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613846
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Last modified
5/6/2026 11:03:57 PM
Creation date
5/6/2026 10:03:25 AM
Metadata
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Assessor
Account Number
613846
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
5/4/2026
MTL
091W04C001500
Assessor Section
Manufactured Structures
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Docusign Envelope ID:783C2C2B-050B-8AA5-800A-0A5CBE235DDA <br /> SECTION 7 NEW SECURITY INTEREST HOLDERS'' <br /> Security interest <br /> eC holder name:21 St Mortgage Corporation Phone: <br /> ILI Mailing Address:620 Market Street,Suite 100 <br /> � O. <br /> City:Knoxville State:TN ZIP:37902 <br /> H = <br /> Email: <br /> Security interest <br /> holder name: Phone: <br /> eg <br /> r-�' Mailing Address: <br /> V <br /> City: State: ZIP: <br /> O.; <br /> to = <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:Alta Cima CorpBA: FactoryExpo Homes Phone:503-980-3990 <br /> F- (last.first,middle) p p <br /> w Email:agarcia@factoryexpohomes.com <br /> cc Z 'I acknowledge this sale/change of ownership, <br /> • y,.: ❑■ 1 release my interest in this structure <br /> u'O ❑ but do not release my interest in this structure <br /> . <br /> Signature: .liff2&ai .2 Date: 5/4/2026 <br /> Name: <br /> I- N, (last.firs!.middle) Phone: <br /> WW Email: <br /> I acknowledge this sale/change of ownership, <br /> El release my interest in this structure ❑ but do not release my interest in this structure <br /> ,v 0 <br /> Signature: Date: <br /> Name: <br /> I- Ceti' (last,first.middle) Phone: <br /> LIJ▪ w• Email: <br /> cC Z. I acknowledge this sale/change.of ownership, <br /> • 3 ; El release my interest in this structure 1-1but do not release my interest in this structure <br /> Signature: Date: <br /> Name: Phone: <br /> I-- e (last,firs!.middle) <br /> MI• l- Email: <br /> pie Z' I acknowledge this sale/change of ownership, <br /> D .y ❑ I release my interest in this structure ❑ <br /> but do not release my interest in this structure <br /> u0 <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 /> 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 /> Ge <br /> holder name: Phone: <br /> a W" Email: <br /> ... C <br /> 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 /> in <br /> Signature: Date: <br /> Page 4 <br />
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