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MARION COUNTY RECORDS 2026-003811 <br /> 0-MOHO 02/02/2026 03:16 PM <br /> • • • <br /> $15.00 $11.00 $2.00$8.00$60.00 $96.00 <br /> • <br /> After recording return to: IlI llIl lIl lllll IIIIIIIIIIII IIIII III 111111 IIIII III ' <br /> JPaul&Michelle Duchateau , 00119430202600038110040046 <br /> 1506 62nd Ave SE Salem, OR 97317 o,Atelryc I, Bill Burgess, County Clerk for Marion County, <br /> '_� • - Oregon, certify,that the instrument identified <br /> Send all future tax bills to: ;h ;tp <br /> :„ 7h.: herein was recorded in the Official Records. <br /> • Paul&Michelle Duchateau ;, �� r, <br /> 1506 62nd Ave SE Salem, OR 97317 Foa,w�• (t'✓�„L4.4 ,✓ <br /> Pgs=3 CC1 <br /> APPLICATION TO REMOVE MANUFACTURED <br /> HOME FROM COUNTY DEED RECORDS - <br /> YEAR MAKE HUD NUMBER VLN/SERIAL NUMBER WIDTH LENGTH <br /> 2004 Karstan Homes TKCSTOR330426509 40 66 <br /> HOME ID NUMBER RECORDERS DOCUMENT NUMBER - <br /> • 148249 Reel 2438 Page 0478 • <br /> LEGAL DESCRIPTION: <br /> Please list the legal description of the land upon which the structure is located in the space below.This may either be a copy of the <br /> deed or a description of the property as recorded in the county deed records.(Attach additional sheets,if needed.) <br /> See exhibit A • <br /> •If there is a secured interest in the property(land and manufactured structure),list the names and addresses of all security interest <br /> holders,mortgagees,trust deed beneficiaries,or lien holders of record holding any interest in the land and manufactured structure in <br /> 1 the spaces below.All secured parties must sign and approve this form.If there are more than two secured parties,provide the <br /> names,addresses and approval signatures on a separate sheet of paper and attach to this form.If there are none,write"none." <br /> **I/We certify that the statements made on this application are true to the best of my/our knowledge.All mortgagees,trust deed . <br /> beneficiaries,lien holders of record and security interest holders are listed,or if there are none,I have certified this by writing <br /> "none"in the space provided. • <br /> OWNER INFORMATION: <br /> PRINTED NAME OF OWNER(S) <br /> Duchateau, Paul and•Duchateau, Michelle . <br /> S GNA } OF OWNER** SITUS ADDRESS <br /> .-Y^ <br /> \caZ .. 5042 Hayesville Dr NE Salem 97305 <br /> SIGNATURE OF 0 ** MAILING ADDRESS <br /> �j 1506 62nd Ave SE Salem 97317 <br /> S CURE PART�� ORMA ON: <br /> NAME OF SECURED PARTY <br /> • <br /> ADDRESS OF SECURED PARTY <br /> SIGNATURE/APPROVAL OF SECURED PARTY* <br /> *Owner and secured party signatures must be notarized.Attach additional sheets,if necessary. <br /> NOTARY: ,",;'�, <br /> State of Oregon,County of J`IQYIOIVI ""' "'`"• <br /> OFFICIAL STAMP n� <br /> The foregoing instrument was acknowledged before me this ;.,;'. �~ y <br /> �d day of by LIMY 2026 • JENNIFER LEANN MILLER <br /> �""• i NOTARY PUBLIC-OREGON An'CDMMISS; <br /> b PrAul ' ud-c 4-eak.% C' Michelle L•Y.L.DM chat.eooti `.;; 1 COMMISSION NO.1003399 <br /> Y <br /> Signature of notary publi.I "'i k t+ MY COMMISSION EXPIRES OCTOBER 29,2029 <br /> My commission expires-4 0 R -V 29. 2 O2°) (Notary seal) <br /> liti--r-? Building This certification is being submitted for recording to the county clerk for the county in which the real property <br /> eiv is located.A copyof said recorded document is being provided to the State of Oregon Building Codes Division <br /> BCD I o+�,a� <br /> or one of its county agents,along with the County Manufactured Home Notification and Tax Certification <br /> °a d 9 eI rsv s¢nricee r Form for Used Homes and a Manufactured Home Bill of PP� <br /> Sale/Change Application. <br /> 440-5175(12/24/COM) • Page I 1 <br />