355436 - Laserfiche WebLink

Home Browse Search

: NEW SECURITY_INTEREST HOLDERS Security-interest holder name: ••CC' d Mailing address: U Security-interest holder name: ottMailing address: U G? • Buyer/new owner acknowledgement of sale/change of ownership I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the. asale/change of ownership. I understand that the home cannot be relocated without first completing this form and.purchasing a trip permit from the State of Oregon,Building Codes Division or one of its county agents. I understand that the seller/owner is responsible for submitting this Ownership Document Application to.the State of Oregon,Building Codes Division or one of its county agents within.30 days after closing of the sale,and that all c buyers and sellers will be notified by mail when the application is completed. I understand that,should the seller/owner fail to file this Ownership Document Application within 30 days,I may complete the filing[ORS 446.641(1)]. I.further understand that each lessor,mortgagee,trust-deed beneficiary, lien holder of record,and security-interest holder must be listed on this notice, or, if none are listed,the manufactured structure must be free and clear of all mortgages,deeds of trust, security interests,and liens. Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: b' Buyer/new owner name(print): ❑ Right of survivorship Buyer/new owner signature: Date: • Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: L n - Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: Seller/current owner acknowledgement of sale/change of ownership Application must be accompanied by the appropriate valid County Manufactured Home Notification form. All owners must release their interest or acknowledge this sale/change of ownership inthe structure.in order to complete this application.All current owners, including security-interest holders,must acknowledge the sale/change of ownership by signing the ownership document or DMV title or completing the section below. Security-interest holders • may elect to acknowledge the sale/change of ownership,:but maintain their security,interest until such time as they no longer have an interest in the home. Seller/current owner affidavit I affirm that I am the current.owner of this structure and acknowledge that:the seller is responsible for submitting notice of sale/change of ownership to the State of Oregon,Building Codes Division or one of its county agents within 30 days of the closing of the sale[ORS 446.641(1)]. 440-2952(7/17/COM) Page 4