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613847
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Last modified
6/3/2026 11:05:34 PM
Creation date
6/3/2026 10:55:47 AM
Metadata
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Assessor
Account Number
613847
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
5/28/2026
MTL
051W04C002500
Assessor Section
Manufactured Structures
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SECTION 7 NEW SECURITY INTEREST HOLDERS <br /> Security interest <br /> Phone: <br /> holder name: <br /> ILL . Mailing Address: <br /> 0)- City: State: /JP: <br /> Email: <br /> Security interest <br /> Phone: <br /> ce holder name: <br /> , <br /> 141 1 Mailing Address: <br /> 0. City: State: <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:gast mi J&M Homes.LLC Phone:541-928-1471 <br /> ,first, ddle) <br /> Email:Isimon@jandmhomes.com <br /> I <br /> acknowledge this sale/change of ownership, <br /> 7; 111 I release my interest in this structure <br /> but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> • <br /> N Phone: <br /> (last,first,middle) <br /> AiLLIff Email: <br /> I acknowledge this sale/change of ownership, <br /> I release my interest in this structure <br /> Z.P.N but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> Phone: <br /> (last,first,middle) <br /> Email: <br /> 'ACC' <br /> I acknowledge this sale/change of ownership, <br /> D I release my interest in this structure <br /> but do not release my interest in this structure <br /> Signature: Date: <br /> Name: <br /> Phone: <br /> (last,first,middle) <br /> •,faj - <br /> f=::Z <br /> D I release my interest in this structure El I acknowledge this sale/change of ownership, <br /> 0 <br /> but do not release my interest in this structure <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 /> Full= <br /> cc Email: • <br /> o D I release my interest in this structure D I acknowledge this sale/change of ownership, <br /> but do not release my interest in this structure <br /> Signature: Date: <br /> Page 4 <br />
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