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1 • <br /> :!!.:'!.EcT.P.417!:.i: •Zi...i;MR}:ii0i%....fa•gi:0.14.411tiOC.01.0.17.(INTEREST410LOBRV,i:.,..,:i'.:1:::'•: '.... .:,. ..::...::.::.::::*.;.i":.:::.•i....'..!.:1::.::..... <br /> .i.:,....::„..q.ai: Security interest <br /> holder name: Phone: <br /> Mailing Address: <br /> City: . State: ZIP: <br />! ;!.Ate•!Ot <br /> •,-.•::::,i::::......::-:-.-.:J Email: •_ ........ <br /> .::.:,._.:,•..44. '!!, Security interest <br /> VPO <br /> Phjig::.., holder name: one: <br /> Mailing Address: <br /> City: State: ZIP: • <br /> sliSi. <br /> i::::;g Email: • <br /> SECnilkif.i.:0. rigaRF.:Pligi1.13i01HREt.41i)iNERIACICNOWLEDGEMENT.6!.:•i'i:: :-::.:::.::.:..:.....;......:,.,:.......... .. <br /> r .„ .. . .. ... <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 /> .i.k.:: .:-: (last,first,middle) Alta Cima Corp. Dba: Factory Expo Homes Phone: 503-980-3990 <br /> •!-...wld••,i:. <br /> Email:moconnell@factoryexpohomes.com • <br /> )4r:f.r.,...;....; 0:2 I release my interest in this ri I acknowledge this sale/change of ownership, <br /> structure <br /> ' but do not release my interest in this structure <br /> Signature: 77/1 0 f2,git.oz4.& Date: 07/10/2024 <br /> ,,,,V• Name: <br /> •;,:',...)Tryi, (last,first,middle) Phone: <br /> .ije• <br /> ukilik,„ Email:- <br /> 0 I release my interest in this structure r—i I acknowledge this sale/change of ownership, <br /> :'.;Z:•?,.P.'-• • <br /> 16/.i'cl.;-:' '—' but do not release my interest in this structure <br /> Signature: Date: <br /> ....: . Name: <br /> ...!- ;:k.fti:'. (last,first,middle) Phone: <br /> SAY...r'fliiLl!i. Email: <br /> ,,,;17Iz...: <br /> =i.,: ..,:!i El I release my interest in this structure ri I acknowledge this sale/change of ownership, <br /> yi.gyfiF: '—' but do not release my interest in this structure <br /> ..: .•!:;:i.,..'...7, Signature: Date: <br /> .. Name: <br /> • Phone: <br /> i.I...!?..iirr.:: (last,first,middle) <br /> ....::Ze <br /> .:,:.uutir. Email: <br /> ::-.1g-.,! ..•-: <br /> . I:1 interest in this structure El I acknowledge this sale/change of ownership, <br /> I release my <br /> ..'.A)..1.0.':;• 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 dosing of the sale per ORS 446.641(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 /> ..;.:::...i;-•:;::;; :..: Security interest <br /> Phone: <br /> holder name: <br /> Email. <br /> I acknowledge this sale/change of ownership, <br /> 0 I release my interest in this structure E] • <br /> but do not release my interest in this struc • <br /> ture <br /> .:-...::::..... .'.. .:'::;.! Signature: Date: <br /> Page 4 <br />