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:'._SECTION 6 .'• NEW OWNER ACKNOWLEDGEMENT(One name.P er box) _;' <br /> 0 Person 0 Business ❑Trust ❑Guardian <br /> .,,•:.:,, Legal Name: <br /> g Marks, Fred Phone:318-540-2292 <br /> ,. - (last,first,middle) <br /> >''W;T Mailing Address:230 Meyer St S <br /> .,:.:Zr--. <br /> ', City:Detroit State:OR ZIP:97342 <br /> Email:vickiandfred@gmaiIcom <br /> .LAW Right of ❑Yes ❑1• No <br /> :Z'-.', Survivorship: <br /> "y``' Signature: Date: <br /> r ;' ❑Person 0 Business El Trust ❑Guardian <br /> N< Legal Name: <br /> (last,first,middle) <br /> Phone: <br /> `1'sW:' Mailing Address: <br /> ;` City: State: GIP: <br /> ,� Email: <br /> .1��•'I <br /> W Right of ❑Yes ❑No <br /> Z": Survivorship: <br /> " - Signature: Date: <br /> ;_.':- 0 Person ❑Business ❑Trust ❑Guardian <br /> Legal Name: <br /> t'M`: Phone: <br /> ", (last,first,middle) <br /> WL', MailingAddress: <br /> 'r Z,,._ <br /> I.;may City: State: ZIP: <br /> Email <br /> -',W:;x Right of ❑Yes ❑No <br /> .Za , Survivorship: <br /> "'`"' Signature: Date: <br /> ';! '`' 0 Person ❑Business ❑Trust ❑Guardian <br /> Legal Name: Phone: <br /> : `;,: (last,first,middle) <br /> W Mailing Address: <br /> ::; City: State: ZIP: <br /> Email: <br /> rW`i: Right of ❑Yes ❑No <br /> °`'Z=s Survivorship: <br /> f', 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 />