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609491
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Last modified
4/26/2024 11:01:00 PM
Creation date
4/26/2024 10:38:28 AM
Metadata
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Template:
Assessor
Account Number
609491
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/24/2024
MTL
061W170000300
Assessor Section
Manufactured Structures
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'SECTION 7.:; NEW SECURITY INTEREST HOLDERS;:; ::. : ' <br /> . ' . Security interest <br /> ..' . `" holder name: Phone: <br /> i... '. <br /> CC W Mailing Address: <br /> W p'_'; City: State: ZIP: <br /> :W M. <br /> ;;. ' <br /> .;: _ Email: <br /> .'.'' ` Security interest <br /> :N, Phone: <br /> holder name: <br /> a'W.. Mailing Address: <br /> ;•W.:,•p'; City: State: ZIP: <br /> ._. Email: <br /> SECTION 8 .. CURRENT OWNER ACKNOWL`EDGEMENT:- •, ,` <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:541-928-1471 <br /> :1-.:i-', (last,first,middle) <br /> ,`Z•i _: Email:Isimon Isi <br /> mon@jandmhomes.com <br /> �:;w, @j dmhomes.com <br /> I acknowledge this sale/change of ownership, <br /> :D;; .: 0 I release my interest in this structure ❑ <br /> V'•O� but do not release my interest in this structure <br /> •`� Signature: Date: <br /> :ii,':'' Name: <br /> - - .;,M (last,first,middle) Phone: <br /> W,>W Email: <br /> CC;; I acknowledge this sale/change of ownership, <br /> 0 I release my interest in this structure ❑u's0 but do not release my interest in this structure <br /> `: -. Signature: Date: <br /> Name: Phone: <br /> I— 'ri (last,first,middle) <br /> -▪,Z` <br /> 4. +• <br /> la..LL Email: <br /> ..:;.CC,, I acknowledge this sale/change of ownership, <br /> _•D.; P',: ❑ I release my interest in this structure ❑ <br /> U'O ; but do not release my interest in this structure <br /> • °"1 Signature: Date: <br /> °";:';''.,y Name: Phone: <br /> ':I=::'.et+;:: (last,first,middle) <br /> .wf.i.0 Email: <br /> :ccI release myinterest ❑ I acknowledge this sale/change of ownership, <br /> �S', ❑ in this structure 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 Phone: <br /> IX holder name: <br /> Email: <br /> 'U 0 I acknowledge this sale/change of ownershi , <br /> <:'-'• gownership, <br /> ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> _ .. Signature: Date: <br /> Page 4 <br />
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