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612275
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Last modified
5/1/2026 11:05:33 PM
Creation date
5/1/2026 3:38:12 PM
Metadata
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Template:
Assessor
Account Number
612275
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/10/2026
MTL
072W18AA09500
Assessor Section
Manufactured Structures
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SECSO 7: NEW SEctRi Y IiVTEREST-r#1?I:DERS :, ;,. . -1.3}—....-- <br /> :>, . security interest Phone: <br /> I. holder name: <br /> z W.., Mailing Ad <br /> p : a g dress: <br /> :ut. O.; State: ZIP: i <br /> Email: <br /> } N._ Security interest Phone: <br /> pC holder name: <br /> -'ef'`W' MailingAddreze <br /> ..V gat .O..' City: State: ZIP: <br /> , <br /> Email: • <br /> SE-01 Oka: CURRENTOWNER ACKNOWLEDGEMENT.;; `.. <br /> All current owners (including security interest holders) must acknowledge the sale or change of ownership by signing the <br /> 71 <br /> be <br /> rejected. <br /> oApplications missingsig <br /> natures will <br /> ownership documcru signing th©DMV title,OR completing the section below. � <br /> P <br /> t, Bn g <br /> . R Legal Name:lf�J c�: f �� ��, �� t Phone: �t-yy•_5 D;�;7-?ia. <br /> 1'�+.l Middle �/J lt/iE�ie4S �J �,5;',. +G+� T G .. /7« <br /> _CC',w'' Email: .. 1 Z 'A [? C.7�u/•c- <br /> ee I acknowledge this sale/change of ownership, <br /> :Z S', i �easc mry interest in this structure ❑ but do not release my interest in this strudare <br /> t, O Signature:( --re(' ;— Date: 9 1— —. <br /> Name: Phone: <br /> I. i4 (last,first,middle) <br /> Z'tc: Email: <br /> et:+ I acknowledge this sale/change of ownership,:. El release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature Date: <br /> Name: Phone: <br /> ,F-C to.: (last,first.Wale) <br /> Email: <br /> I acknowledge this sale/change of ownership, <br /> =t 0•? ❑ I release my interest in this structure ❑ <br /> but do not release my interest in this structure <br /> Signature <br /> Name: Phone: <br /> .• et'' <br /> -:•_ :- (ksi first middle) <br /> Z;:e3i <br /> -=tu:Ar.T Email: <br /> _Z ; I aclmowledgethis sale/change of ownership, <br /> g'": Elt fl I release my interest in this stru nc Elbut do not release my interest in this structure` V=O` <br /> Signature Da <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALEICHANGE 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 ofthe closing of the sale per ORS 446.641(I)_ <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 /> t: holder name: <br /> :ce <br /> Email: <br /> D. I acknowledge this sale/chine of ownership, <br /> .:U-.0 ❑ 1 release my interest in this structure ❑ <br /> IQ,:_'- but do not release my interest in this structure <br /> H <br /> SI ' I Dale: <br /> Page 4 <br />
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