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613758
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Last modified
4/17/2026 11:10:11 PM
Creation date
4/17/2026 12:20:48 PM
Metadata
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Template:
Assessor
Account Number
613758
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/1/2026
MTL
083W14CD02100
Assessor Section
Manufactured Structures
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SECTION 7 _ NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> >' Phone:holder name: <br /> II- cc . - <br /> re I" Mailing Address: <br /> W O City: State: ZIP: <br /> of 2 <br /> Email: <br /> Security interest <br /> } N Phone: <br /> I— rc , holder name: <br /> = C ! Mailing Address:. <br /> • <br /> u J City: State:: I ZIP: <br /> W 0 <br /> in _ Email: .- <br /> SECTION 8 - CURRENT OWNER ACKNOWLEDGEMENT <br /> All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing the <br /> ownership document,signing the DMV title,OR completing the section below.Applications missing signatures will be rejected. <br /> Legal'Natiie:Tri City Mobile Estates LLC Phone:503-522-0856 <br /> I— r- (last.first,middle) <br /> WW Email:trimblerentals@gmail.com <br /> cg ce Z I acknowledge this sale/change of ownership, <br /> M 3 I release my'nterest in this structure ❑ <br /> V O A� but do not release my interest in this structure _ <br /> Signature- /• Date:3/31/26 <br /> Name: <br /> 1- N (last,first,middle) - _ - Phone: <br /> wW Email: <br /> p� Z I acknowledge this sale/change of ownership, <br /> ❑ft, I release my interest in this structure -- _but do not release my interest in this structure <br /> V O - <br /> Signature: Date: <br /> Name: Phonei <br /> I-. m (last,first,middle) - _ .. <br /> Z- <br /> W Email: .i_ . _ - <br /> pC Z 1:acknowledge this sale/change of ownership, <br /> kJ 0 ❑ I release my interest in this structure �: but do not release my interest in this structure <br /> u O - <br /> S_ignature: Date: <br /> Name: Phone: <br /> F me (last.first,middle) .- -. <br /> Wpj Email: <br /> CCZ 1 acknowledge this sale/change of ownership, <br /> "`y ,❑ I release my interest in this structure 0 <br /> V O - but do not release my interest in this structure <br /> Signature: I Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> 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 <br /> Building Codes Division or one of its county agents within 30 days of the closing of the sale per ORS 446.641(1). <br /> I further certify that I have the legal right to sell this structure,and that each lessor,mortgagee,trust-deed beneficiary,lien holder of <br /> record,and security interest holder has been listed on this notice.If none are listed,this structure is free and clear of all mortgages, <br /> deeds of trust,security interests,and liens. <br /> Security interest <br /> holder name: Phone: <br /> gC <br /> CC ei Email:. _ - <br /> r I acknowledge this sale/change of ownership, <br /> V <br /> O I release myinterest in this structure <br /> ❑ ❑ <br /> W I . but do not release my interest in this structure <br /> V <br /> Signature: Date: <br /> Page 4 <br />
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