mortgagees,beneficiaries ofbeeds of trust,and lienholders whose interest is secured by the manufactured 'II tructure described above. Space is provided for two names, addresses and approvals. Signatures from the parties listed below are their approval that the application may be submitted. It there are none,write"none". NAMEAND ADDRESS - NRISE MORTGAGE 2865 SUNRISE BLVD, SUITE 1-01, RANCHO .CORDOVA CA 93742 . , (17 D ARTY 1 ATE SIGNATUREDF SECURED PARTY • DATE , v Tait Lot Num r(from assesso : /1 ❑ .I/We-do no ereabouts:f the permanent plate assigned to this vehicle. I/We certify that the statements made above are accurate to the_best of my/our knowledge. All liens, deeds of trust, mortgages and security interests have been listed. If there are none, I/We have certified this by writing."none"in the space-provided. PRINTED NAME OF OWNER(S) , KERRY D. KUENZI AND JODI M. KUENZI SIGNATURE OF'OWNEA /� a' ADDRESS TELEPHONE(Optional) X �, 7290 DUNSMERE ST SE, -ALEM OR 97301 SIGNAT i R. ---- /t� , ADDRESS X i I 1, 7290 DUNSMER-E ST SE, -SALEM OR 97301 RECEIVED V OFFICE USE ONLY V PART III V OFFICE USE ONLY i IT . Application for exemption for a manufactured structure is hereby approved. ❑"--- MOTOR VEHICLES DIVISION DATE S R OFFICER 1 l-LI —4Lf. _ • This-exemption Is VOID If not recorded with the county-within 15 calendar days from: ,.+ 1 17_Q' • 7356722(10-93) SEE REVERSE FOR COUNTY RECORDING AREA STK#30036•