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• <br /> SECTION 6... NEW OWNER ACKNOWLEDGEMENT(One name per box) ;.: <br /> 0 Person 0 Business ❑Trust 0 Guardian <br /> 4i Legal Name:Fobert Farms Inc Phone:971-275-6170 <br /> (last,first,middle) <br /> ^'W`„' Mailing Address:18899 Fobert Rd NE <br /> L. • <br /> ';;,�;5: City:Hubbard state:Om ZIP:97032 <br /> • 'CQ... Email:fobertfarmes@gmail.com <br /> .' :-' Right of <br /> `W''' ❑Yes UNo • <br /> Zf' Survivorship: <br /> i,',., -;.: <br /> ,,-,:2;?:-.,.. Signature: Date: <br /> ' =`'' ❑Person ❑Business ❑Trust ❑Guardian <br /> N''`' ' Legal Name: <br /> 'i Phone: <br /> '•'' (last,first,middle) <br /> °IOC=._;; <br /> � F= Mailing Address: <br /> '', ':r City: State: GIP: <br /> z Email: <br /> da Right of ❑Yes ❑No <br /> `Z:` Survivorship: <br /> ii'= 7, Signature: Date: <br /> ❑Person ❑Business ❑Trust ❑Guardian <br /> F'`' Legal Name: <br /> ..` Phone: <br /> ;',;. (last,first,middle) <br /> `14.1': Mailing Address: <br /> ,Z <br /> `,.a s' City: State: ZIP: <br /> Email: <br /> "' Right g ❑Yes El No <br /> i`Z'� Survivorship: <br /> .:•?:,• ''-' Signature: Date: <br /> ' ❑Person ❑Business El Trust El Guardian <br /> ; '; Legal Name: . Phone: <br /> :' (last,first,middle) <br /> ' W. Mailing Address: <br /> : : .. City: State: ZIP: <br /> Email: <br /> ::W Right of ❑Yes El No <br /> `,'Z''' Survivorship:P <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 /> • <br /> Page 3 <br />