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Seen. <br /> Coo SS? <br /> wl Tr irYN 1 — <br /> (;ate LINN COUNTY P P <br /> a ASSESSMENT AND TAXATION <br /> Box 100;Albany, Oregon 9732/ Andy Stevens <br /> set— <br /> P.O.14 Phone:(54/)967-3808 Assessor&Tax Collector <br /> FAX:(541)917-7448 <br /> 04,141 Internet:www.co.linn.or.us <br /> All manufactured home transactions will now require proof of taxes paid. You may submit this <br /> form electronically to manufacturedhomesna co.linn.or.us or in person at: <br /> Linn County Assessors Office <br /> 300 4th Ave SW Room 214 <br /> Albany OR 97321 <br /> Forms can be found online at: <br /> http://www.oregon.gov/bed/man-home-own/Pages/man-home-own-forms.aspx <br /> Home ID: 3 6-1t klqp <br /> Tax Acct: c'(CO 3 <br /> Site Address: - l ace?, ppjj <br /> Moving? 0/Yes 0 No (If yes, a placement permit will be required) <br /> MA,n Mitykt-y <br /> Exempt? 0 Yes No <br /> Taxes Paid? Yes 0 No Date: -1 <br /> t-G <br /> 3A::),11Z\, <br /> my Official Signature <br /> County Official Title <br /> ***This form will be valid for 30 days from issuance. <br />