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Docusign Envelope ID:783C2C2B-050B-8AA5-800A-OA5CBE235DDA <br /> SECTION 7 � NEW SECURITYINTERESTHOLDERS: .� <br /> Security interest21 st Mortgage Corporation <br /> holder name: Phone: <br /> w Mailing Address:620 Market Street,Suite 100MA 0 ' <br /> City:Knoxville State:TN ZIP:37902 <br /> in <br /> Email: <br /> Security interest <br /> > _N Phone: <br /> holder name: <br /> 'I Mailing Address: <br /> V City: State: ZIP: <br /> III <br /> H = ` <br /> Email: <br /> SECTION 8 ' CURRENT'OWNEltACKNOWLEDGEMENT <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 wilt be rejected. <br /> Legal Name) <br /> (last.last,middle)Alta Clma Corp ry DBA: Facto p EX o Homes Phone:503-980-3990 <br /> t-".� _ <br /> w W Email:agarcia@factoryexpohomes.com <br /> it; Z I acknowledge this sale/change of ownership, <br /> ❑� I release my interest in this structure ❑ <br /> U• 0 but do not release my interest in this structure <br /> Signature: 4 lz-1 e,4.CL Date: 5/4/2026 <br /> Name: Phone: <br /> I-: N (last first.middle) <br /> w Email: <br /> � Z I acknowledge this sale/change of ownership, <br /> 3 ElI release my interest in this structure 1-1 <br /> U O but do not release my interest in this structure <br /> ' <br /> Signature: Date: <br /> Name: Phone: <br /> ivs (last,first,middle) <br /> w.ua Email: <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 /> Signature: Date: <br /> Name: Phone: <br /> et` (last,first.► addle) <br /> w Email: <br /> Z I acknowledge this sale/change of ownership, <br /> El release my interest in this structure <br /> U ❑ but do not release my interest in this structure <br /> • 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 <br /> Phone: <br /> holder name: <br /> a G Email: <br /> U 1 " <br /> U `O ' ElI release my interest in this structure ❑ <br /> I acknowledge this <br /> N = but do not release m�isale/changenterest i of ownership, <br /> n this structure <br /> Signature: . Date: <br /> Page 4 <br />