1993, 08-11 Title EliminationWHEN RECORDED REPURN TOE
WALDO AND SCHWEDA, P.S.
North 720 Argonne Road
Spokane, WA 99212-2796
Manufactured Home:
Year 1983 Make LNDMK Width 28 • Length 48
Vehicle Identification Number 7534
Registered Owners:
JENSE:f , Eric M.
Names JENSErd,
Michele D.
Legal Owners:
Signatures
oma` -Y1ACtyk-
Names AMERICAN MORTGAGE CORPORATION.. natures '(Gl�/'Ul/ �, �.�%�il ��
g
'SIONATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY C AFTER 4L.12 RCW ANO
INOtCATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS PEAL 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
45063.3118
Legal Description South 75• feet of Block 45, ORCHARD AVENUE ADDITION, EXCEPT
the East 32 feet thereof, SpokaneCoun
Owners' Names.TF.NSFN, Eric M. & Michele DSignatures i
'SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDEO TO THE
Kington
/til. A
PROPERTY LISTED ABOVE.
Building Permit Office Certification:
I certify a the manufactured home has been affixed to the real property as described above and/or building permit
number ,yA-as sq has been issued for the purpose of affixing the manufactured home to the land and will be
'nspected upon completion.
NAME
SIGNATURE
BLDG. PERM T OF I DAT
/9,3
PHONE NUMBER
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/CRAP OPERATOR NUMBER
OATS
Recording Office:
I certify that this form has been recorded in the county records.
NAME
.
SIONATURE COUNTY DATE SECORDING NUMIEA
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.
10420.770 MIO HOME TITLE CUM IN/I/t0) POGO 2 01 2
'.Z JAI
S/PPLE