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• <br /> SECTION 7. -NEW SECURITY INTEREST HOLDERS <br /> Security interest— —�; Phone:(800)222-2013 <br /> rt <br /> holder name: YlU d !1'�'�in STD c. <br /> Mailing Address:13901 Sutton Park Drive S. Suite 300 <br /> W C City:Jacksonville State:FL ZIP:32224 - <br /> 1 ,_ •Email:servicing@triadfs.com - - <br /> N Security interest Phone: I <br /> IX <br /> holder name: <br /> w Mailing Address: <br /> n ® <br /> `U O City: State: ZIP: ` . <br /> u) = Email:. <br /> SECTIONS 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:Hernandez, Liliana, Phone: �7 <br /> I— w (last,first,middle) 5.0 — 1 i O— i U t1P. - <br /> w ce - Email:hliliana19@gmail.com • <br /> • u1 <br /> re :Z X I release my interest in this structure n I acknowledge this sale/change of ownership, - <br /> M .but do not release my interest in this structure <br /> U O • <br /> Signature: �CA i .Q ��� ,in <br /> Date: b Mi./ . <br /> Name: Phone: <br /> I— N (last,first,middle) - <br /> W W Email: <br /> d Z Li I release my interest in this structure I acknowledge this,sale/change of ownership, <br /> eg <br /> n O but do not_ release my interest in this structure <br /> Signature: Date: <br /> Name:,, Phone: <br /> i." ffi (last,first,middle) _ <br /> .. . <br /> w d Email: <br /> ctZ I release my interest in this structure I acknowledge this sale/change of ownership, <br /> U• O but do not release my interest in this structure <br /> Signature: Date: <br /> Name:, , Phone: <br /> (-- (last,first,middle) • <br /> ce Email: <br /> 141 w <br /> c4 Z I release my interest in this structure n I acknowledge this sale/change of ownership, <br /> Ct <br /> V ® but do not release my interest in this structure <br /> Signature: • Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP• <br /> 1 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 <br /> II to 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. I further certify that I have the legal right to sell this structure, and that each lessor, mortgagee,trust-deed beneficiary; lien .. . <br /> G holder of record,and security interest holder has been listed on this notice. If none are listed,this structure is free and clear of all <br /> a mortgages,deeds of trust, security interests,and liens. <br /> Security interest Phone: <br /> re holder name: <br /> k et 0 Email: <br /> M O I release my interest in this structure I acknowledge this sale/change of ownership, <br /> W 0 but do not release my interest in this structure <br /> Signature: Date: .. <br /> • Page 4 <br />