1999, 10-13 Title EliminationDTPA.TEnrI 'A
LjS, "ZI K'�S'{l-�T°" MANUFACTURED HOME
jjCEnSjnG APPLICATION
®TITLE ELIMINATION ❑TRANSFER IN LOCATION El REMOVAL FROM REAL PROPERTY
MANUFACTURED HOME
TPO / PLATE NUMBER
XEQR
1 `9 /
M2ISERAY
i'U
pIGTH/WI TF{ WE n
VEHI(§5IDF.AITIFICATION NUMBER (VIN)
LAND ADDITIOLNAL LEGAL DESCRIPTION ON PAGE
TITLE FEES
MANUFACTURED HOME WILL BE [31 AFFIXED ❑ REMOVED
PROPERTY TAX PARCEL NUMBER
FILING FEE
45063.2704
APPLICATION
LOT
BLOCK
PLAT NAME
SECTION/TOWNSHIP/RANGE
MOBILE HOME FEE
A legal description can be obtained from the local County Assessor's Office. If there is not enough room here,
use the Application Attachment form, TD -420-732, available at your local County Auditor's Office. _
ELIMINATION FEE
USE TAX
SUB -AGENT FEES
TOTAL FEES & TAX
GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE. ,
COUNTY "INCORPORATED
UNINCORPORATED
I REGISTERED OWNERS
A LEGAL OWNERS
Spokane
NAME OF FIRST REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS OF FIRST REGISTERED OWNER CITY STATE ZIP CODE
NAME OF FIRST LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS OF FIRST LEGAL OWNER CITY STATE ZIP CODE
GRANTEES ADDITIONAL NAMES ON PAGE
NAME OF FIRST GRANTEE DOL CUSTOMER ACCOUNT NUMBER
Anyone who knowingly makes a false statement of a material I DO SOLEMNLY ATTEST UNDER PENALTY OF PURJURY
fact is guilty of a felony, and upon conviction may be LAW THAT I / WE RE THE REGISTERED OWNERS OF
punished by a fine, imprisonment, or both. (RCW 46.12.210) THIS VE ICLE THIS INFORMATION IS ACCURATE:
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR --
ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY:
SIGN E I EG TERED ERA I.E. IF APPLICABLE
X
SIGNATURE OF FIST LEGAL OWNER AND TITLE, IF APPLICABLE SI A URE OF SECOND RrGISTERED OWNERIAMD71TUE, IF A—MIrICABLE
NOTARY SEAL OR S rAr,1P NOTARIZATION / CERTIFICATION FOR REGISTERED OWNER(S) SIGNATURE
State of Washi Ip n Signed or attested ! r� (� /l
C my/ol .� 11 „� " i —/ !
..
�jbefore me on
if 1,Qi�G'>
by
led Name of Applicant
Dealer No. OR
7 L"f 'Z.-`'
Tote !,( AND: County/Office Nu. OR
DEALE RSH, ' Position/AgenUNOTARY Notary Expiration Date
DEALER'S REPORT OF SALE I certify that this information is correct. The vehicle is clear of encumbrances except as shown.
DEALER NAME
WA DEALER NUMBER
DATE OF SALE
PURCHASE PRICE
TAX JURISDICTION/TAX RATE
I DEALER'S AUTHORIZED SIGNATURE
❑ USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery).
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Sub -Agents)
certify that the above application appears to have been cornpleted correctly, and the applicant has Sufficient doctimentatFon to
proceed with the recording of this form.
NAME (TYPED OR PRINTED)
COUNTY OFFICENFS OPERATOR NUMBER
SIGNATURE
DATE
TD -420-729 MANUF HOME APPL (R/12/96)OR Page 1 of 2 INSTRUCTIONS AND ADDITIONAL INFORMATION ON REVERSE SIDE
a TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and
0
is true and correct per the real property records.
DATE
Finalize this application with a a t—risincii.Agent within 10 calendar da sof the date Title Com an
• BUILDING PERMIT OFFICE CERTIFICATION R resentative signs.
I certify that the manufactured home has been affixed to the real property as described, OR a building permit has been issued for this
purpose and the attachment will be inspected upon completion
NAMES
BLDG PERMIT OFFICE/PHONE 0
E ENFC..)RC NF?NT T
INSTRUCTIONS
COMPLETE THE APPROPRIATE BOXES ON THE FORM AS INDICATED BELOW,
DEPENDING UPON THE TRANSACTION YOU WISH TO PROCESS.
A. Manufactured Home Title Elimination Application (complete boxes 1, 2, 3, 4 and 6). Use to eliminate a title for a manufactured
home which is to become real property.
B. Manufactured Home Transfer In Location Application (complete all boxes). Use only when a manufactured home (whose
title has been eliminated) is being moved to land with a different legal description AND will become part of the real property to
which it will be moved and affixed. If the transfer in location is between two different counties, prepare this form in duplicate and
have each recorded in its respective county.
C. Manufactured Home Removal From Real Property Application (complete boxes 1, 2, 3, 4 and 5). Use when titling a
manufactured home whose title has been previously eliminated. Once properly completed and recorded, this application
becomes a supporting document along with others required to apply for a Certificate of Title for the manufactured home.
IMPORTANT: SIGNATURES OF THE OWNERS ON THE MANUFACTURED HOME APPLICATION INDICATE TERMINATION
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/WILL BE AFFIXED. IF THE MANUFACTURED HOME IS BEING REMOVED FROM REAL '
PROPERTY, SIGNATURES OF THE OWNERS PER THE REAL PROPERTY RECORDS INDICATE CONSENT TO THE
REMOVAL. THE FORM MAY THEN BE USED FOR MAKING APPLICATION FOR TITLE WITH THE DEPARTMENT OF
LICENSING AS PROVIDED BY CHAPTER 46.12 RCW.
Note: Owners of the manufactured home must own the land when the application is for a Manufactured Home Title
Elimination or a Manufactured Home Transfer In Location, as provided by Chapter 65 20 RCW.
SECTION 1 Enter the description of the manufactured home.
SECTION 2 Place an "X" in the appropriate box and enter the property tax parcel number, lot, block, plat number and
section/township/range, when applicable. Write a legal description in the space provided. If there isnot enough room,
use the Title Application Attachment (TD0420-732). When processing a "Transfer. in Location Application," both boxes
should be checked. The application must then be accompanied by two separate land descriptions.
'SECTION 3 This area must be signed by all registered owners of the manufactured home when processing a title elimination. If
the manufactured home has been sold and is being removed from the real property, the owners per the real
property records must complete this portion to obtain a Certificate of Title. Signatures of the owners must be
notarized or certified by'the selling dealer or a vehicle licensing agent. Fees will include a filing and application
fee plus sales or use tax due. Additional fees may include: a title elimination fee and a Mobile Home Affairs Fee.
Subagents will charge an additional service fee. (Fees are subject to change without notice.)
SECTION 4 Take the properly completed Manufactured Home Application and all necessary supporting documents to the County
Auditor/Licensing Agent Office for approval. Supporting documents may include but are not limited to: proof of
ownership or a Manufacturer's Statement of Origin (MSO), proof of taxes paid, and applicable release(s) of interest.
Subagents may not complete the approval portion of this form.
SECTION 5 The " Title Company Certification" box must be completed when processing a "Transfer In Location" or a "Removal
From Real Property" application. Important: The final recorded application form must be submitted to a ue:hicle
licensing agent within 10 days of the title company's certification.
SECTION 6 When processing an "Elimination" or 'Transfer In Location" application, a city or county office (depending upon the
location of the manufactured home) must certify that the home is affixed to the land;or, issue a building permit to affix
[tie manufactured home to the land, inspecting the completed attachment. The issuing office must sign the
application, adding the permit number if the inspection has not yet occurred.
IMPORTANT: Once the application has been approved by the County Auditor/Licensing Agent 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.
TD -420.729 MANUF HOME APPL (R/12/96)OR Page 1 of 2
The Department of Licensing has a policy o/ providing equal access to its services.
If you need special accommodation, please call (360) 902-3600 or TDD (360) 664-8885.
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