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I further certify that each lessor, mortgagee,trust-deed beneficiary,lien holder of record,and security-interest holder has been listed on this notice,or if none are listed,that this structure is free and clear of all mortgages, deeds of trust,security interests, and liens and that I have the legal right to sell this manufactured structure. Seller/current owner name(print): Seiler/current owner signature Date; Irelease my interest in this struck CASCADE FACTORY Phones (503)981 5314 0 �aelm rdo w edgrele his of ownership,thange of uc . Email: CASGADEHOMES 0Y•4 Seller/current owner name(pmu): Seller/current oWner signature Datta ❑ I release my Interest in this structure. Phone; I acknowledge-Otto saWdtonge ai ownership; •a erestin eetruoture. ixudot�raie em mi th Y Etnall: • • Seller/current owner name(print); Seller/current owner signature: Date: I release my interest in this overture. 1-1 I acknowledge this sale/change of ownership. Phone: but do cot release my interest in The awatera Email: Seller:/current ower name(print); Seller/current owner signature; Date: 0 Irelease my Interest in this stnrdure- Phone: f acknowledge this sale/change of ownership, but do not ruhasaa my interest in the strudtue. • l mail; v:•Y .tea�.:� �- �; _ •'4; ..'s ;:> �: • .,•1. ; 0E8T lid' ti •4K�fid`,1„>G•l•'�l fy�..'- :'"-RP(f�S�L'�� ... .”l�fit�isd.t�:1;- ;: r7;:. 0�x .. Ft..... ..�•. .,.ea-�:1��.•p .... .. s.. a d � .. .t Security holder's name(print): Security holder's signature: Date: [] ;release my intertuia This structure. I aflknnwledga this aule/uhangn dowers/lip, but do ant release my intrrest in the structure. Security holder's came(print); Security holder's signature: Date: ❑ 1 release my interest in This structure. DI acknowledge-this sale/dump of ownaahip. IJ but do not release m interest in the structure.• . _.:r!. .yy� .�.J�.[J��• :'•,�n.. .r `' .r• .�.t.•Y•:',4t4bl;.y?.y.:;;^ ,}i� v F' f'bt f+'..ii^r•.` P,[y� ��y(�TA {y�{��r�i �7:.:Y�•\�f•^nj Ewa t-.. :.hl l'��`4Es±..K .•}t',s.�. •:.5.. '•......�i l•.^i...j Y..�.4� t.'R 1.'4..4„-`”.'�*M+l•'4.6' • ••• Y'• wY ..,..,... -.: -'.J,�'..•.. r .t:it 4rA Signatures-from all applicable parties must be complete(current owners/sellers,newowners/buyers,and security © interest holders). DA valid tax certification from the county tax assessor.The tax certification form will be provided by the county office and must be signed by a county official. 0 Any additional documents needed to establish your authority to buy/sell this home as required by ORS 446 and OAR 918 and posted at www.oregon.gov/bod. if the home is being moved to a different comity,a valid tax certification form is needed from both: D (A)the county the home is moving from and • (B)the county the home will be moved to If recording in or removing from county deed records, you must also submit'a copy of the recorded application(Form 5176 or 5175 found at www,oregon.govlbcd) O If signing by Power of Attorney,submit a Change Affidavit(Form 5221). [} If this application is being submitted by the seller,you must also submit a bill of sale. • i 440.2452(7/17/COM) Page 5