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609197
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Last modified
4/11/2024 11:34:30 AM
Creation date
4/11/2024 11:33:12 AM
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Assessor
Account Number
609197
Assessor Doc Type
Building Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/11/2024
MTL
042W090000500
Assessor Section
Manufactured Structures
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• <br /> SECTION 7 NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> holder name: Phone: <br /> I—•ce <br /> 9C C Mailing Address: - <br /> 111 O City: State: ZIP: <br /> 'tin X <br /> Email: <br /> Security interest <br /> •>-" Phone: <br /> holder name: <br /> .LLI Mailing Address: • <br /> w O" City: State: ZIP: <br /> N X 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 Nante:J&M Homes LLC Phone:503-908-8166 <br /> I— e— (last,first,middle) <br /> LL1Email:aspencer@jandmhomes.com <br /> tz'Z I acknowledge this sale/change of ownership, <br /> ■❑ I release my interest in this structure ❑U but do not release my interest in this structure <br /> ®. <br /> Signature: / �/ 5 i�'j���' Date: AD/2 J-L1 <br /> Name: T I <br /> I— N (last,first,middle) Phone: <br /> w,W " Email: <br /> • <br /> cC• �" I acknowledge this sale/change of ownership, <br /> ❑ I release my interest in this structure ❑6J O but do not release my interest in this structure <br /> Signature: Date: <br /> • Name: Phone: <br /> M (last,first,middle) <br /> • <br /> W W Email: <br /> cZ I acknowledge this sale/change of ownership, <br /> ❑ I release my interest in this structure ❑6J O but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> F- of (last,first,middle) Phone: <br /> ww Email: • <br /> CC ❑ I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> but do not release my interest in this structure <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 <br /> Ha holder name: Phone: <br /> -CC' Email: <br /> - Email: <br /> `O ❑ I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> • <br /> N = but do not release my.interest in this structure <br /> Signature: Date: <br /> • <br /> Page 4 <br />
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