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<br /> Legal Name' Marshall, Virginia Sue Phone:503-805-4046
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<br /> 4^! Mailing Address: 3100 Turner Rd SE, Spc 424
<br /> 4afAi city: Salem State: OR ZIP: 97302
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<br /> -2 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.
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