1996, 01-26 MH Title Elimination App MANUFACTURED HOME TITLE ELIMINATION APPLICATION (TITLE TO REAL PROPERTY)
Manufactured Home:
Year ) 3 Make v
g J t-ST Width ISI--I Length L )
Vehicle Identification Number C.W bvC-A 1-- C2V 1024,4.
Registered Owners:
orAL C�PAY
Names LSignatures'
Legal Owners: //
Names —L �-�� ( Signatures'
mow—
'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY CH• TER 46.12 RC AND
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SHE/THEY OWN •ND TO WHIC IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Number 'yam 144 13'20
Legal Description ,
Owners' Names fl, ' t C vA L� 1
(heSignatures �11, J •� `/_a' -
2SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LL D ABOVE.
Building Permit Office Certification:
I celtify that the manufactured home has been affixed to the real property as described above and/or building permit number
Qoic 171 has been issued forthe purpose of affixing the manufactured home to the land and will be inspected
upon ompletion. SPOKANE COUNTY
AP' od)r, DIVISION OF BUILDING AND PLANNING
//1/I; (30/)g.S4 6}2--S--'
N•M SI ATURE BLDG.PERMIT OFFICE D E 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 /$'7'/ L
e . (,)i / 1,1 ti)/
Recording Office: '
I certify that this form has been recorded in the county records.
NAME SIGNATURE COUNTY
Note: Every person who falsifies i ally material information required in an affidavit is guilty of a gross
misdemeanor punishable in accords' ce ;.- 1.021.
TD-420.730 MFG HOME TITLE ELIM(R/9/91)M Page 2 of 2