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<br /> y, ; Y , v,wNc SE ,yRITI N(fieE REST - DERSi ce
<br /> , TIION . wiS , ,wv-[ : EW C , L }Y-1:".,, k-Z tNi. ,P:. `k =
<br /> Security interest
<br /> `4 Phone:
<br /> 4"(1rEE NONE
<br /> f;,,A,Eiow Mailing Address:
<br /> City: State: ZIP:
<br /> Anym Email:
<br /> ii gat e Security interest
<br /> Phone:
<br /> — 4.
<br /> holder name:
<br /> i.
<br /> X"0 Mailing Address:
<br /> F t7 �
<br /> �=W Off;, City: State: ZIP:
<br /> ct Email:
<br /> by z F.� p.,/� _
<br /> 5 trOt ea Wit;C 007: 01 ! :0 O1ALO E Witt, Av^. h t=r
<br /> 1 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 /> < 4f Legal Name:
<br /> �: ,_ (last,first,middle) Hunter, Laura L- Phone:
<br /> Z
<br /> lit.W= Email:
<br /> ktd4ErF^a
<br /> sintctu
<br /> I acknowledge this sale/change of ownership,
<br /> M 0re a my int re is r� ❑
<br /> _ �' but do not release my interest in this s etur
<br /> SIC?'
<br /> Orm Signature: Date: G
<br /> va
<br /> € ,�_ Name' unter, Robert H. Phone:
<br /> t 1=iso (last,first,middle)
<br /> t z_pe' Email:
<br /> W
<br /> •`" �"Y ❑ I acknowledge this sale/change of ownership,
<br /> < �` ❑■ I ea i e s this cture
<br /> but do not release my interest in this stru tore
<br /> Signature: Date: �� '��
<br /> , '�
<br /> ",. Nam .
<br /> Air. 070 (last,first,middle) Phone:
<br /> ,liAktk$ups Email:
<br /> x' I acknowledge this sale/change of ownership,
<br /> O ❑ I release my interest in this structure 0.41 ❑
<br /> but do not release my interest in this structure
<br /> Signature: Date:
<br /> -vie. Name:
<br /> vF. Phone:
<br /> i. (last,first,middle)
<br /> E P.
<br /> `1Y. Email:
<br /> 'nt r ❑x ID I release my interest in this structure
<br /> I acknowledge this sale/change of ownership,
<br /> but do not release my interest in this structure
<br /> 15,0�', Signature:
<br /> ( T gn 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 /> S,A Security interest
<br /> -3 holder name: Phone:
<br /> s
<br /> Prinati Email:
<br /> *F'� I acknowledge this sale/change of ownership,
<br /> r V G 0 I release my interest in this structure " ❑
<br /> z:-tv`m-4 but do not release my interest in this structure
<br /> tc Signature: Date:
<br /> •
<br /> Page 4
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