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353102
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Last modified
10/2/2023 9:13:34 AM
Creation date
10/2/2023 9:13:33 AM
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Assessor
Account Number
353102
Assessor Doc Type
Trip Permit
Doc Type Date
9/27/2023
MTL
072W04D002100
Assessor Section
Manufactured Structures
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SECTION i NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> '; holder name: Phone: <br /> CC';: Mailing Address: <br /> V gil 0 City: • State: ZIP: <br /> Z:: Email: <br /> .. . :N Security interest <br /> holder name: Phone: <br /> i2:W , Mailing Address:; <br /> City: State: ZIP: <br /> l -M. Email: <br /> SECTION`S'' :: ::`','': ' ; CURRENTOWNER�ACKNOWL•ED,GEMENT <br /> All current owners (including security interest holders)must acknowledge the sale or change of ownership by signing the <br /> ownership document,signing the DMV title,OR completing the section below.Applications missing signatures will be rejected. <br /> ':s Legal Name:Bietemeier, Ryan Michael Phone:971-707-1292 <br /> `r•..41 hastdiirst,middle) <br /> Z-gt <br /> W W Email:ryanrmb2@gmail.com <br /> oc:..Z <br /> pe I acknowledge this sale/change of ownership, <br /> =.P ® I release my interest in this structure ❑ <br /> V � but do not release my interest in this structure <br /> Signariae.1. -e--- 'i - Date: 2.7C =Z3 <br /> %'Bieiemeier, Lorica Diane Phone:503-508-9355 <br /> ..:#...• N (last,first,middle) <br /> Z e6.: <br /> >u:.Ku Email:Iorica b@msn.com <br /> oZ I acknowledge this sale/change of ownership, <br /> a ® I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: 4/L/C.� . ', lk'G a Date: 9/a G/ao' 3 <br /> Name: Phone: <br /> l°rn (last,first,middle) <br /> ILI im Email: <br /> CC -Z. I acknowledge this sale/change of ownership, <br /> 0 I release my interest in this structure ❑ but do not release my interest in this structure <br /> VO <br /> Signature: Date: <br /> Name: Phone: <br /> Iii. it - (last,first,middle) <br /> W" gu Email: <br /> OC;$ ❑ I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> . , but do not release my interest in this structure <br /> V O <br /> Signature: Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I 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 dosing of the sale per ORS 446.641(1). <br /> I 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 Phone: <br /> ��.... C. holder name: <br /> e Email: <br /> Z I acknowledge this sale/change of ownership, <br /> 1;. 0 I release my interest in thus structure 0 but do not release my interest in this structure <br /> Signature: Date: <br /> Page 4 <br />
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