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• <br /> Docusign Envelope ID:E6FEB368-5397-4018-MAC-98E2D9FAF9CF <br /> SECTION 6 NEW OWNER ACKNOWLEDGEMENT(One name per box) <br /> ❑Person ❑■ Business El Trust ❑Guardian <br /> Legal Name: Pareto Investments, LLC Phone: 503-931-2812 <br /> f e (last,first,middle) <br /> W Mailing Address:2887 74th Ave, SE <br /> City:Salem State:OR ZIP:97317 <br /> W0 Email:stefan.rutschmann@pivotpoint.org <br /> Right of ❑yes ❑X No owned by a company <br /> 2 Survivors*.si ned by: <br /> Signatur Date: 6/4/2025 I 10:45 AM <br /> `—F05093847795440... <br /> El Person El Business ❑Trust El Guardian <br /> N Legal Name: Phone: <br /> cc (last,first,middle) <br /> Z Mailing Address: <br /> City: . State: ZIP: <br /> O - • <br /> Email: <br /> WRight of El Yes El No <br /> 2 Survivorship: <br /> Signature: Date: <br /> ❑Person ❑Business El Trust ❑Guardian <br /> M = Legal Name: <br /> (last,first,middle) Phone: <br /> I Mailing Address: <br /> ®. City: State: ZIP: <br /> Email: <br /> UJ Right of• ❑Yes ❑No <br /> Survivorship: <br /> Signature: Date: <br /> ❑Person El Business ❑Trust ❑Guardian <br /> Legal Name: • <br /> ce (last,first,middle) Phone: <br /> W Mailing Address: <br /> 2 . <br /> City: State: ZIP: <br /> Email: <br /> WRight of El Yes ❑No <br /> 2 Survivorship: <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 />