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<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
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