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322384
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Last modified
1/13/2022 5:59:51 AM
Creation date
3/2/2020 12:09:48 PM
Metadata
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Template:
Assessor
Account Number
322384
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
MTL
061W020002400
Assessor Section
Manufactured Structures
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• <br /> Security-Interest holder name: NEW SECURFT'lf IN 1 EREST flOL 3ERS <br /> J., <br /> 0 i <br /> Mailing address: <br /> u <br /> d <br /> Security-interest holder name: <br /> ea <br /> .o i'lai!ing address: <br /> a) <br /> c4 <br /> Ayer/new owner acknowledgement of sale/change of ownership <br /> I affirm that theo information n provided herein accurately reflects the ownership of <br /> ,� sale/change of ownership. P the structure at the completion oft <br /> i <br /> 74 I understand that the home cannot be relocated without first c he <br /> �; State of Oregon,Building Codes Division or one of its county <br /> this form and <br /> I c� purchasing a trip permit from the ! <br /> I ustderstatY agents. <br /> I ad that the seller/owner is responsible forst: <br /> D tOregon, Building submitting this Ownership Document Application <br /> buyers and sellers Coh be notified by mail when its county <br /> ou a agents within 3G <br /> days . I after closing to that State of <br /> 41 o fail to file this Ownership Document Application within 30 days, I may complete application ais completed. I understand that,[Oshould the I further seller/owner <br /> be understand that each lessor,mortgagee, trust-deed beneficiary, <br /> 4 undisted on this notice, or,if noneg are listed, P �e the filing[ORS 446.641(1)1 tel odI must <br /> the manufactured structure must be free and clear fall�gholder <br /> I <br /> of trust, security interests, and liens. <br /> Bttvea.r/fle`r mages, deeds <br /> owner name(orim); <br /> n Q Right of survivorship II <br /> -� 1-444., <br /> � P i Buyer/ tvuer signature: <br /> i�La:b.-4. �',•'L�ye f (Date; <br /> 1 '' �� <br /> .17 Buyer new ��„../, _� <br /> E <br /> name(prim): <br /> J 0 Right ofs�7rvivarship 1 Bu er <br /> J' ine s-owner sign ` <br /> Istut•e: <br /> mate: <br /> 3uyer/ne�v owner name(print); 1 <br /> 0 Right of survivorship p Buyerinewv owner signature: <br /> 42 <br /> s <br /> Date: <br /> Buyer/new owner name(print): Cj Right ofsurvivorship 3e:yei/net',owner signature: <br /> Date: <br /> Seller/current owner acknowledgement of sale/change ofi <br /> Application must be accompanied by the a ownership <br /> appropriate valid County Ivianufactured Home Notification form. <br /> All owners must;Blease their interest or acknowledge this sale/change e1 <br /> complete this application.MI curent or including ts <br /> ownership bysigning g of ownership must <br /> in the acknowledge <br /> the in orderhae <br /> P gnin the ownership document or DMV title or conipletin holders, al . Sec due sale/chaers <br /> nge of <br /> may elect to actorowIedge the sale/change of ownership, but maintain their s <br /> longer ec t an interest in the home. r the section below•until such time <br /> they no <br /> Seilerfietrrettt©weer affidavit I affirm that I am the c security interest such titter as no <br /> responsible a for owner affidavit <br /> notice ofaffirm <br /> tsale/change of ownershipturent owner of this structure and acknowledge <br /> its county agents Within 30 days of the closinof the sal [0RS 446.641(1)1 of Oregon BuildingCodesDivision t the seller is <br /> g or one of <br /> 440-2953(7/I7/CON1) <br /> Page 4 <br /> 17'd 66Z 6-00Z-E09 aoln7ag au7oH aligoW sBno4 e8.17:1.1. 'OZ 9Z(led <br />
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