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2007, 07-26 Title EliminationRETURN ADDRESS Spokane Couliy Tit 1 P .1703 Fa Rt Sprague Spokane, Wa 9.92.0.6 Manufactured Home PLEASE CH CK • N WASHINGTON STATE DEPARTMENT OF (TITLE ELIMINATION s LICENSING Application ❑TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine, Imprisonment, or both. (RCW 46.12.210) El MANUFACTURED HOME TPO / PLATE NUMBER I YEAR +438471 12006 MAKE MANOR LENGTHNVIDTH(FEET) 67 X 27 VEHICLE IDENTIFICATION NUMBER (VIN) VMH12826W64855AB ® LAND LEGAL DESCRIPTION ON PAGE 2 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE grAFFIXED 0 REMOVED 35121.3501 LOT I BLOCK 1 PLAT NAME OR SECTION/TOWNSHIP/RANGE TRACT 139 j 1 ORCHARD AVENUE ADDITION QUARTER/QUARTER SECTION J GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER I NUMBER OF REGISTERED OWNERS 12 NUMBER OF LEGAL OWNERS 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER CONNORS, JILL G.. NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 7109 EAST MARIETTA AVENUE SPOKANE VALLEY WA 99212 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER WELLS FARGO BANK N.A.. NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 600 108TH AVENUE N.E. BELLEVUE WA 98004 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF Signature of Additional Registered Owner and Title, IF THAT I / yVE AM/ARE THE RE ISTERED OWNER(S) OF THIS J�/� Y1 APPLICABLE % * 0 "' f `0 APPLICABLE NOTARY SEAL ORSTAMP4^,�,p�k/„ . .fib» err erg ,...-F I i(�,xt"v'ii' (,f : t I E t' 10 T 1 PUBLI, STP1 E 4," i' W;:1:s,11 GTION E COMMT; y; -,;A T� P4 t'" halAr ,Z I . ; 2()()3 Title NOTARIZATION/CERTIFICATION �.l' . of Washington County of 6 I FOR REGISTERED �J Signed afi before ,• NAME AND: OWNER(S) SIGNATURE /^ or attested /A ..../3 .0 1 me on '`� o i11 e r5 Signatur % .` NAME OF REGIS EREDOWNER PRINT NAME OF REGISTERED OWNER PRINTED ,(/ /V ��g��G1 •' •R ENT OF NOTARY County/Office No. OR Dealer No. OR 3-2 9CV1 DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date TITLE COMPANY 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 SPOKANE COUNTY TITLE 509-326-2626 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 I certify that: 0 the manufactured home has been affixed to the real property as described. 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME (TYPED OR PRITE.: D) BLDG PERMIT OFFICE/PHONE # BLDG PERMIT # ..1. k' \\ `5-..C9). : 06003138 SIGN U 1 RE // SITION CF' ,- // ,'" "C(-i'1.z�)e �� 'j7 G, 01 .