2007, 02-12 Title EliminationRETURN ADDRESS
C. Jon Nees Attorney
323 South Pines Road
kane, WA 99206
Ref: 707-3599 In
❑ I' enl of
�LJST OFWASHINGTON MANUFACTURED HOME • '
4�U
APPLICATION TITLE ELIMINATION
it G OTRANSFER IN LOCATION .
REMOVAL FROM REAL PROPERTY
Anyone who knowingly makes a false statement of a material fact Is guilty
a felony, and upon conviction may be punished by a fine, Imprisonment, or both. (RCW 46.12.210)
MANUFACTURED HOME
tTp(/PLATE NUMBER
YEAR
MAKE
LENGTH/WIDTH(FEETTVEHICLE(IDENTIFICATION
NUMBER (VIN)
2006
Marlette52'0'(26'8ER254810RAD
LAND LEGAL DESCRIPTION ON PAGE
MANUFACTURED HOME WILL BE ® AFFIXED E] REMOVED
REAL PROPERTY TAX PARCEL NUMBER
55064.0907
LOT
BLOCK
PLAT NAME OR SECTION/TOWNSHIP/RANGE
QUARTER/QUARTER SECTION
7
8
DONWOOD EAST SUBDIVISION
El GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
COUNTY NUMBER
NUMBER OF REGISTERED OWNERS
NUMBER OF LEGAL OWNERS
2
1 and 11
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
DAVID J. WHITNEY Ni E{ tTN 13 7? U KCT
NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
ROSANNE M. WHITNEY
ADDRESS CITY i STATE ZIP CODE
18314 EAST DALTON AVENUE SPOKANE VALLEY WA 99216
NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
GN MORTGAGE, LLC
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
6950 SW Hampton, #200 Tigard Oregon 9722
ADDRESS CITY STATE ZIP CODE
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I I WE AM/ARE THE REGISTERED OWNER(S) OF THIS
VEHICLE AND THIS INFORMATION IS ACCURATE:
Signature of Registered Owner and Title, IF APPLICABLE
/
Signature of Additional Registered Owner and Title, IF APPLICABLE
NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S) SIGNATURE
I /y State of Washington Signed or attested
1 tcj�� Spokane Jan. 2007--�-
�s•,•.... _
Q County of before a on
y`
��•�';�gtUN F'•
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o�Np1/�1R� `:• I byDavid J. & Rosanne M.Whitne)§ignature
�• •w N . I PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT
pl)B\ , 2 I by
\\
A -Z I PRINT NAME OF REGISTERED OWNER PRIN NA F NOT RY
�'.�••�`
.a�j�
9i •' ...... 1� Notar County/Office No. OR
F • •••��� 1) I Title �' AND: DealerNo.OR
I
OF W P,6,)j t DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
TITL OMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME (TYPED OR PRINTED) TITLE COMPANY / PHONE NUMBER
SIGNATURE / POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
BUILDING PERMIT OFFICE CERTIFICATION
Certify that: ® the manufactured home has been affixed to the real property as described.
ED a building permit has been issued for this purpose and the attachment will be inspected upon completion.
NAME (TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE #
BL G PERMIT #
SIGNA URE /POSITION D
TE
OF MEAPP (R/2/02)OR(W)PageIof2
ANUFACTURED HOME - FROM SECTION 1
TPO/PLATENUMBER
YEAR
MAKE
LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
2006
Marlette
52 26'8" HER0254810RAB
•1 SIGNATURE OF LEGAL OtNINER
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY.
Signature of Legal Owner and Title, IF APPLICABLE OR)ZON CREDIT NION
Signature of Additional Legal Owner and Title, IF APPLICABLE
�'jA/���/ NOTARIZATIO CERTIFICATION FOR LEGAL OWNER(S) SIGNATURE
\\ti NE K.
65,�N., S,9A///' i State of WCountyton of i) � (a Signedbefore meton JA
4P N
•� tARY I ru
Ca(
�� ��,,. :I by a, &6- L Signature
•'1
+ PRINT NAME OF LEGAL OWNER NOTA Y OR AGENT
�4 O c
Pg
'
�� H 15
B I by
.oa,,a•�
PRINT NAME OF LEGAL OWNER PRINTED AME OF NOTARY
•••i•w••
nIL., County/Office No. OR
Of
Title Of CA, AND: Dealer No. OR -g5-0y
DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office
LOT 7 IN BLOCK 8 OF DONWOOD EAST SUBDIVISION AS PER PLAT THEREOF RECORDED IN
VOLUME 10 OF PLATS, PAGE 87;
SITUATE IN THE CITY OF SPOKANE VALLEY, COUNTY OF SPOKANE, STATE OF WASHINGTON.
Ell DEALER'S REPORT OF SALE
I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN.
ANY REQUIRED SALES TAX HAS BEEN COLLECTED.
DEAL NAME (TYPED OR PRINTED)
�
WA DEALER NUMBER
DATE OF SALE
PURCHASE PRICE TAX JURISDICTION/TAX RATE �DEALER'SAUTH!�IZEEDSIGNATUR:E�ppt,lc
1�
Lit. E TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery).
' COUNTY AUDITORIAGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents)
I cerfify that the above application appears to have been completed correctly, and the applicant has sufficient documentation to proceed
with the recording of this form.
NAME (TYPED OR PRINTED)
COUNTY OFFICENFS OPERATOR NUMBER
SIGNATURE
DATE
I TITLE FEES
FILING FEE
APPLICATION
MOBILE HOME FEE
ELIMINATION FEE
USE TAX
SUBAGENT FEES
TOTAL FEES & TAX
MPORTANT: Once the application has been approved by the County Auditor / Vehicle
Licensing Office, take your application form to the County Recording Office.
Retain proof of the recording fees paid. If the Recording Office retains
your original application form, obtain a certified copy of the recorded form.
APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the
Manufactured Home Application, paying all required fees. Vehicle
licensing subagents charge a service fee.
For full instructions on completing this form for Title Elimination, Removal from Real Property or
Transfer in Location, see form TD -420-730, Manufactured Home Application Instructions.
The Department of Licensing has a policy of providing equal access to its services.
If you need special accommodation, please cal (360) 902-3600 or TTY (360) 664-8885.
TDA20-729 MANUF HOME APPL (R/2/02)OR (W)Page 2 of 2