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SECTION 6 .. NEW OWNER ACKNOWLEDGEMENT(One name pe(box); .°.. <br /> El Person 0 Business ❑Trust ❑Guardian <br /> -;;.1- Legal Name:Mora Ramos, Esperanza Phone:503-592-3652 <br /> ,';.;ram_ (last,first,middle) <br /> '';'.U'UTi. Mailing Address:16688 Highway 99E NE#7 <br /> r> City:Woodburn State:OR ZIP:97071 <br /> ,'9 Email:esperanzamora07@gmail.com p @gmail.com <br /> ,:W_;' Right of ❑Yes El No <br /> :Z.:1 Survivorship: <br /> !....�{ Signature: Date: <br /> - -';--:,7.-.:,.:i, ElPerson 0 Business ❑Trust ❑Guardian <br /> =.'•;j I`4:_'- Legal Name: <br /> N Phone: <br /> (last,first,middle) <br /> ,'W'•' Mailing Address: <br /> City: State: ZIP: <br /> '"" Email: <br /> I.,.. Right of ❑Yes ❑No <br /> 6r. Survivorship: <br /> .'; ' <br /> _ :,l€:--_ Signature: Date: <br /> N`l E <br /> .:,•.�. ;=: ❑Person 0 Business ❑Trust <br /> ,,�._,f_; 0 Guardian <br /> Legal Name: <br /> -'.r lY (last,first,middle) Phone: <br /> :`alU7,Z Mailing Address: <br /> < =; City: State: ZIP: <br /> Email: <br /> W, Right f ❑Yes ❑No <br /> ,,- Survivorship: <br /> ':`'- Signature: Date: <br /> -5`), ❑Person ❑Business- ❑Trust ❑Guardian <br /> >d'':L�. Legal Name: Phone: <br /> !_� =.: (last,first,middle) <br /> W ! Mailing Address: <br /> ;•_ City: State: ZIP: <br /> Email: <br /> ==IliRight of ❑Yes ❑No <br /> ..4 Survivorship: <br /> Signature: Date: <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 <br />