360241 - Laserfiche WebLink

Home Browse Search

• 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): Seller/current owner signature: Date: Q I release my interest in this structure. Alta Cima Corp. 7 /J�J Phone: t I�y` 4. t��C8l1ai4.! Y 07/20/2020 ri I acknowledge this sale/change of ownership, Email: }! U/l but do not release my interest in the structure. Seller/current owner name(print): Seller/current owner signature: Date: ❑ i release my interest in this structure. Phone: i acknowledge this sale/change of ownership, Email: 1---1but do not release my interest in the structure. Seller/current owner name(print): Seller/current owner signature: Date: I release my interest in this structure. Phone: I acknowledge this sale/change of ownership, Email: ❑ but do not release my interest in the structure. Seller:/current owner name(print): Seller/current owner signature: Date: ❑ I release my interest in this structure. Phone: I acknowledge this sale/change of ownership, Email: but do not release my interest in the structure. �II �' i� ifi -..itk .,k,. O �gxs tZi 1,....cL. ✓_.fO P :lih iRlineea$ i M*+1F: "1 !YF aG } h: .�.'':P.. t r + �tg�t . a� Security holder's signature: Date: Ej I release my interest in this structure. Security holder's name(print): LII acknowledge this sale/change of ownership, ' but do not release my interest in the structure. Security holder's name(print): Security holder's signature: Date: ❑ I release my interest in this structure. i acknowledge this sale/change of ownership, 5r, 41�y a y TMz wf:Y !ys's h r ;a r r cs, but do not release my interest in the structure. T t .r.3�'fi.. x tom•-., � n r.t C t•?:,� rs cc e�ii x � ert �4 .+a= f VG. 2 id St"S"�'' 'Vu' '4 . ri p {i y��w ,, (�1t �'F i r;J ��1 y.'7i ,�r� i �i'', `l: f- tt ♦ ht ' as 'JM1i (( yt,c� a Ns ��l•J�AA'f�'iT�f�G F�17C�n��1"1E�1✓�IrL0 YYl1Y l7��i+#4'.�"Z��...str�yr�, rw ss Win! l!` L7 �' �'d��..��Jn s�J ` �'q: !::c.. ltJ er�vp-G G4»' (1 a r nLtri•. ❑ Signatures from all applicable parties must be complete(current owners/sellers,new owners/buyers,and security interest holders). ' A 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. ❑ 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/bcd. If the home is being moved to a different county,a valid tax certification form is needed from both: ❑ (A)the county thehome 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.gov/bcd). ❑ 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. 440-2952(7/19/COM) Page 5