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ECTION:6?-",;.::,-:,:;.•.:.i '•.' -=:--•: .NEIltitiWNERACKNCtikEDGEMENT:i(Oh6nifrie..tiefibth)-':.:...;:' ,'•:, f:}. ::',-.:•:::,.'_'22...-1'!.,,': .:':.';-.,. =.,.,..1?,.*..,:,`:
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<br /> &:4,-1.2'42 0 Person 0 Business 0 Trust 111 Guardian
<br /> (last first middle) Marks, Fred Phone:318-540-2292
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<br /> MLLIAR' Mailing Address:230 Meyer St S
<br /> i1;74.zo
<br /> City:Detroit State:OR LIP:97342
<br /> Email:vickiandfred@gmail.com
<br /> Right of n_ —
<br /> Yes iisi No
<br /> k714:t.A.f. Survivorship: '
<br /> Vt-34e Signature: Date:
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<br /> 0 Person 0 Business D Trust 0 Guardian
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<br /> Legal Name:
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<br /> Mailing Address:
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<br /> Email:
<br /> tui:: Right of El
<br /> Yes El No
<br /> 1-;VZ..Fi Survivorship:
<br /> Signature: Date:
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<br /> 0 Person CI Business 0 Trust 0 Guardian
<br /> Legal Name:
<br /> Phone:
<br /> pie (last,first,middle)
<br /> ''rif:14;01 Mailing Address:
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<br /> Email:_,,p,
<br /> ,Zgo,114 Right of
<br /> III Yes 0 No
<br /> :.-1-41---21 Survivorship:
<br />, gdMiA Signature: Date:
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<br /> Mailing Address:
<br /> City: State: ZIP:
<br /> Email:
<br /> -.:Iii'2,' Right of
<br /> D Yes El No
<br /> Survivorship:
<br /> Signature: Date:
<br /> Y-Ji3:
<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 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.
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