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Docusign Envelope ID:230AD05E-F06C-40AC-BC14-5E1C087EOEFE <br /> 1626272 :.. . <br /> SECTION 6. NEW OWNER ACKNOWLEDGEMENT(One name per box) <br /> Person kBusinessT n Trust [Guardian <br /> X : Legal Name: R.e.investments llc Oregon Phone:q- + <br /> (V (last,first,middle)s °"\ .... <br /> Iet� <br /> Z Mailing Address: � <br /> City State: <br /> ZIP: , <br /> Email r <br /> Right.of <br /> Survivorship: r Yes No <br /> Signature: Catmd <br /> us S Date: 8/28/2025 <br /> k+l Utirtaxw-._ <br /> • PersonBusiness Trust <br /> RV ❑ E ❑ [Guardian <br /> Legal Name: <br /> LU (last,first,middle) _ Phone: <br /> 2 Mailing Address:. . <br /> .City: State: <br /> Q <br /> Email: <br /> Right of <br /> rYes r-No - <br /> Survivorship: <br /> Signature: Date: <br /> M . E Person E Business ❑Trust [Guardian <br /> Q[ . Legal Name: <br /> ILI- . (last,first,middle): _ Phone: <br /> 2 Mailing Address: <br /> City: Zip: <br /> State: I . <br /> Email... <br /> uj . . Right of r Yes ❑No <br /> z <br /> Survivorship: <br /> :t Signaure ' ., <br /> .. . Date: . <br /> E Person [Business El Trust C.Guardian <br /> Legal Name: <br /> LU (last,first,middle) Phone: <br /> Mailing Address: <br /> City:. State: ZIP: <br /> Email: <br /> Right of. C Yes r No <br /> z Survivorship: <br /> Signature: Date: <br /> NEW OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affum that the information provided herein accurately reflects the ownership of the structure at the completion of the sale or <br /> change of ownership.I understand that the home cannot be relocated without first completing this application and purchasing a trip <br /> permit 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, <br /> I 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 /> 440-2952(11/22/BCD) Page 3 <br /> OR Title Application-9/2024: TitleApp11211 005052442-00002 <br />