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1308543 <br /> NEW SECURITY-INTEREST HOLDERS <br /> Security-interest holder name: <br /> . ' VANDERBILT MORTGAGE AND FINANCE,INC. <br /> cs <br /> P. Mailing address: <br /> 'a <br /> , PO Boz 4007 <br /> Maryville TN 37802 <br /> rn <br /> Security-interest holder name: <br /> s. Mailing address: <br /> noL <br /> a <br /> H <br /> Buyer/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 <br /> 'w <br /> >;" the sale/change of ownership. <br /> EI understand that the home cannot be relocated without first completing this form and purchasing a trip permit from <br /> the State of Oregon,Building Codes Division or one of its county agents. <br /> I understand that the seller/owner is responsible for submitting this Ownership Document Application to the State <br /> ` of 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 <br /> 1 seller/owner fail to file this Ownership Document Application.within 30 days, I may complete the filing [ORS <br /> 0 446.641(1)]. 1 further understand that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and <br /> 12cl security-interest holder must be listed on this notice, or, if none are listed, the manufactured structure must be free <br /> and clear of all mortgages,deeds of trust,security interests, and liens. <br /> Buyer/newowner name((pprint) ;`(--Right of survivorship Bi :e "ew owner ignature: r Date- <br /> 41 <br /> I <br /> Buyer/new owner na e(print) Right of survivorship Buyer/new owner signature: Date: <br /> ( 7 <br /> Buye /new owner tine(print) C Right of survivorship Buyer/ •w owner signature: Date: <br /> Buyer/new owner name(print) Right of survivorship Buyer/new owner signature: I Date: <br /> Seller/current owner acknowledgement of sale/change of ownership <br /> Application must be accompanied by the appropriate valid County Manufactured Home Notification form. 1 <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 <br /> of ownership by signing the ownership document or DMV title or completing the section below. Security-interest <br /> holders may elect to acknowledge the sale/change of ownership, but maintain their security interest until such time as <br /> they no longer have an interest in the home. <br /> Seller/current owner affidavit I 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 <br /> of its county agents within 30 days of the closing of the sale[ORS 446.641(1)]. <br /> 440-2952(7/17/COM) <br /> OR Title Application-10/2018-TitleApp 11211 Page 4 004107883-00001 <br />