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609196
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Last modified
5/31/2024 9:05:58 AM
Creation date
4/11/2024 11:25:46 AM
Metadata
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Template:
Assessor
Account Number
609196
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/11/2024
MTL
042W090000500
Assessor Section
Manufactured Structures
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SECTION.? '' NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> F-- ce holder name: Phone: <br /> 2 W . Mailing Address: <br /> 0, O . <br /> W 0 City: State: ZIP: ' <br /> H Z'• <br /> Email: ' • <br /> .N • Security interest <br /> Ir.: pis <br /> holder name: Phone: <br /> ._ 0 Mailing Address: <br /> w 0 <br /> City: State: ZIP: <br /> Email: <br /> SECTION 8 CURRENT OWNER ACKNOWLEDGEMENT . <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 /> Legal Name:J&M Homes LLC Phone:503-908-8166 <br /> ;,;1;' i=,, (last,first,middle) <br /> . w W Email:aspencer@jandmhomes.com • <br /> cc;-, <br />• oC I acknowledge this sale/change of ownership, <br /> n 0 I release my interest in this structure ❑ but do-not release my interest in this st•ucture <br /> U O <br /> Signature:nikly9pem D�l r Date:�i .�'(2—().,1 <br /> Name: {� i% <br /> i- 'N (last,first,middle) Phone: <br /> �, gm., Email: <br /> '- ' ❑ I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> U. 0, . but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> '.1--,-en • (last,first,middle) Phone: <br /> IL W , Email: <br /> Z I release myinterest in this structure I acknowledge this sale/change of ownership, <br /> ' ❑ ❑ but do not release my interest in this structure <br /> ..UO <br /> Signature: Date: <br /> Name: <br /> '''F� .e (last,first,middle) Photte: , <br /> • w',W Email: • <br /> z I acknowledge this sale/change of ownership, <br /> n 3• El release my interest in this structure ❑:U O. but do not release my interest in this structure <br /> . <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 closing 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 /> "�, holder name: <br /> oC."p Email: •I release my interest in this structure ❑ . 1 acknowledge this sale/change of ownership, <br /> W'x El but do not release my interest in this structure <br /> Signature: Date: <br /> 1 <br /> Page 4 <br />
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