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,------- <br /> SECTION 6 NEW OWNER ACKNOWLEDGEMENT(One name per box) <br /> to Peron 0 Bucinem 0 Trum 0 Guardian <br /> —.— .. <br /> _ <br /> ri. Legal Nante:,/-, % <br /> -. Se Phone: st,..-- 2Get 0.1.5ctp. <br /> ce i,,,,,,fir,,t,„nut() 1.. t...\,..\.(0,NcLi,..C.0 r\ ,.'PI\C‘..f.S.,".....-.-.... .,.Anc Act _......L...,..... . „„,_......... _______.....„, <br /> US' Matlin,Add-ccs: (3 'cc:›J.. -1 c1\a <br /> 1., . . ,..,,,, <br /> _ _ <br /> — <br /> City. C4Ve ty‘ State: 0/9..., I. zip. '11 30 3 .. <br /> . <br /> __ tinfail: eVt.)r\y\c\f'a 2.- 1...9`k P\1\e)V ill CA l L C()Bf‘ <br /> . , <br /> I11 Right of 0,1 yi.,,,, E..]No <br /> Z , Sury..noahip: Y''s,,,,,._77 ,, 1.• ..,...,..„-2,x., , _ ...... ________ <br /> S:snature <br /> 1 . <br /> D ' \k 10_0 I .:C.)a, <br /> - I.e 0 Person <br /> gal Name' 0 Butane.* <br /> 0 Trutt D <br /> ri culaban <br /> ....— . <br /> I-Phone:c : <br /> - -. . e,I l lart irt.Inn'Ile — r— <br /> Mailing Addresta <br /> ir... ,------- <br /> City. j State: t . <br /> Z1P. <br /> 0 -- <br /> Entail. <br /> iti Right of 0 yes 0 No <br /> Z Syrtiivol-ship. .... , , <br /> Signature: i Date: <br /> 0 Person 0 Busir.e.* 0ralst 0 Guardian <br /> en I.egal Name. l <br /> Phone. <br /> re flag fled ni,iidirt <br /> W Mailing Addicts- <br /> Z- City: i T <br /> State: ZIP: <br /> _ <br /> 0 <br /> Email: , <br /> ILI-f Right of in yes 0 No Z• / Survivorshi . ''' <br /> ., <br /> . Signature: Datc; 1 <br /> 0 Pencon 0 Rusineis 0 Trust 0 Guardian <br /> * ' Name:Legal <br /> Phone: <br /> 4..tx4....e!sidirst,middle) .. I <br /> '1411.4, Mailing Address: <br /> City: t Stae: <br /> .. _.. ZIP: <br /> , 01* <br /> 1.*:`•-1 Email: <br /> Yes <br /> 0 C3 No , <br /> Signature: Date: <br /> NEW OWNER ACKNOWLEDGEMENT OF SALEICHANGE 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 perrnit <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 tiling under OM 446.64(1). <br /> 1 tmderstand that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security interest holder must be listed on <br /> , tift,iteCone are listed.ttistructure must be free and dear ors))mortgages,deeds ortrusti security interests;and liens. <br /> ... <br /> p.n.,.1. <br /> -0.,..-, <br />