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613002
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Last modified
5/5/2026 11:05:49 PM
Creation date
5/5/2026 11:58:08 AM
Metadata
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Template:
Assessor
Account Number
613002
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/10/2026
MTL
072W18AA07000
Assessor Section
Manufactured Structures
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SECTION 7 NEW-SECURITY INTEREST,HOLDERS <br /> Security interest Phone: <br /> I— ce holder name: <br /> OC <br /> W Mailing Address: <br /> W 0 City: State: ZIP: <br /> tn _ <br /> Email: <br /> NSecurity interest Phone: <br /> I— cc holder name: <br /> FE .W Mailing Address: <br /> W O City: State: ZIP: <br /> In _ <br /> Email: <br /> SECTION 8 CURRENT OWNER ACKNOWLEDGEMENT <br /> All current owneis (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: h / e4 Phone• O..j•5`D -2.2Q <br /> Zt- (last,first,middle)A:14 eit/T��,e1„5: 45.t9 )Fjl?r•.,--!r.f, keir il / r,j <br /> LU W Email: al,rrfn7feL,4,,,a2i0 Ili d.=59 0. , ''lyla/L • I.,/77. <br /> CC <br /> D 3; at I release my interest in this structure ❑ I acknowledge this sale/change of ownership, <br /> kJ O. but do not release my interest in this structure <br /> Signature:re__) (----- -47—.. Date: 3- rz, . J1i 34, <br /> Name: Phone: <br /> '"• N (last,first,middle) <br /> LU W Email: <br /> cC <br /> cC .� I acknowledge this sale/change of nership, <br /> 0 ❑ I release my interest in this structure <br /> V O ❑ but do not release my i ownterest in this structure <br /> Signature: Date: <br /> Name: Phone: <br /> I— en (last,first,middle) <br /> LZ. W Email: <br /> QZ. I acknowledge this sale/change of ownership, <br /> D.3, El release.my interest in this structure <br /> Li O. ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> I— et (last,first,middle) Phone: <br /> wu.u <br /> t Email: <br /> gCC Z. I acknowledge this sale/change of ownership, <br /> .y El release my interest in this structure ❑ but do not release my interest in this structure <br /> V 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 Elie closing of the sale per ORS 446.641(1). <br /> 1 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 /> CC E O Email: <br /> U I acknowledge this sale/change of ownership, <br /> N 0 ❑ I release my interest in this structure ❑ but do not release my interest in this structure <br /> Signature: Date: <br /> Page 4 <br />
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