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/„ .
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10 T 1 PUBLI,
STP1 E 4," i' W;:1:s,11 GTION
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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 .