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• <br /> SECTION 6 NEW OWNER ACKNOWLEDGEMENT' :(One name per <br /> El Person El Business 0 Trust D Guardian <br /> Legal Name: <br /> (last first middle)McPherson, Mindy M Phone:503-383-4526 <br /> , , <br /> Mailing Address:11556 McClellan Lane SE <br /> City:Aumsville State:OR ZIP:97325 <br /> Email:mm58558@yahoo.com <br /> = Right of <br /> 0 Yes •No <br /> • Survivorship: <br /> Signature: Date: <br /> 0 Person El Business D Trust El Guardian <br /> Legal Name: <br /> Phone: <br /> (last,first,middle) <br /> i--71•1•1-': Mailing Address: <br /> City: State: ZIP <br /> Email: <br /> Right of <br /> 0 Yes 0 No <br /> Survivorship: <br /> Signature: Date: <br /> .115 El Person El Business CI Trust El Guardian <br /> Legal Name: <br /> Phone: <br /> • •'- (last,first,middle) <br /> Mailing Address: <br /> City: State: ZIP: <br /> Email: <br /> Right of <br /> j Yes 0 No <br /> Survivorship: <br /> Signature: Date: <br /> CI Person 0 Business 0 Trust CI Guardian <br /> ...I.-. Legal Name: <br /> Phone: <br /> --CC (last first middle)• <br /> Mailing Address: <br /> 'Z- <br /> City: State: ZIP: <br /> .• <br /> .10 <br /> Email: <br /> Right of• r•-•1 yes E-j No <br /> Survivorship: . L-1 <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 /> Page 3 • <br />