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<br /> SECTION 7:l..,:,:•,".:',.:,,.rr:•.::',,(,•'-... •:::, I.' NEiAistOillityllittOttst HOLDERS -.:'. -.,;..:',-.:'',..:. '..E::•.''.':.-„:,,:,...,,,,,t .
<br /> Security interest,
<br /> holder name: i St Security Bank of Washington Phone:
<br /> ,--- --,
<br /> . -'.i.ul Mailing Address:6920 220th St SW
<br /> City:Mountlake Terrace State:WA LIP:98043
<br /> Email:
<br /> ..7,:.'.'!.,:•:':::t Security interest
<br /> holder name: Phone:
<br /> Mailing Address:
<br /> City: State: ZIP:
<br /> Email:
<br /> SECTION:i3 -11.-'.,.': :.-:-F;- .-''':-.'''.:: :.*-;'CiiitittEtkit OWNER At Kim ovu LE rid EM E N lY' ,',t,:':.':;• -•";....,-
<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 /> . ag mi
<br /> J&M Homes LLC Phone:541-928-1471
<br /> fl ,first, ddle)
<br /> ::•Z `:'ig::,,,
<br /> :Oa`11.11 Email:Isimon@jandmhonnes.com
<br /> ,..-cc`..z..:
<br /> I acknowledge this sale/change of ownership,
<br /> ;=s., . 0 I release my interest in this structure D :
<br /> !u•'.;;E.4.7)..,., but do not release my interest in this structure
<br /> Signature: Date:
<br /> •'!'. Z ,4;‘ti.1 Name:
<br /> • Phone:
<br /> FILt,;:ri.; ; (last,first,middle)
<br /> Email:
<br /> I acknowledge this sale/change of ownership,
<br /> I release my interest in this structure 0
<br /> but do not release my interest in this structure
<br /> !..-:-:: :'•i-:! Signature: Date:
<br /> Name: •
<br /> 1:,,,,-.•:-1 „'. Phone:
<br /> ....S.i..-.in[, (last,first,middle)
<br /> *;:4Z. .'.ecs
<br /> LU:4/.1)4 Email:
<br /> I acknowledge this sale/change of ownership,
<br /> I'D';`, '`-` [=I I release my interest in this structure El •
<br /> ,U,'-.0','- but do not release my interest in this structure
<br /> r..--i•4:-::.:`'f::::, Signature: Date:
<br /> Name:
<br /> Phone:
<br /> A;•.:-cf.%., (last,first,middle)
<br /> ILI:;ILI' Email:
<br /> 'CC z
<br /> I acknowledge this sale/change of ownership,
<br /> !:, 0 I release my interest in this structure 0L../
<br /> but do not release my interest in this structure
<br /> ., 1'
<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
<br /> holder name: Phone:
<br /> f. CC
<br /> CC in Email:
<br /> U .0' El I release my interest in this structure El I acknowledge this sale/change of ownership,
<br /> ill..x but do not release my interest in this structure
<br /> _ .. ..
<br /> .. , Signature: Date:
<br /> . :
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