608335 - Laserfiche WebLink

Home Browse Search

t , 1520085 I further certify that each lessor,mortgagee,trust-deed beneficiary, lien holder of record, and security-interest holder has been listed on this notice, or if none are listed,that this structure is free and clear of all mortgages, deeds of trust,security interests,and liens and that I have the legal right to sell this manufactured structure. Seller/current owner name(print) Seller/current owner signature: Date: ❑I release my interest in this structure. CLAYTON HOMES ALBANY, OR Phonne.(541)967-8555 ❑I acknowledge this sale/change of ownership, Email: IA �' J� ` ' )23 but do not release my interest in the structure. Seller/current owner name(print) Seller/ rrent owner signature: Date:n : ❑I release my interest in this structure. Phone: ❑I acknowledge this sale/change of ownership, Email: but do not release my interest in the structure. Seller/current owner name(print) Seller/current owner signature: Date: ❑I release my interest in this structure, Phone: ❑I acknowledge this sale/change of ownership, Email: but do not release my interest in the structure. Seller/current owner name(print) Seller/current owner signature: Date: ❑I release my interest in this structure. Phone: ❑I acknowledge this sale/change of ownership, Email: but do not release my interest in the structure, SECURITY-INTEREST HOLDER ALREADY.ON RECORD;(if applicable) Security holder's name(print) Security holder's signature: Date: ❑I release my interest in this structure. Vanderbilt Mortgage&Finance, ❑I acknowledge this sale/change of ownership, Inc, but do not release my interest in the structure. Security holder's name(print) Security holder's signature: Date: ❑I release my interest in this structure. ❑I acknowledge this sale/change of ownership, but do not release my interest in the structure. PRIOR TO SUBMITTING,CHECK THE FOLLOWING: ❑Signatures from all applicable parties must be complete(current owners/sellers,new owners/buyers,and security interest holders). ❑A valid tax certification from the county tax assessor.The tax certification form will be provided by the county office and must be signed by a county official. ❑Any additional documents needed to establish your authority to buy/sell this home as required by ORS 446 and OAR 918 and posted at www.oregon.gov/bcd. ❑If the home is being moved to a different county,a valid tax certification form is needed from both: (A)the county the home is moving from and (B)the county the home will be moved to ❑If recording in or removing from county deed records,you must also submit a copy of the recorded application(Form 5176 or 5175 found at www.oregon.gov/bcd). ❑If signing by Power of Attorney,submit a Change Affidavit(Form 5221). ❑If this application is being submitted by the seller,you must also submit a bill of sale. 440-2952(7/19/COM) OR Title Application-10/2019-TitleApp 11211 Page 5 004741491-00001