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-.,..,,,.::..:,:....:. :•,;NEI(IIFS.ECr1Rit (,IN`i"ERESTrHOLDERS::-:r.:;;:: :;:;•:a:.;.::.:. ':<::.•: .:.. <br /> •,' Security interest • <br /> holder name: <br /> Phone: <br /> :;CAP; Mailing Address: <br /> ...lAr O . <br /> City: State: ZIP: <br /> z. <br /> Email: <br /> ;: `:'`' Security interest• • . <br /> holder name: Phone: <br /> a :w` .Mailing Address: <br /> w <br /> City: State: ZIP: <br />. Email:. ..:......::. <br /> t::;;.;rr i:i.:•:i <br /> URRE . .<<O. N. /CC NOWLEDGEMENT.:; : ;`;:.:>: ••:::: : <br /> ::.:.. ... <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: <br /> °:F :: ., (last,first,middle) Alta Cima Corp. Dba: Factory Expo Homes Phone: 503-980-3990 <br /> ..°3,,.:ili Email:moconnell@factoryexpohomes.com <br /> .oC.yk '' �� I acknowledge this sale/change of ownership, <br /> .:=••�r.4%: I release my interest in this structure ❑ <br /> ' :t1..a but do not release my interest in this structure <br /> �� <br /> Signature: Q'&) 4t ' Date: 09/24/2024 • <br /> • <br /> Name: <br /> F=:";4 (last,first,middle) Phone: <br /> 'L.;w ; Email: <br /> �` I acknowledge this sale/change of ownership, <br /> :'4:'.• }:; 0 I release my interest in this structure ❑ <br /> VOA but do not release my interest in this structure <br /> Signature: Date: • <br /> Name: <br /> •s'.4.4:•i+ (last,first,middle) Phone: <br /> : � W : • Email: . <br /> :smr zC. • <br /> `Ces% I acknowledge this sale/change of ownership, <br /> ;,a.•.';; 0 I release my interest in this structure <br /> • V'!.. ❑ but do not release my interest in this structure <br /> • <br /> Signature: Date: <br /> Name: <br /> .:.F.;i iiir: (last first,middle) Phone: <br /> 'Asti y Email: <br /> 'r'30C Z;; • <br /> • '':•CG-4I acknowledge this sale/change of ownership, <br /> M!- 0 I release my interest in this structure ❑ <br /> :!;.W,i•O'';: but do not release my interest in this structure <br /> Signature: Date: <br /> • <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 /> :.:::?s-; Security interest • <br /> Phone: <br /> yy.. pi ; • holder name: <br /> .••••—Q 1tt.z: Email <br /> 'i.V QI acknowledge this sale/change of ownership, <br /> ;,yi:= 0 I release my interest in this structure ❑ but do not release:;;t:;,•_.;;: my interest in this structure <br /> . . .. Signature: Date: <br /> • <br /> Page 4 <br />