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SECTION 6 <br /> NEW OWNER ACKNOWLEDGEMENT(One name per box) <br /> Q Person 0 Business <br /> 0 Trust 0 Guardian <br /> Legal Name:Hawkins Scott I. <br /> Phone:503-551-3285 <br /> (lart,.first.middle; <br /> - <br /> ILI Mailing Address:5462 Ahrens RD <br /> City:Salem ( State:OR ,I ZIP:97317 <br /> Email:hawkinsnice@gmail.com <br /> Ly Right of �:Y El No <br /> Z Survivorship:•. <br /> Signature: eif Date: <br /> t,.' 0 Trust 0 Guardian <br /> S Person ❑Busines <br /> Legal Name: Phone: <br /> N Ylcisr,-htst:tiidd(e)Hawkins Lynette <br /> Z Mailing Address:5462 Ahrens RD <br /> City:Salem State:OR I ZIP:97317 <br /> Email: <br /> WRight of es LI No <br /> Z Survivorship: ) <br /> cam'/' / / Date: <br /> Signature f ' � Gft0l.7 =1 <br /> f . r Trust ❑Guardian <br /> ❑Pers �✓'- Business ❑ <br /> Legal Name: Phone: <br /> atm Oct middle) <br /> W Mailing Address: <br /> Z ZIP: <br /> City State: <br /> Email: __ <br /> tl<1 Right of ❑Yes 0 No <br /> Z Survivorship: <br /> Signature: Date: <br /> 0 P0 Trust Guardian <br /> 0 Business <br /> Legal Name: Phone: <br /> cc (last..first.middle) .- _ .. <br /> Z .:Mailing Address: <br /> City: State: <br /> ZIP:;: <br /> 0 <br /> Email: _ <br /> LII Right of <br /> Z Survivorship: ❑Yes 0 No <br /> Signature: <br /> Date:. <br /> . <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/ow <br /> ner 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,t <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 /> Page 3 <br />