Loading...
2008, 02-14 Title EliminationAFTER RECORDING MAIL TO: Dean Capaul 1405 S Winter Rd Spokane Valley WA 99212 Filed for Record at Request of: Space above this line rbr Recorders use only HOME PLEASE CHECK ONE tMANUFACTURED ,r.,d.Y APPLICATION y a iIC flS• c Anyone who knowingly makes a false statement of a material fact is guilty of a felony, and upon conviction may be punished by a fine, imprisonment, or both. X TITLE ELIMINATION TRANSFER IN LOCATION REMOVAL FROM REAL PROPERTY (RCW 46.12.210) 1 MANUFACTURED HOME TPO/PLATE NUMBER 088215 YEAR 1995 MAKE NASHU LENGTH/WIDTH (FEET) 46 y 28 VEHICLE IDENTIFICATION NUMBER (VIN) NNID34748AB © LAND LEGAL DESCRIPTION ON PAGE 2 MANUFACTURED HOME WILL BE X AFFIXED REMOVED REAL PROPERTY TAX PARCEL NUMBER 45193.0903 LOT 2 J BLOCK ( PLAT NAME OR SECTION/TQWNSHIP/RANGE II((./,r-r' 4 V404 C• i Lk) trAL'' -5 OUARTER/OUARTER SECTION 3 GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER 0148 NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Capaul, Dean L. NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Capaul, Carson G ADDRESS CITY STATE ZIP CODE 1405 South Winter Road, Spokane Valley, WA 99212 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER SAME AS REGISTERED OWNER NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE GRANTEE NAME N/A I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S) OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title, IF APPLICABLE „/�� , .--E ' �)' _;: -' �..---....- .:-- NOTARY SEAL OR STAMP I NOTARIZATION/CERTIFICATION FOR REG�S'X`.ER-E&UW NER(S) SIGNATURE NOTARY I State of Washington/9Signed or attested I County of �f/yC— before me on vi -. Q Iby Capaul, Dean L. signature �/f�riLl�, _�fl(LcN/�• I PRINT NAME OF REGISTERED OWNER NOTARY OR NAT f/ I✓0A ... by Capaul, Carson G S/%9/LDr✓ X . . I I PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY 1 NotaryCounty/Office No. OR �� o�j AND Dealer No. OR 1 Title 1 DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date 4 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 Sherry Stolz, First American Title Insurance Company (509)838-5281 SIGNATURE/ N DAT _ # -,/, f< D , ���;L 62 -dot, Finalize this appii�with a Lic Ing Agent within lendar days of the date Title Company Representative signs. BUILDING PERMIT OFFICE CERTIFICATION I certify that: the manufactured home has been affixed to the real property as described.a building permit has been Issued for this purpose and the attachment will be Inspected upon completion. NAME (TYPED OR PRINTED) BLDG PERMIT OFFICEIPH9 # BLDG PERMIT # SIGNAyL \_)ti:-::C(i'l(-1 1-,-V(DCY-*(-- SIGNA RE,/(P smoN p DATE �,,� TD -410; 29 MANUF HOME APPL (R/2/02)OR (W)Page of rst American Title RI NO. 4 9- MANUFACTURED HOME - FROM SECTION 1 TPO/PLATE NUMBER 088215 YEAR 1995 MAKE NASHU LENGTH/WIDTH (FEET) 46 X 28 VEHICLE IDENTIFICATION NUMBER (VIN) . NNID34748A8 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION Signature of Legal Owner and Title, IF APPLICABLE Signature of Additional Legal Owner and Title, IF APPLICABLE OF TITLE EMOVAL F)LO REAL P OPERTY. V/xL l - NOTARY SEAL OR STAMP State of Washington ay SAME NOTARIZATION/CERTIFICATION FOR LEGAL Signed County of Spokane or before OI ER ) SI ATURE attested ,, me on AS REGISTERED OWNER Signator ,,i'—d--o "a/AA/Jill �' PRINT NAME OF LEGAL OWNER by ,CA/ddeal NOTARY OR 1. Sro t z.. PRINT NAME OF LEGAL OWNER PRINTED Title Notary AND NAME OF NOTARY CounryDealer No. OR Dealer No. OR Notary Eg12tlon Date ...1-41:0(6.0. DEALERSHIP POSMON/AGENT/NOTARY 7 LAND DESCRIPTION (A legal description of the land can be obtained from the local Coun Assessor's Office) d in Volume 7 of plat Lot 3, Block 1, Curtis Park Club Tracts, as Situate in the City of Spokane Valley, County rof Spokane, eStat of Washington. Itl, Page 4. k 0. It(LLlS�� s o� `.. 0 / NOr4 S 3 CD: �0 7 -,I y -•'...0& BIBLIO t2 3 ,,ro 3,r. 8 pEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE IS CLEAR 0 ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME (TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE PURCHASE PRICE TM JURISDICTION/TAX RATE • DEALER'S AUTHORIZED SIGNATURE USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery) aCOUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify that the above application appears to have been completed correctly, and he applicant has suffident documentation to proceed with the recording of this form. NAME (TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE I DATE 10 TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE — ELIMINATION FEE USE TAX SUBAGENT FEES IMPORTANT: Once the application has been approved by the County Auditor/Vehide Ucensing Office, take your application form to the county Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form, obtain a certified copy of the recorded form. TOTAL FEES & TM APPLICANTS: Once recorded, you must return to a Vehide Ucensing Office to file the Manufactured Home Application, paying all required fees. Vehicle licensing subagents charge a service fee. For full instructions on completing this form for title Elimination, Removal from Real Property or Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions. The Department of Ucensing has a policy of providing equal access to its services. If you need spedal accommodation, please cal/ (360) 902-3600 or TDD (360) 664-8885. T0-420-729 MANUF HOME APPL (R/2/02)OR (W) Page of