1996, 12-09 MH Title Elimination AppMANUFACTURED HOME TITLE ELIMINATION APPLICATION (TITLE TO REAL PROPERTY)
Manufactured Home:
Year 1977
Make KENTW
Vehicle Identification Number KW5457UWA
Registered
iff
Ownn/�rs:
Names l 7 /7 '
Legal Owners; -
Names v
Width 44/24
Length 44/24
Signatures' ec •
/ p 7
Signatures
'SIGNATURES OF OWNERS INDICATE TER FAI NATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY CHAPTER 46.12 RCW AND
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SHE/THEY OWN AND TO WHICH IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home Is Being Affixed:
Property Tax Parcel Number 55064.0701
Legal Description 3419 N Donwood St Spokane Donwood East Sub L1 B6
Signatures'
Owners' NamesWN /f/;'�
/k�
'SIGNATURES OF O ERS INDIC E CONSENT TO HAVE HE MANUFACTURED HOME ADDED TO THE REAL PROPERTY USED ABOVE.
Building Permit Office Certification:
I certify that the manufactured home has been affixed to the real property as described above and/or building permit number
M 0`112-. has been issued for the purpose of affixing the manufactured home to the land and will be inspected
upon completion.
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PHONE NUMBER
NAME
SIGNATURE
BLDG PERMIT OFFICE
DATE
County Auditor/Agent Licensing Office Approval: (Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME
SIGNATURE
OFFICE/CAAP OPERATOR NUMBER
DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME SIGNATURE COUNTY DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
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