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<br /> C (e ,,, + ❑: ecording as°real property a ❑ .Converted`to storag"e F °p a'r
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<br /> ❑• Ret#ovittg from real property status [J Tnp Pemuf ,
<br /> •❑ Security interest change: '
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<br /> Roofing..thi pi )' .Siding type MGi�Spn I. ► Heating type ref t}>1.f? g F}d rl"�;
<br /> Dateo '. ' ° i �,
<br /> a ; (l4c9 o 4eJ s '� al Sale;p•nce t�p`"ODQ i' `=Includesrtland ❑3Ces [ No , x _ ,~
<br /> A ,:fts - Name r p '�` g .� - v.a.*%7,, a, t s i _1t t - -P .I f •S ' ?::'`
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<br /> I'kereby declare is'man tore cture is free an in of a l o g e3, iti ,bus secure n e is:and lieas. aye thg , °
<br /> legalright to sell"thus manufactured strudture or my inter l i'e lii omlai-inn 1 ted"ts true to`? a ` .n9`t t%c and ..,, ;
<br /> 1: _•`behe4,and I understand tt Can be used as evidence in•court.and.is subject to a penalty',of penury, s. ' Y
<br /> d e 5t"> Signature i °,4 i ,, >L, " rt -..' t� Date z, 4 r • �
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<br /> Current Address., 4 5
<br /> '° City �; • ..2t#; County ; I`� I• Statei I Zip:��
<br /> Paclr ame„rfapPlicuble) -' : dealer lot or storage facility
<br /> ❑This is'a dea
<br /> This home is beingmoved toga new.',location Complete the section'beloty• y , ,
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<br /> New Address U°5 ( �'�'1 ( v 9 1 y.
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