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Docusign Envelope ID:FA489895-C935-4748-9856-72105252A493
<br /> S_00014t7 g , �� .} ' •NEW 5ECURITY310 60:6IiC 0.01*RO Igg iI u, ` - 4 _
<br /> g- Security interest t NONE
<br /> ,~r', holder name; Phone:
<br /> tr'',Ilin Mailing Address: •
<br /> Wd;` City: State: ZIP:
<br /> Email:
<br /> -v; Security interest
<br /> 'P„:2: holder name: Phone:
<br /> :�00'':W,;,- MailingAddress:
<br /> p •
<br /> ,,4 City: State: ZIP:
<br /> �•�_ Email:
<br /> SE•CTIOW g n °..-+�•.. N 0:1 -.. - ,-_�=•� ";-'-- �CURRE T OWNER ACKf�-Oli1r�:�D6E ENT
<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 /> ;."Y` Legal Name:
<br /> - ',;e...',..x:.a (last,first,middle) Rood, David Phone: •
<br /> t itlY Email:
<br /> OCV I acknowledge this sale/change of ownership,
<br /> OCZ
<br /> = :',.1 t•❑ �nra aseymy interest in this structure ❑ but do not release my interest in this structure
<br /> .V•=;,0 vaµt•�, moo,. Date:
<br /> `ti ? Signature: 8/18/2025
<br /> t.,,^;.;:•;.• ' .UYCb4U1JPJbM4Lr...
<br /> "" _,':. Name` Rood, Valarie
<br /> •H.; -=' Mast,first,middle) Phone:
<br /> •W,f u ` Email:
<br /> w"
<br /> .oC Z:
<br /> oC:;• I acknowledge this sale/change of ownership,
<br /> D3=; 0 -I-�la �yinterest in this structure ❑ but do not release my interest in this structure
<br /> ;V Ci Signature: �`�``"�" Date: 8/18/2025
<br /> :' ?
<br /> {.:.tip to iuuaroeuua4lr... •
<br /> `' 14:i4 Name: Phone:
<br /> °;=f= . . (last,first,middle)
<br /> •- c`a's'; Email:
<br /> ' f� .rt I acknowledge this sale/change of ownership,
<br /> ; 0 ❑ I release my interest in this structure ❑
<br /> "'"' but do not release my interest in this structure
<br /> ": "'`"' Signature:::t="..' Date:
<br /> ;.'., Name: •
<br /> (last,first,middle) Phone:
<br /> -:;Z%oe Email:
<br /> 0 I release my interest in this structure ❑ I acknowledge this sale/change of ownership,
<br /> :, ' 'S but do not release my interest in this structure
<br /> =..V gip'
<br /> '. igil;;, 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(1).
<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 /> gti, Security interest
<br /> "" holder name: Phone:
<br /> ' a-tit:;'.
<br /> p Email:
<br /> 0,1+ •I acknowledge this sale/change of
<br /> .:.V�O'� � gownership,
<br /> ❑ I release my interest in this structure ❑
<br /> a="=1 but do not release my interest in this structure
<br /> Y Signature: Date:
<br /> Page 4
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