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Z..;;V - rf77.:71,:. <br /> • -; t liF 11-0'6(41E10;1;L...-2-7:).P [ L.t 111 `-• <br /> , • -..s4 • •1.,-.7.4•7...„7: 4....:L°:•;-.•••.-41',•••-• <br /> SeturitriBterelit balder name <br /> Mailbag address; <br /> seciffurinterest hada n*me <br /> . ; <br /> • Buyer/new owner aelmociviedgmesent ofsaletchangt of ownership <br /> ".2 I affirm that the information provided berths accurately reflects the oentershis of the structure at the completion(lithe <br /> sale/change of ownership, <br /> understand that the ,•• cannot be relocated without Erat convicting this forM and purchasing a trip permit from the <br /> StutcufOregon. •, s .CodeaD1vIsloaorucQfitacountyagcntL <br /> •limderetend that thy seller/owner is responsible for tadunittiug this Ormesship Document Application to the Suite of <br /> • Oregon,Building Codes Division or one of hs county agents within.30 days after closing of the sale,end that all <br /> buyers and sellers will be notified by mail when the application is completed.I understand that,should the fleihri(Mrker <br /> fail Mille this Ownership Document Application within 30 der,I may complete the filing[ORS 446.641(1)1.I is/abet <br /> understand that ealal-legaatt mortgagee,trust-deed beneficiary,lien bolder of record,end security-interest holder must <br /> be Hated c this notice,or,if none are listed,the manufactured structure nmatbo fitc and clear of all mortgages,deeds <br /> ?AN of trust,security interests,and liens. <br /> ateYdew owner awe(pnwot ID Right ofvurvivership r • Date: <br /> e <br /> • <br /> Rated Hunt • <br /> , &_e AO/ A 41119-Ai-r7 <br /> Bayerfaew*WINO name(prid) Cittigirt Of Slitifivonitip Beyer/new owner ligistime: Date: <br /> - - - <br /> EV/edam owner glace(prft Right of aurviiiurdaki Barrlinvor owner sliptatsre; Dater <br /> Bayer/sew owner USA(prim): El Right el strvivership Bower/Raw owner staittart: 13ste: <br /> Soltalcurrrent owner ickStATdedge.MCUt of sidefehange of ownership <br /> Application must be accompanied by the appropriate valid County Manufactured Home Notification.ferns, <br /> All swum must/*we tbcir interest or acknowfrdge thle Saleidusge of avvserabip is the ginietture in order to <br /> • coroPleie ski aPPlicadon.All current mum.including aeowityiriterest holdets,must acknowledge the salefahango of <br /> • ownership by aigajn.' g the ownership document or DAV title or comp,leting the section below.Security-intermt holders <br /> may elect to acknowkdge The salnichrmge of ownership,but maintain their security interest until such time as they no <br /> longer have an interest lathe barna <br /> SeSeriennrent owner altkittslt I seam that I am the ea anent•owner of this sbucture and acknowledge that the seller is <br /> responsible for aubmitting notice of'salefchauge of ownership to the Stale of Oregon Building Codes Division or one of <br /> its county sats within 30 days of the closing of the sale LOU 446.641(1)]. <br /> 4.402952(7,117100111) Page 4 <br />