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-Docusign Envelope ID:C79DC333-31 F8-4B3A-9410-07E5C50A5A37 <br /> • <br /> 43E f :;, ::'.`. . :.; :;: i:NEW SECiIR'i'1F INTERESTHOLDERS`::•;': :; <br /> Y;: Security interest <br /> ce, Phone: . <br /> holder name: - <br /> `4:0111'_ Mailing Address: <br /> .'�0". City: State: ZIP: <br /> : �:z_-: ` Email: <br /> Security interest • <br /> • iV.*: Phone: <br /> holder name: <br /> ::CC>w.f Mailing Address: <br /> u • <br /> 3 City: Sta.iite: ZIP: <br /> :. :2G:: Email• <br /> :S ::: . , N 5:::< :::::.:: :: :;;:;:::;:: :;--::CURE :OWNER CKNO LEDGEMENT ' ::: >: :::: <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) Alta Cima Corp. ba: FactoryExpo Homes Phone: <br /> �:t�.�}r+,•-�:� (lust first middle). P• P 503-980-3990 <br /> W' : Email: moconnell@factoryexpohomes.com <br /> .,� ui:�:� moconnell(a�facto ex ohomes.com <br /> z <br /> :,';'..miii I acknowledge this sale/change of ownership, <br /> ,it X I release my interest in this structure 0 but do not release my interest in this structure <br /> Signature: 7D Veotot4,11 Date:09/18/24 . <br /> Name: Phone: <br /> •;1 i-. r Oast first,middle) <br /> >:W<.?yr; Email: <br /> • <br /> �aC: ,. I acknowledge this sale/change of ownership, <br /> ::>>. ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> :. °:._ Name: . Phone: <br /> 1: ;lilt: (last,first,middle) <br /> `:2 Vet <br /> Email: <br /> ::OC. �: I acknowledge this sale/change of ownership, <br /> :'.;:=; �'`' El release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> :. . Name: • <br /> ::h!.i.: . (last,first,middle) Phone: <br /> 2 <br /> '..:1u`t Email: . <br /> :;,CC .: I acknowledge this sale change of ownership, . <br /> =.:;y CI 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 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 /> >::.;: Security interest Phone: <br /> iii_; holder name: <br /> : t::Cinri1 Email: • <br /> - <br /> `:'=- ' I acknowledge this sale/change of ownership, <br /> : N`O' ❑ I release my interest in this structure ❑ <br /> <>ui = but do riot release my interest in this structure <br /> . .......:.. <br /> Signature: Date: <br /> • <br /> Page 4 <br />