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SECTION 6 NEW OWNER ACKNOWLEDGEMENT(One name per box) - <br /> • <br /> [_Person ❑Business ❑Trust ❑Guardian - <br /> Legal Name: • <br /> (last,first,middle)GGreg <br /> ISSeL, Phone:503-970-1466 <br /> CC <br /> w Mailing Address:6217 Stayton Rd SE <br /> • Z <br /> OCity:Turner State:OR ZIP:97392 , . <br /> Email: <br /> W Right of 0 Yes ❑No • <br /> Z • Survivorship: - .. ... <br /> - • - Signature: Date: - <br /> • <br /> ❑■ Person ❑Business ❑Trust <br /> ❑Guardian <br /> N Legal Name: • <br /> (last,first,middle)GISSeI, June Phone:503-970-1466-- <br /> cz <br /> ua Mailing Address:6217 Stayton Rd SE <br /> - Z . <br /> ® . - city:-Turner State:OR ZIP:97392- :..,.._._._ <br /> • <br /> _Email:junieg2124@gmail.com <br /> W Right of <br /> Z Survivorship: Yes ❑No • .. ._ <br /> • Signature: Date: .. .. - <br /> ❑Person ❑Business ❑Trust <br /> ❑Guardian <br /> rn Legal Name: • <br /> Phone: <br /> c4 (last,first,middle) <br /> Z Mailing Address: <br /> 0 <br /> • City: State: ZIP: <br /> Email: <br /> -W Right of ❑Yes ❑No <br /> Z Survivorship <br /> • <br /> Signature: Date: . . . <br /> ❑Person ❑Business ❑Trust <br /> El Guardian <br /> :,i. , , .;Legal Name: Phone: <br /> ,...,cc ._:(last,first,middle)_ - <br /> 111 Mailing Address: <br /> 0 <br /> City: State: ZIP: <br /> • Email: <br /> W Right of • <br /> Z Survivorship: ❑Yes ❑No <br /> Signature: Date: <br /> 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 the sale or change <br /> of ownership.I understand that the home cannot be relocated without first completing this application and purchasing a trip permit <br /> from the Building Codes Division or through one of its county agents. <br /> I understand that the seller/owner is responsible for submitting this application within 30 days after the close of the sale,and that all • <br /> buyers and sellers will be notified by mail when the application is approved.If the application has not been submitted after 30'days,I : <br /> may complete the filing under ORS 446.64(1). - <br /> .I understand that-each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security interest holder must be-listed-on- <br /> this notice.If none are listed,the structure must be free and clear of all mortgages,deeds of trust,security,interests,and liens. <br /> . <br /> Page 3 <br />