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'SECTION 6 :: , NEW OWNER ACKNOWLEDGEMENT.(One name per box). : . .• <br /> 1•❑Person 0 Business ❑Trust ❑Guardian <br /> r:• Legal Name:Hitchcock, Christopher, B 503-679-6270 <br /> W'. (last,first,middle) Phone: <br /> ;," '..: Mailing Address:3100 Turner Rd #117 <br /> z. <br /> ` ; City:Salem State:OR DP:97302 <br /> ' Email:hitchcockracing2@icloud.com <br /> W.:. Right of Yes ❑No <br /> Z':^ Survivorship: <br /> Signature: Date: <br /> _ s'` 0Person El Business ❑Trust 0 Guardian <br /> :: • Legal Name: <br /> '' Hitchcock, Pamela, A Phone: <br /> .:• (last,first,middle) <br /> '=`W1 Mailing Address:3100 Turner Rd#117 <br /> '$ = City:Salem State:OR ZIP:97302 <br /> Email: <br /> `::W:s• Right of []Yes ❑No <br /> a`, Survivorship: <br /> Signature: Date: <br /> -.:i ;": ❑Person ❑Business ❑Trust ❑Guardian <br /> .'. Legal.Name: <br /> (last,first,middle) Phone: <br /> 1.6 <br /> Mailing <br /> City: State: ZIP: <br /> Q <br /> Email: <br /> :,;-W;.: Right of <br /> ❑Yes ❑No <br /> '}Z > Survivorship, <br /> :, Signature: . Date: <br /> ❑Person ❑Business ❑Trust ❑Guardian <br /> ;.7j.`,` Legal Name: <br /> (last,first,middle) Phone: <br /> ''W, Mailing Address: <br /> : : City: State: ZIP: <br /> -:,0:'..: <br /> a <br /> "' Email: <br /> w'` Right of <br /> W ' ❑Yes ❑No <br /> Z;'''. Survivorship: <br /> Signature: Date: <br /> NEW OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the sale or change <br /> of ownership.I understand that the home cannot be relocated without first completing this application and purchasing a trip permit <br /> from the Building Codes Division or through one of its county agents. <br /> I understand that the seller/owner is responsible for submitting this application within 30 days after the close of the sale,and that all <br /> buyers and sellers will be notified by mail when the application is approved.If the application has not been submitted after 30 days,I <br /> may complete the filing under ORS 446.64(1). <br /> I understand that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security interest holder must be listed on <br /> this notice.If none are listed,the structure must be free and clear of all mortgages;deeds of trust,security interests,and liens. <br /> Page 3 <br />