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607414 (2)
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607414 (2)
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Last modified
5/23/2024 11:01:11 PM
Creation date
5/23/2024 10:01:22 AM
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Template:
Assessor
Account Number
607414
542225
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
5/13/2024
MTL
105E01CD02400
Assessor Section
Manufactured Structures
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SECTION•7, "..: .• ' ..: NEW:SECURITY INTEREST HOLDERS ... <br /> • ; •f Security interest <br /> iFkli.--' holdernanie•iQ Credit Union Phone: <br /> ':C=�W' Mailing Address:17800 SE Mill Plain Blvd Suite 120 <br /> ` u. ,4.c City:Vancouver State:WA ZIP:98683 <br /> W O:'. <br /> :ins=:. Email: <br /> ▪ , Security interest <br /> holder name: Phone: <br /> H>:eC::: <br /> Ocf."I: Mailing Address: <br /> =U- 1" City: State: ZIP: <br /> W;O, <br /> L.N'=` Email: <br /> ._ <br /> ▪SECTION.B .? , '-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 •541-928-1471 <br /> `•"`�.�� Phone. <br /> �1=1 : (last,_first,middle) <br /> ,:w All_ Email:Isimon@jandmhomes.com <br /> ;cc ❑ I acknowledge this sale/change of ownership, <br /> .M 0 I release my interest in this structure but do not release my interest in this structure <br /> ; `, :., Signature: Date: <br /> ,, Name: <br /> 'r r' (last,first,middle) Phone: <br /> 'W`,W ; Email: <br /> 7:4= r,. I acknowledge this sale/change of ownership, <br /> 'D.5 ❑ I release my interest in this structure ❑ but do not release my interest in this structure , <br /> <:; Signature: Date: <br /> ".=. Name: <br /> -,1 .';M` (last,first,middle) Phone: <br /> "W"ALLI'" Email: <br /> r'apC;i _ I acknowledge this sale/change of ownership, <br /> .0;: �s 0 I release my interest in this structure ❑ <br /> but do not release my interest in this structure <br /> Signature: Date: <br /> ; Name: <br /> ::l`=;_ef'? (last,first,middle) Phone: <br /> w\_t W:uj° Email: <br /> ''FOC`Z:: <br /> OC' I acknowledge this sale/change of ownership, <br /> 0 I release my interest 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 496.641(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 /> .:W <br /> 2 p.. Email: <br /> k'tJ I acknowledge this sale/change of ownership, <br /> U;,O: 0 I release my interest in this structure 0 gp <br /> W:-= but do not release my interest in this structure <br /> Signature: Date: <br /> Page 4 <br />
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