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I farmer certify that each lessor,mortgagee,trust-deed beneficiary,lien holder of record,and security-interest <br /> holder has been lisp on this notice„or'fume are listed,that this structure is Ike and clear of all mortgages, <br /> deeds of kVA security ince a%s,and lues end that Ihave the legaltight to aelt this inanufictured structure. <br /> Sellerlrurrertt owner>ume . Selbrkaa yes Date: 0 halms menet o tbnOradisra. <br /> new nr aco.rta4ee dteialdehaepc0E anneal* <br /> butdaMaims ams ieeauerinlie stm , <br /> nigh <br /> S llaricuvreit*unser minae : Sel iriem creat teeeilliptaturc ARtCF u <br /> hakes,soy iaiaeitithis sInetwrG <br /> Pilaw ❑ tathowi eidsrrlsiahange ar hip, <br /> Etna but,da nat.aeon ray ialuaa in Ibustackuts <br /> Scark t owlner aims Cariagh Sellerficarreat ewtrer it urt.rr. Dab: 0 t MON aaaaat riin erode. <br /> Phase: 0 Lgrsbnwitait issay mn!art nw hiN <br /> bet de sat Won tty tiraeaea In d=swam <br /> Sefler:l urremt ewuer name roti): Satlertearneut owner signature: `Dab: ® r Alec my kismet ttr dile e <br /> pltdAe: I ackannledg°tie sakinbinge meg* <br /> © hada NCI 24540202r Wowh tat etratta , <br /> .Rail: <br /> *, Ur n+av,a '�Ft-'i_ .Ne.r-s''`'•'�x f� .. �..--.ei E _ �f 2 <br /> ,1 144. a --a-. 1+..:•.,!j!rt <br /> --•Z--sx,^*�,ti", <br /> Secarity holder's same(print): :gamily holder'%algiatttare D&te~ in I Nicola ant ifted in eal OM= <br /> 1-a <br /> TaaTc.owted�ethf+sda'cha ot�*i* <br /> hut do Wont la the stricture. <br /> Sec iriq�holder's game Security holder's Mase± Dates ® anima my t is dila s hrt�.. <br /> �7 tkosesitetiona stithaturenfolimenthip, <br /> 1-4- batdaPatin se Satetestatthe Wm_ <br /> 1 Tt6 ?;Mi 4li I11Ib 4 CN ,E �.`._ [� Sty r`�1 Cl�c}fi yu �E3 ttJ.,` <br /> Dsignoras applicable pasties must becomplete(current ownerssell new ow albnc...and vacuity <br /> Waal haiden). <br /> O A valid tax cif, from the <br /> county tar assessor.The tax certification farm will be provided by the <br /> office and mast,t be.signed by a windy official. <br /> rn <br /> Any additional documents s n ed to establish your authority to buy/sell this home as required by ORS 446 <br /> and GAR 918 and posted at www.oreg rt.govfbed. <br /> Nth*home is bei moved to a different county,a valid tax cattiScatica farm is needed Brom bob: <br /> 0 (A)the county the how is moving from and <br /> (B)the county the home will be moved.to <br /> If tecording in or removing from county deed records,you must also submit a copy of the recorded <br /> © application go=5176 or 5175 found at www•oregon.gavibod) <br /> 0 If signing by Power of Attorney,submit a Change Affidavit(Fonio 5221). <br /> El If this application is being submitted by the seller,you must also su nit a bill of sale. <br /> • <br /> 440-2932(7117 1034) NC 5 <br />