355756 - Laserfiche WebLink

Home Browse Search

• • • NEW SECURITY—INTEREST HOLDERS • Security-interest holder name: NONE • •In Mailing address: • • CJ d r Security-interest holder name: Mailing address: , � I• iv I) t Buyer/new owner acknowledgement of sale/change of ownership • I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the sale/change of ownership. . i Eal I understand that the home cannot be relocated without first completing this form and purchasing a trip permit fl'om the State of Oregon,Building Codes Division or one of its county agents. : c I understand that the seller/owner is responsible for submitting this Ownership Document Application to the S to of o Oregon,Building Codes Division or one of its county agents within 30 days after closing of the sale,and that a • buyers and sellers will be notified by mail when the application is completed.I understand that,should the sell /o*ner i fail to file this Ownership Document Application within 30 days,I may complete the filing[ORS 446,641(1)J, fui1her • understand that each lessor,mortgagee,trust-deed beneficiary, lien holder of record, and security-interest holds mint caa be listed on this notice,or,if none are listed, the manufactured structure must be free and clear of all mortgages deeds of trust,security interests,and liens. Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: • d Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date:: 0 Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: a 04 Buyer/new owner name(print): ❑Right of survivorship Buyer/new owner signature: Date: • Seller/current owner acknowledgement of sale/change of ownership • Application must be accompanied by the appropriate valid County Manufactured Home Notification form. All owners must release their interest or acknowledge this sale/change of ownership in the structure in orde to complete this application.All current owners,including security-interest holders,must acknowledge the salefeh gel of ownership by signing the ownership document or DMV title or completing the section below. Security-interest ho erg may elect to acknowledge the sale/change of ownership,but maintain their security interest until such time as they no: longer have an interest in the home. • Seller/current owner affidavit I affirm that I am the current owner of this structure and acknowledge that the seller is responsible for submitting notice of sale/change of ownership to the State of Oregon Building Codes Division or olie of its county agents within 30 days of the closing of the sale[ORS 446.641(1)]. 440-2952(7/17/COM) Page 4