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• , . 1 <br /> .40,411QP1-.1::,-..-.....•..,.•:1.. --s- - .: . : .NEw:SkukrryiNTEREt.Otikagns ::.1 -`,--.:._- ,:-...:',.:-: ''-' ': '.'-- .,',•: . '.. .. •• •• • <br /> . . . . , . ... . , <br /> Security interest <br /> I <br /> holder name Phone: <br /> •.:.:g:.::=i71:1, : <br /> _ <br /> Mailing Address: <br /> City: I State: ZJP: <br /> ':.,t91•-::-Z-, <br /> . .....,..._. Email: <br /> Security interest <br /> • .-- - -, holder name: <br /> r <br /> Phone: <br /> •• -:1,-= Mailing Address: <br /> City: I State: I ZIP: <br /> Rmail: ' <br /> I ' <br /> 5g4..711.0*.*' ,::;::';::.--:. ::......‘'..:':..':.:::..,;01i0:000 OWNEW:400.01#100-091-ENt. ....-:":.:',:;::::;.;:7-......'::::;1:-:::-1;.':-::::::".t.:..',;::" .:..'.':' <br /> ... _ . . . ._ <br /> All current owners (including security interest holders) must ackn§wledge 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 /> '.::,.sf:„-:;:,;••••....., Legal Name: <br /> ,...... ''/,_, I ‹" • 4.5c.vo e•,. 5-6tz,../7108. <br /> ..:1-:!;.ZiOi.::'., <br /> oc:T-- e-a•c,9/441;...1&:-S' 96(0 6 0.2.1.cx.•'4... • e.‘"1645. <br /> .:•:CC:ift■Y;! iv I release my interest in this structure iti I acknowledge this sal.e/change of ownership, <br /> It' but do not release myl_nterest in this structure <br /> , <br /> Signature: Date: /- 2 .- 4.4024. <br /> ,. .,... ,..... <br /> Name: <br /> Phone: <br /> H.14,,,ii:‘,4.-i: (last,first.middle) <br /> • :..• <br /> Email: I <br /> .:17C3z,- <br /> .g4.2*..'... Ej I release my interest in this structure 0 I acknowledP__.,,e this sale/change of own-...-,PrAm. , <br /> br:tp,`:;: . but do not release my interest in this structure . <br /> • Signature: <br /> Date: <br /> Name: <br /> Phone: <br /> 10;!:.!!.eirt.'. (last.first.middle) <br /> •.4Z.-;;;:ad-,i <br /> Entail: <br />, II.Ilk. <br /> .'ite....t...:r.:::.: in this structure u I release my I-, I aclmowledne this sale/change of ownershm. <br /> 0interest - -' <br /> but do not relcase my hiterest in this structure <br /> Signature: <br /> Date: <br /> Name: <br /> 14..*•:‘ (last,first,middle) Phone: <br /> u,Viii,. Email: <br /> 0 I release my interest in this sinicture ur-, I acknowledge this sale/change of ownership, <br /> but do not release my interest in this structure <br /> ., :. Signature: <br /> I Date: <br /> CURRENT OWNER ACKNOWLEDGEMENT OF SALE/CHANGE OF OWNERSHIP <br /> I affirm that lam 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 /> . <br /> •'>-...- *- holder name: <br /> ..t...te I Phone: <br /> am,z Ill : <br /> .--, I acknowledge this sale/chfmge of ownership <br /> 0 I release my interest in this st ructure Li ' <br /> but do not release my interest in this structure <br /> • ' Signature: <br /> I Date: <br /> Page 4 <br />