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611329
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Last modified
4/17/2026 11:10:11 PM
Creation date
4/17/2026 12:31:41 PM
Metadata
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Template:
Assessor
Account Number
611329
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/15/2026
MTL
083W10DC03400
Assessor Section
Manufactured Structures
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Docusign Envelope ID:A5A82864-DDFF-4F38-82F4-1F6AC3958D71 <br /> SECTION 7 NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> F •� holder name: Phone: <br /> oC C Mailing Address: <br /> • J <br />• w O City: State: ZIP: <br /> `2 Email: <br /> Security interest <br /> N Phone: <br /> ' holder name: <br /> H cc <br /> C 0 Mailing Address: <br /> • J W O City: State: ZIP: <br /> N = - <br /> 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 Name:Brian L Fitterer, Inc Phone:949-440-2300 <br /> I- r- (last,first, middle) <br /> W u. Email:sunnyside@ipgliving.com <br /> ccz I acknowledge this sale/change of ownership, <br /> ❑ I rel se interest in this structure ❑ <br /> u• O "e '� but do not release my interest in this structure <br /> Signature: aimmtAAAA Qln,4.yus Date: 4/15/2026 <br /> Name: -373135344AD884FD... <br /> 1-• N (last,first,middle) Phone: <br /> WEmail: <br /> CC Z.ya El I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> u O but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> H m (last,first,middle) Phone: <br /> W yuj Email: <br /> CC ,z I acknowledge this sale/change of ownership, <br /> V O ❑ I release my interest in this structure ❑ <br /> but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> I— a' (last,first,middle) Phone: <br /> 1 W Email: <br /> CC Z I acknowledge this sale/change of ownership, <br /> ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> u• O <br /> Signature: 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 Phone: <br /> I- holder name: <br /> oc Email: <br /> p <br /> U 0 ❑ I release my interest in this structure ElI acknowledge this sale/change of ownership, <br /> N but do not release my interest in this structure <br /> Signature: Date: <br /> Page 4 <br />
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