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612404
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Last modified
9/2/2025 11:01:07 PM
Creation date
9/2/2025 12:59:03 PM
Metadata
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Template:
Assessor
Account Number
612404
553704
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
8/29/2025
MTL
082W02BC01500
Assessor Section
Manufactured Structures
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• <br /> • <br /> SECTION 7 NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> holder name: • Phone: <br /> CC Lu Mailing Address: .. <br /> M —IW ® City: State: ZIP: <br /> ti .X • <br /> Email: <br /> Security interest <br /> - 'N holder name: •Phone: <br /> • <br /> `CC ® Mailing Address: <br /> —i <br /> w :0 • • City: State: ZIP: <br /> IA 2 <br /> Email: <br /> SECTION 8 CURRENT OWNER ACKNOWLEDGEMENT. <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: 1&M Homes LLC Phone:503-908-8166 <br /> I- P (last,first,middle) <br /> LU .W Email:aspencer@jandmhomes.com . - <br /> re Z I acknowledge this sale/change of ownership,. <br /> M - ❑■ I release my interest in this structure ❑ but do not release my interest in this structure <br /> V ® �r t n ti r`� <br /> Signature: , J r 1/c „..„),Ale X A • . Date: I!I1_)2"Q-71.t. <br /> Name: ) ` .. .. _ - <br /> I (last,first,middle) Phone: <br /> Z.- IN <br /> w W Email: <br /> cc• 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: <br /> • Phone:M (last,first,middle) <br /> wW .Email: <br /> ce Z I acknowledge this sale/change of ownership, <br /> n ElI release my interest in this structure ❑u ® but do not release my interest in this structure <br /> Signature: Date: • <br /> Name: <br /> • d' . .(last,first,middle) Phone: <br /> LW Email: <br /> ce Z I acknowledge this sale/change of ownership, <br /> n ❑ I release my interest in this structure ❑U 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 rvithin 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 /> Phone: <br /> Hili holder name: <br /> OC.® <br /> Email: <br /> D I acknowledge this sale/change of ownership, <br /> kJ ® ❑ I release my interest in this structure ❑ <br /> ww g but do not release my interest in this structure <br /> Signature: Date: <br /> • <br /> Page 4 <br />
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