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1996, 02-05 Title Elimination\\ // / eI ENING TON MANUFACTURED HOME ;:"secEfS®fG APPLICATION - Physe check ono TRANSFER IN LOCATION (Corilplete ALL sections below) n1111TITLE ELIMINATION (Completo all but section 3, below) REMOVAL FROM REAL PROPERTY (Complete all but section 4, below) RECORDER'S CLOCK FILED AT TILE nEOVEST OF: NAME ADDRESS 'iris MANUFACTURED HOME TPOIPLATE NUMBER YEAR 1994 MAKE GOLDEN WEST WIDTIVLENG III 27'x 56' VEIIICLE IDENTIFICATION NUMBER (YIN) WH 13774 ;2;- LAND Attach a copy of the legal description of your land. It can be obtained from your Court y Assessor's office or it may be typed or printed on an Additional Attachment Form (TD -420-732). °IIOPEnlY TAX PARCEL NUMBER 55182.1520 Manufactured home will be fx f AFFIXED I I REMOVED A.tri TITLE COMPANYCERTIFICATION I certify 1'I -1E SOUP11 90 FEET OF 111E WEST 100 FEET OF'1RACI' 15 OF BACON'S ADDITION 117 t . NAME GREF.NACRES, ACCORDING '10 PLAT RECORDED IN VOLUME "X' OF PLATS, PAGE 15, IN SPOKANE WASHINGTON. COUNTY, Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. BUILDING PERMIT OFFICE CERTIFICATION I cetti y5lh• hat the manufactured home has been affixed to the real property as described, or a building perp it s been iss r ,d for this purpose and the attachment will be inspected upon completion. BL 10P 11MITF ("Ctii 5-67 NAMr IO de/ SIGIIATUREJIULE X SPOKANE COANTV RI IILDJNG AND PLANNING 11100 PERMIT FFICEIPIIOIIE• ('C �l i/rtp t�` ,y,5 J (O 1 DALE �/r, 16, : Str° OWNER INFO M1 ATION • DIVISION -OF EES COU N Ya VJC UNITE a REGISTEREDOWNERS 2 1 LEGAL OWNERS 1 Provide thi Washington Driver's License or I.D. card number (PIC) for each owner: FILING FEE re; NAME OF FIRST OWNER E JOSEPH J RUDDACH --1-7-,1/27, 12 ,_ APPLICATION �-- 'dv L</7(„,,/,,,/1r NAME OF SECOND OWNER ILi, 5 -FP 6 KARLA J RUDDACH 1A.M(---TVJ)J0AC 7 MOBILE NOME FEES I „ i 4 ��_ -- — Ey_ r- ADDRESS OOWNER 41" g • , '— �- -- -OR if the owner is a business, ELIMINATION 17,705 OON' E AVE I provide the Unified Business USE IAX rf CITY 11 GREENACRES STATE WA DP CORE— 99016 Identifier (UBI), found on the business Registration 8 Licenses I V NAME OF FIRST LEGAL OWNER' WASHINGTON MUTUAL BANK Document. 578049326-7 SUBAGENT FEES I 4,, 44h ,: " NL MAILING ADDRESS OF FIRST LEGAL OWNER 12005 E SPRAGUE AVE SECOND FLOOR More than two owners or one lienholder7 Please use attachment TOTAL FEES & TAX $ aTY STATE ZIP CODE torm(s), *TD -420-732. I I E+c SPOKANE ' / TJA 99206 DEALER'S REPORT OF SALE P SIGNATURE OF LEGAL OWIIEP LCAT .0 I rFOR EL ILLATION OF 111 LEIREMOVAL I certify that this information is correct. The vehicle is clear of encumbrances except as shown. '7.scS FROM nEAI PROPERTY: x Anyone who knowingly slakes a false statement upon conviction may be punished by a line of up IF a materia s guilty of a felony, and $5,000 an< 0 years inmisonntent WA 0111110 DATE OF SALE PURCHASE PRICE 5 I (RCN 46.12.210). I 00 SOLEMNLY ATTEST UNDER PENALTY OF PERJURY LAW THAT UWE ARE I REREGISTERED OWNERS OF THIS VEIIICLE AND THIS INFORMA. 11014 IS ACCURA1 E: °veer Signature(e) A Title(n)1 0E4LE11 NAME - TAX JURISUICIIONnAX RATE AUTHORIZED SIGNATURE �P�`rsevv.... T "." X '`0 c cs fr DEALER'S .,. T CV 0 X I r {�/ �� USE TAX EXEMPT Sale t t Genn yiL / -rl ) C� /�. q � U U (P1 „ k:1-:". `!� 1� dol 3.::+ir. the reservation (attach notarized statement of de every) ," AllllY IR UCE!' SAGE! IAFIUMBE sug claREN 161AI40 SV$SV,/$))RNt BEFORE ME THIS •�-p Residing in (County) l // �- Al OF 5 fr4D 19 9(' �t� G'ZP,44;_ � a8&, COUNTY AUDITOR/AGE •7 • - G c7!C-'- 1r; , T GE APPROV4'.{n73r(' or Nis by Sub -Agents) I certify that the above application app` . r to ihdt Jeri corpf )Inted correctly, and tf e applicant has sufficient documentation lc proceed with the recording of this form. --,,, Ofi (yq�l;lr' '....I' NA:,1E SIGNA1bRF,a,"..,,an''r X OF 'GENFS°PERAMORNUMBER DAZE 101200 ;a LtARRNE NDME APDL 111/2194111 Papa I ell