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1335313 <br /> NEWSECURITY-INTEREST HOLDERS <br /> Security-interest holder name: <br /> VANDERBILT MORTGAGE AND FINANCE,INC. <br /> 44, <br /> tiMailing address: <br /> PO Box 4007 <br /> Maryville TN 37802 <br /> Security-interest holder name: <br /> o.. Mailing address: <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 /> Vthe sale/change of ownership. <br /> wI understand that the home cannot be relocated without first completing this form and purchasing a trip permit from <br /> r, 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 /> a buyers and sellers will be notified by mail when the application is completed. I understand that, should the <br /> seller/owner fail to file this Ownership Document Application within 30 days, I may complete the filing [ORS <br /> 446.641(1)]. I further understand that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and <br /> °q 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 /> Bur 9`/new owner name(print) Right of/JsurvivorshipsjBuyer/ •r vn i signature: j Date: C� <br /> C. ' `I h �!/ 411--L-6 A r f..7 w. &7 2C—20/? <br /> gBuyer/new owner name(print) ,tZRight of survivorship Bu,• r/ ew owner signatur Date: <br /> -41- x.11---�-4 _ - UIP Z•- • Oj� 7� <br /> Buyer/new owner name(pant} Right of survivorship ' Buyer/new owner sigisature: Date: <br /> 12:1 <br /> Buyer/new owner name(print) Right of survivorship Buyer/new owner signature: 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. <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 Ionger 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 Tide Application-10/2018-TitleAppl 1211 Page 4 004175519-00001 <br />