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2000, 10-20 Title ElminationRETURN ADDRESS •:,i'• )> 17r1Q:;r!!Y,, • • SPERLING & BALCH ATTORNEYS AT LAW 7307 N. DIVISION, SUITE309 -- SPQKANg, WAS ;,9?Pe, • r 4666 LU/'r_•11rr.nirnre.r„ �• tn=cri9 oN;. °' lc SIfG ,, ■ .... ,,,.. ,.. _..... „ .,.,•, . .,, � MANUFACTURED HOME . APPLICATION "e -1( _9 a FROM REAL PROPERTY TITLE ELIMINATION PLEASE CHECK ONE TRANSFER IN LOCATION ■ REMOVAL El MANUFACTURED HOME TPO / PLATE NUMBER YEAH MAKE LENGTH//IOTH(FEET)VEFI�rLE IDE TIF1CA11QN NUMBER (VIN) azO©O I NA LZ 1 C {G .5(c)X I f t� {4 t c> / 0.. 5i bbl u b (a 3 d LAND dike,ADDITIONAL LEGAL DESCRIPTION ON PAGE �- +3 TITLE FEES MANUFACTURED LOT HOME WILL DE ■AFFIXED • REMOVED ALIN(. FEE PROPERLY TAX 1'Al10EL NUMOEII !tel �� • (ids I BLOCK I PLAT NAME I SECTION/IOWNSHIP/RANGE APf UCATION A loga( doscriplion can bo obtainod from, tho local County Assosser's uso the Application Attachment form, TD -420.72, availablo al your . 1 L 4 .. 0 3p(jt< ) `[ , 011ico. II thoro is not.onough local County Auditor's room horo, OIfico. SArvort-Re-- MOBILE HOME FEE ELIMINATION FEE USE _" TAX SUB•AGENTFEES TOTAL FEES a TAX LEGRANTOR(S) REGISTERED/LEGAL. OWNER(S) 'r' ADDITIONAL NAMES ON PAGE COUNTY CS L 6c- xS CJQ�UNTT�N _ UUM •(1\ Ot D ' s INCOfIPORATED UN ricorwURATE0 F . REGISTERED OWNEfIS 4 LEGAL OWNERS NAME JSZST ; EGIS1Ef}k0e.OW i, II S + OL CUS°�TO.6M fi 54-� t- - 1 ADDRESS OF FIRST H/�l GISSTER •0 OWNER 2STAIE '(/ O ✓' / O c9- l l l . L _(� CITY ` - , STATE LIP .ODE CCCJJJ / �(Z 1�-C� . re.e.. �(jL � W i�- '3/4} o NA OFt FIR { v5- TLE OWNER_, CT •— +vr,2.eyn Co ur• FIRST LEGAL OWNER --.Z ")=")=3"""=$")=3"""S -o y� )D 5u -1'144.e-4 4- ta Ir �1 GUSTO pR ACCOUNT NUMBER F'K�� Se AODRES4 3'100 ITY STATE .*Le 3z, ,/� 9pZ�3 E GRANTEE(S) AD TIONAL NAMES ON PAGE 7 NAME OF FIRST GMNTGE DOL CUSTOMER ACCOUNT NUMBER IAnyono who knowingly makes a false statement of material fact•Is guilty of a folony, and upon conviction may be punished by a fano, Imprlsonment, or both. (RCW 46.12.210) I DO SOLEMNLY ATTEST UNDER PENALTY OF PURJURY LAW THAT E ARE THE REGISTERED OWNERS OF THIS VE ' AND T • 1 ORMAT(ON IS ACCURATE: .:,IF a) , �/ SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY X �S H riz oa dba Sunbelt QgPnr SIGNA IlE or Flfi;: EGAL OWNER AND RILE, IF APPLICABLE - 1 AT) OFF ST REG ,.rr . D ,: NE NO TITLE. IF S PE; CABLE X � 'i/ = ` , - e NATUr Por SECOND r1EGISTL'RED OWNER AND TITLE, IF APPLICABLE NOTARY �.i. SEAL Oft STAMP .....4. le,.21,... �+..I BECKY A. CAPE ART, NOTARY PU I STATE OF WASL HIS COMM155!ON E�(�Plf�rrS FEBRUARY 2F.. 2004 State of a..�+ I NOTARIZATION / CERTIFICATION FOR REGISTERED Washington County ofj Signed before ;gnaturo Dealer AND: Nota Notary OWNER(S) SIGNATURE or attested J 0 /..c) / ` _) me on (( 04, ..ac S w44.04.,_ e aha �- � • atscv. ' No. on Nn. Expiration y Expiration 0._ C > 6 ��1 `� r a (} (l TQI� '' . Printed Name of Applicant ' + ' ' DEALERSHIP,Posilio VNOTARY. Dale 1 Rfi r ''�`°+ ?' " %+ ^ ertify that thls Information Is correct. Tho vohlclo Is cloar of encumbrances except as shown. DEALER NAME iR ``—. PURCHASE t 1� I� 1, r 1liGc 4l�[� r� ` TAX JUIII" ICTIUWT.AX RATE I DEAL�Sj]�IJ�nAIUTI L I iPi : t(; l i - IORIZEI).SIGNATtIftE on tho rosorvatlon I1 WA OEA ER NUMBL'R l l.� L"� 3 (attach not rizod�s date I DATE OF SALE nont of do� r y). PJ{15 0 , J 0 dUSE TAX EXEMPT Salo Io a Corliliod Tribal member cir COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for uso by Sub -Agents) codify that tho abovo application appears to havo boon conlplotod corroctly, and the applicant has sufficient documentation to proceed with the rocording of this form. NAME (TYPED Oil PRINTED) I COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE !DATE TOME APPL (R/12/96)OR Page 1 of 2 INSTRUCTIONS AND ADDITIONAL INFORMATION ON REVERSE SIDE tlam/ L Li TITLE COMPANY CERTIFICATION t• r• .: .;• ., ..; I cattily that tho logal doscription of Iho land and ownorshlp Is truo'and corroct por tho roal proporty rocords. NAME TITLE COMPANY/PHONE NUMUER SIGNATURE / POSITION DATE Finalize thls appllcaUon with a Licensing Agent wlUiln 10 calendar days of tho data Title Company Representative signs. Q BUILDING PERMIT OFFICE CERTIFICATION 1 cortily that tho manulaclurod homo has boon allixod to Iho roal proporly as doscribod, OR a building porrnit has boon Issuod for this purposo and Iho attachmont will bo Inspoctod upon cornplotion t NAME i�j��• .,.,.- st'(�j{ c j mjcE/PHONE �r L L. 'mob n�K JTTI i)TNfl & CODE ENFORCEMENT 0 001.) i `70 7 0 SIGNA R - 'YN V/'I (1 fT& fe3 r INSTRUCTIONS • COMPLETE THE APPROPRIATE BOXES ON THE FORM AS INDICATED BELOW. DEPENDING UPON THEJAANSACTION YOU WISH TO PROCESS. • A. Manufacturod Homo Till° Elimination Application (complolo boxos 1, 2, 3, 4 and G). Uso to oliminato a title for a manulaclurod homo which is to bocomo roalro or P P ty• ,,,•. B. Manufacturod Home Transfer In Location Application (comploto all boxes). Uso only whon a manulaclurod homo (whoso title has boon olimlnatod) Is boing movod to land with a dilloronl loyal doscription AND will bocomo part of tho roal proporly to which It will bo movod and allixod. 11 tho transfor In location Is botwoon two dilloronl countlos, proparo this form In duplicato and havo oach rocordod In Its rospoctivo county. C. Manufactured Homo Removal From Real Property Application (complolo boxos 1, 2, 3, 4 and 5). Uso whon tilling a manulaclurod homo whoso litlo has boon proviously oliminatod. Onco proporly complolod and rocordod, this application becomos a supporting document along with othors roquirod to apply for a Cortilicato of Titlo for the manufactured horno. IMPORTANT: SIGNATURES OF THE OWNERS ON THE MANUFACTURED HOME APPLICATION INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED DY 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 DE 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 DE USED FOR MAKING APPLICATION FOR TITLE WITH THE DEPARTMENT OF LICENSING AS PROVIDED DY CHAPTER 46.12 RCW. Note: Ownors of Iho manulaclurod homo must own tho land whon tho application Is for a Manufacturod 1-lomo Tillo Elimination or a Manufacturod homo Translor In Location, as providod by Chaptor G5.20 RCW. SECTION 1 Entor tho doscrlpllon of the tanu(acturod homo. SECTION 2 Placo an "X"•in iho appropriato box•and ontor tho proporty tax parcol number, 101, block, plat number and soction/township/rango, whon applicablo. Writo a logal doscription in tho spaco providod. 11 there is not enough room• use the Titlo Application Attachmont (T00420.732). Whon procossing a 'Transfer in Location Application,' both boxos should bo chockod. Tho application must thon bo accompanied by two soparato land doscriplions. SECTION 3 This aroa must bo signod by all rogistorod ownors of the mnnufaclurod horno whon procossing a titlo olimination. It the manufactured homo has been sold and Is being romovod from tho real property, the owners per the real property records must comploto lhls portion to obtain a Certificate of Titlo. Signaturos of the ownors must bo notarizod or cortitiod by iho soiling doalor or a vohiclo liconsing agont. Foos will includo a filing and application loo plus salos or use tax duo. Additional loos may includo: a tido olimination loo and a Mobilo Homo Allairs Fee. Subagonts will charge an additional sorvico loo. (Foos aro subjoct to chango without notico.) SECTION 4 Tako tho proporly compiotod Manulacturod Homo Application and all nocossary supporting documents to tho County Auditor/Llconsing Agont 011ico for approval. Supporting documonts may includo but aro not limitod to: proof of ownorship or a Manulacturor's Statomont o1 Origin (MSO), proof of laxos paid, and applicablo roloaso(s) of intorost. Subagonts may not complolo (Ito approval portioh of thls form. SECTION 5 Tho'Titio Company Codification" box must bo complolod whon procossing a "Translor In Location" or a "Rornovai From Roal Proporty" application. Important: Tho final rocordod application town must bo submittod to a vohicle licensing agent within 10 days of tho title company's cortilication. SECTION G Whon procossing an "Elimination" or "Translor In Location" application, a city or county otfico (dopondinq upon Iho location of Iho manulaclurod Iwmo) must codify that tho homo Is allixod to tho Iand;or, issuo a building pormit to affix tho manulaclurod homo to tho land, Inspocling tho complolod allachmonl. Tho issuing ollico rnusl sign tho application, adding tho porrnit numbor 11 tho Inspoctlon has not yot occurrod. IMPORTANT: Once Iho application has boon approvod by tho County Auditor/Llconsing Agent 011ico, tako your application Iorm to tho County Rocording 011ico. Rotain proof of tho rocording loos paid. 111110 Rocording 011ico retains your original application form, obtain a cortiliod copy of iho rocordod form. IAPPLICANTS: Onco rocordod, you must roturn to a Vohiclo Llconsing otfico to filo tho Manufacturod Homo Application, paying all roquirod loos, Tho Dopartmont of Llconsing has a policy of providing equal accoss to its sorvicos. If you Hood spoclal accommodation, ploaso call (360) 902-3600 or TDD (360) 664-0605. TO -420.729 MANUF HOME APPL (rV 12/9G)On Pogo 1 of 2