Laserfiche WebLink
DocuSign Envelope ID:6B99DAB8-F494-4680-9EFB-E317A41CFAOA <br /> • <br /> :SE,CTA( Alb`:: .!': .:.:a ...`. < fVEI ......1ER.. ..i. rOrie'riaIf e.per.6•oxy..::`.;.::; �:;:.:::: :::.... . . <br /> Person ❑Business ❑Trust 0 Guardian <br /> :;. ;_ Legal Name: Sanchez Eligio, Miguel <br /> ; ,;.; (last, first,middle) Phone: 503-583-9405 <br /> :"::i; Malting Address: PO Box 461 <br /> :.2;r g <br /> ' City: Aurora State: OR I ZIP• 97002 <br /> Email: nwevergreen@hotmail.com <br /> .... .., Right of ri <br /> : 2'si Survivorship: Yes ❑No <br /> o.,..dSlg.,cd b,: , <br /> .. Signya�tur Aki 4).f` t"l c �r,(k-0 Date: 8/8/2023 I 1:04 PM PD' <br /> °iy `: DC I P DF0266FHF61804F8.., ❑_GBusiness <br /> ..1• Le a 0 <br /> Trust ❑Guardian <br /> :,.., d:il: 1 Name:(last,first,middle)( <br /> ? g Sanchez, Dainerkis I Phone:503-583-9405 <br /> � . > <br /> �' • Mailing Address: PO Box 461 <br /> .ail:: City: Aurora I State: OR 1 ZIP: 97002 <br /> Email: nwevergreen@hotmail.com <br /> lukli Right of <br /> 3':�` Survivorship: 11 Ycs d No <br /> Signature: P.ArNegras SANe E2 I Date: 8/8/2023 I 1:04 PM PDT <br /> • ::::.`•,; Ei PeISO�DF0265F8F6604F6... 0 Business <br /> ... <br /> •,�' g Le al Name: Trust ❑Guardian <br /> 4 .6 i(last, middle) Phone: <br /> '11` Mailing Address: <br /> •• ; City: <br /> ®; f State: ZIP: <br /> : ; Email: <br /> ;_,.:; Right of Yes ❑No <br /> ' Survivorship: <br /> '. Signature: <br /> Date: <br /> >,• . d Person 0 Business El Trust <br /> Legal Name: ❑Guardian <br /> ; (last,first,middle) I Phone: <br /> ','i Mailing Address: <br /> 1 `; Cit <br /> y: State. ZIP: <br /> Email: <br /> LlIpTi Right of <br /> Si <br /> •i:Z`' Survivorship• Yes ❑No <br /> Signature: Date: <br /> NEW OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP • <br /> I 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 ORS446.64(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 />