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<br /> ,a``; Survivorship: 0 yes No
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<br /> Date:
<br /> P ❑Person / ❑Business ❑Trust
<br /> ❑Guardian
<br /> Legal Name:
<br /> Phone:
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<br /> Right of ❑Yes 0 No
<br /> Survivorship:
<br /> Signature: I Date:
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<br /> NEW OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP
<br /> (that the information provided herein accurately reflects the ownership of the structure at the completion of the sale or change
<br /> irship. I understand that the home cannot be relocated without first completing this application and purchasing a trip permit
<br /> Building Codes Division or through one of its county agents.
<br /> and that the seller/owner is responsible for submitting this application within 30 days after the close of the sale,and that all
<br /> ad sellers will be notified by mail when the application is approved. If the application has not been submitted after 30 days,t
<br /> plete the filing under ORS 446.64(1).
<br /> nd that each lessor,mortgagee, trust-deed beneficiary, lien holder of record,and security interest holder must be listed on
<br /> ire. If none are listed,the structure must be free and clear of all mortgages, deeds of trust,security interests,and hem
<br />
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