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SECTION 6 NEW OWNER ACKNOWLED.GEMENT,(One name.per box);, <br /> risrf:erson ❑ Business ❑Trust ❑Guardian <br /> •P.. Legal Name: r� �f <br /> past:_first.middle) Cree,l� D g,(U Phone: ,2O -7d J <br /> �; f Cyr� 1�. `. �' � �a -y.. _ <br /> .W Mailing Address: js ' 3",� A' sso,,t,t-,0.4, HCvr <br /> City: /v'f7( C /E y State ZIP: .9 3 o . <br /> Email: <br /> W --:Rightof . <br /> Yes ❑No <br /> Z` Survivorship: <br /> Signature: c " Date: <br /> 4 Person ❑ Business ❑Trust ❑Guardian <br /> ;Cy, Legal Name: /, � Phone: f)._9 Z ‘9 <br /> past,first,middle) co oie. ' /YO0k aS <br /> W Mailing,Address: d 0 -2 [�earv;&w &Ve, . <br /> City: t,(.et'2,e Alt State: 0R ZIP: 9-3c?y <br /> Email: <br /> 'IJd; - . Right of - . <br /> Z: Survivorship: <br /> Signature: 77/2„,...-•‘____— Date: e C ., Zp 2,3 <br /> Person ❑Business ❑Trust ❑Guardian <br /> Legal Name: Phone: <br /> ei (last;first,:middle) <br /> W ' MailingAddress: - <br /> City: State: ZIP: <br /> Email: <br /> 4:1J . .Right of - .. <br /> ,Z: • Survivorship: <br /> Signature: 'Date: . <br /> . . . ❑Person ❑ Business ❑Trust ❑ Guardian <br /> '14.. Legal Name: Phone: <br /> (last,first,middle) . <br /> `W; Mailing Address: <br /> City: State: ZIP: - <br /> 0: <br /> Email: <br /> WV .. Right of <br /> .Survivorship: • . <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. lithe 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 />