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607418
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Last modified
9/21/2023 8:14:17 AM
Creation date
8/11/2023 11:26:31 AM
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Assessor
Account Number
607418
Assessor Doc Type
Trip Permit
Doc Type Date
8/9/2023
MTL
092E25D000800
Assessor Section
Manufactured Structures
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SECTION'7 NEW SECURITY.INTEREST.HOLDERS <br /> Security interest Phone: <br /> '— holder name: • <br /> oC ® Mailing Address:_ <br /> • J <br /> w • <br /> 0 . . City: State: ZIP: . . <br /> vt I <br /> Email: _ <br /> Security interest <br /> >„ N•- Phone: <br /> I-„ . e holder name,: • <br /> 2 .14 Mailing Address: <br /> • .CJ. City State: , ZIP:.. ' <br /> Email': <br /> SECTION 8 - CURRENT OWNER ACKNOWLEDGEMENT _ _.. <br /> All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing'the • <br /> - <br /> ownership document,signing the DMV title,OR completing the section below. Applications missing signatures Will be rejected. <br /> Legal Name: 7 L. •'1 1 H, Phone: u)' a �` 1 <br /> I-- .— (last,first,middle) l ) <br /> auj Email: r it c-L-t 4..:.J 5y7 ( . -}v^.t.i. I ,t_c',"'` - <br /> re Z. I acknowledge this sale/change of ownership. <br /> Ei I release myinterest in this structure <br /> U• ® but do not release my interest in this structure <br /> Signature: / �, '' '' ---- Date: <' 7 Z1°2') <br /> Name: , _..�_—. ".''_._-..._m. Phone: <br /> !® N -flast,.firs',middle) - <br /> W W• •-Email: <br /> pe<.Z ' =• �s ❑ I acknowledge this salelchange of owership; <br /> g., ❑. 1 release my interest in this structure <br /> lJ ® but do not release m�`interest in this'Structure <br /> . <br /> _. Signature: . . . :Date a H. , :. <br /> Name: Phone <br /> I-''rn ' (last,'/first middle]° <br /> ud w - -Email: <br /> �' ❑ I release my interest in this structure ❑ <br /> • I acknowledge this sale/change of,ownership, .. <br /> V. <br /> but do not release my interest in this structure <br /> Q <br /> Signature: Date: ,. . . <br /> Name: Phone: .: . _ <br /> I— et (last, first.middle) <br /> w w • Email: <br /> cc I acknowledge this sale/change of ownership, <br /> ❑ I release my interest in this structure ❑ <br /> V• O but do not release my interest in this structure <br /> Signature: Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> .1 affirm that I am a current owner of this structure,and that I am responsible for submitting notice of sale or change of ownership to <br /> Building Codes Division or one of its county agents within 30 days of the closing of the sale per ORS 446.641(1). ' ' ' <br /> !'further certify that I have the legal right to sell this structure,and that each lessor, mortgagee,trust-deed beneficiary, lien holder of <br /> -record,and security interest holder has been listed on this notice. If none are listed, this structure is free and clear-of all mortgages, <br /> deeds of trust.security interests,and liens. <br /> - Security interest <br /> Phone: <br /> >- holder name: <br /> • CC ® Email: <br /> V• 0 ❑ I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> ui I but do not release my interest in this structure <br /> vt <br /> Signature: Date: <br /> Page 4 <br />
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