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. . <br /> -,...,.••••-- ..-• - ' •••••n.:.A-0.•:'.0.0,:•,,•-•,. .."•,•••••••••••••:-:s.,:•44::. -*--*-::-',.';'";•,`• :'•-•••••Z17'.a,..:.-1_4,:,•••• `••..' ..--.* -* ..!',•?%:,-V f-:%:.•ili,','$-A-?&":1-..a.t:':'i1/2•?es'egri•141---••:•?•cC' <br /> -1'4"g"r::',4!'ir..; 4;i1q1:1i'i 1,:e,::.:::'11.:,1','"e-e::At,'fdrelP4410Ataielli- ,Ea 4thirtiMatilii4 :,:Wit 44';';14gtr:34Y.-,We.r-co'a("•••••;:-=' •-•••"-...,5';'.0.":;..:1•'. <br /> %•-ill':....:'..."f•,-1';:.',11; ..te...VZ-Piit•Oc4-:•%.:.:.t''•“•',;.''::, .,:....:1FM.rlagoirP:,..;lz:-• ,•*...,••• 1 f,.5."a •!.-"W.417*.i;.:,E.:•::.:-.;.?:•1....;--::.;;;.:4.!4. 7,49-0,44: 1,41.1V.4 .: <br /> .. _ <br /> ' Security-interest holder name: <br /> .1 NONE . <br /> - .. <br /> Mailing address: <br /> ri • <br /> . . <br /> Security-interest holder name: <br /> .,..," Mailing address: <br /> a . . <br /> • <br /> a : <br /> .,--7 <br /> • Buyer/new owner acknowledgement of sale/Change of ownership <br /> Ad, <br /> [affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the <br /> • <br /> isale/change of ownership. <br /> I understand that the home cannot be relocated without first completing this form and purchasing a trip permit from the <br /> 5.4 State of Oregon,Building Codes Division or one of its county agents. <br /> i I understand that the seller/owner is responsible for submitting this Ownership Document Application to the State of . <br /> - • <br /> -16 Oregon,Building Codes Division or one of its county agents within 30 days after closing of the sale,and that all <br /> buyers and sellers will be notified by mail when the application is completed.I understand that,should the seller/owner • <br /> fail to tile this Ownership Document Application within 30 days,I may complete the filing[ORS 446.641(1)1 1 further <br /> understand that each lessor,mortgagee,trust-deed beneficiary,lien holder ofrecord,and security-interest holder must <br /> co <br /> be listed on this notice,or,if none are listed,the manufactured structure must be free and clear of all mortgages,deeds <br /> of trust,security interests,and liens. <br /> . . <br /> _ <br /> .'... Buyerhtew owner niune 0(print): Right of survivorship Buyer/new owner signature: Date: • <br /> • <br /> • <br /> . .• <br /> --------* - <br /> b Buyer/new owner name(print): []Right of survivorship Buyer/new owner signature: Date: <br /> -- 1 t . • <br /> Buyer/new owner name(print): 0 Right of survivorship Buyer/new owner signature: Date: <br /> • <br /> • <br /> k . <br /> Buyer/new owner name(print): 0 Right of survivorship Btayerfnesv owner signature: Date: <br /> • • . <br /> . . . <br /> .._ . : <br /> Seller/current owner acknowledgement of sale/chenge of ownership <br /> Application must be accompanied by the appropriate valid County Manufactured Home Notification form. <br /> All owners must release their interest or acknowledge this sale/change of ownership in the structure in order to . <br /> complete this apPlication.ALL current owners,including security-interest holders,must acknowledge the sale/change.of <br /> ownership by signing the ownership document or DMV title or completing the section below.Security-interest holders <br /> may elect to acknowledge the sale/change of ownership,but maintain their security interest until such time as they no .. <br /> • <br /> longer have an interest in the home. <br /> Seller/current owner affidavit r affirm that I am the current owner of this structure and acknowledge that the seller is <br /> responsible for submitting notice of sale/change of ownership to the State of Oregon Building Codes Division or one of • <br /> its county agents within 30 days of the closing of the sate[ORS 446.641(1)], • <br /> . - - <br /> 44M952(7/17tCOM) Pogo 4 <br /> .. . <br /> ..... . . .... . . ..... . .. . _. <br />