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Docusign Envelope ID:230AD05E-F06C-40AC-BC14-5E1 C087E0EFE . 1626272 SECTION 7 --- NEW SECURITY INTEREST HOLDERS Security interest holder name: Phone: I W Mailing Address: W City: State: ZIP: to x Entail: Security interest =----Phone: i t holder name: IX ® Mailing Address: W ® City: State: ZIP: X Email: SECTION 8 CURRENT OWNER AC°:NOWLEDGEMENT All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing the ownership document,signing the DMV title,OR completing the section below.Applications missing signatures will be.rejected. Legal Name: 1- ,r, (last,first,middle) i a n., '' Ally Phone IL1 W Email: k 'Q.,. -f4 r' h"1 as ,O.... _.r - w I release my into in this structure n I acknowledge this sale/change of ownership, but do not release my interest in this structure- - 0 0 Vmm Signature: �► °.'" Date: • oe(fit VeK .8/27/2025 xDeraMES174C417. Legal Name: Phone: F. N (last,first.middle) ILI Email: ft W Se r I release my interest in this structure l I acknowledge.this sale/Change of ownership, but do not release my interest in this structure Signature: Date: Legal Name: M (last,first,middle) Phone: Lil zujW Email: I release my interest in this structure ❑ I acknowledge this sale/change of ownership, 0 0 but do not release my interest in this structure Signature: Date: Legal Name: 1,.°' ..: (last,„first,middle) . PIIQIIe: ILI ®: Email: a Z r I release my interest in this structure fl I acknowledge this sale/change of ownership, but do not release my interest in this structure 0 0 Signature:lin I Date: CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP - 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 Building Codes Division or one of its county agents within 30 days of the closing of the sale per ORS 446.641(1). I further certify that I have the legal right to sell this structure,and that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security interest holder has been listed on this notice.If none are listed,this structure is free and clear of all mortgages, deeds of trust,security interests,and liens. Security interest Phone: holder name: . ® Email: M J [ I release my interest in this structure ❑ I acknowledge this sale/change of ownership; W0 but do not release my interest in.this structure Signature: Date: 440-2952(11/22/BCD) Page 4 OR Title Application-9/2024-TitleApp11211 • 005052442-00002 ,