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607123 (2)
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607123 (2)
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Last modified
6/1/2023 4:09:17 PM
Creation date
6/1/2023 4:09:17 PM
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Assessor
Account Number
607123
Assessor Doc Type
Trip Permit
Doc Type Date
5/23/2023
MTL
092W33A001100
Assessor Section
Manufactured Structures
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• <br /> • <br /> SECTION 7 NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> a holdername:Umpqua Bank Phone:888-622-9220 <br /> 22 111 Mailing Address:13535 SW 72nd Ave, Ste 200 <br /> w O City:Tigard State:OR ZIP:97223 <br /> to 2 Email: <br /> Security interest <br /> holder name: Phone: <br /> N <br /> CC GMailing Address: . , ... <br /> O <br /> w -p City: - State: ZIP:. . _ <br /> to <br /> Email: <br /> • SECTION 8 CURRENT OWNER ACKNOWLEDGEMENT <br /> All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing the <br /> ownership document,signing the DMV title,OR completing the section below.Applications missing signatures will be rejected. <br /> Legal Name:J&M Homes LLC Phone:541-928-1471 <br /> (last,first,middle) <br /> laIllEmail:Isimon@jandmhomes.com <br /> V ® EIz I acknowledge this sale/change of ownership, <br /> I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: • - Date: <br /> Name: <br /> h rV (last,first,middle) Phone: <br /> ww Email: <br /> oC <br /> Z I acknowledge this sale/change of.ownership, <br /> V: O ElI release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> • Name: <br /> I- en (last,first,middle) Phone: <br /> w w Email: <br /> cc I acknowledge this sale/change of ownership, <br /> V - . • ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> er - (last,first,middle) Phone: <br /> w w Email: <br /> CcC C Z I acknowledge this sale/change of ownership, <br /> O ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affirm that I am a current owner of this structure,and that I am responsible for submitting notice of sale or change of ownership to <br /> Building Codes Division or one of its county agents within 30 days of the closing of the sale per ORS 446.641(l). <br /> I further certify.that I have the legal right to sell this structure,and that each lessor,mortgagee,trust-deed beneficiary,lien holder of <br /> record,and security interest holder has been listed on this notice.If none are listed, this structure is free and clear of all mortgages, <br /> deeds of trust,security interests,and liens. <br /> Security interest Phone: <br /> OC holder name: <br /> Lu <br /> pC Email: <br /> V0 I acknowledge this sale/change of ownership, • <br /> 1.1Jg ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> 1/1 <br /> Signature: Date: <br /> • <br /> • <br /> Page 4 <br />
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