1992, 06-18 Title EliminationManufactured Home:
Year 1978
Make MARIE Width Length
Vehicle Identification Number 70947
Registered Owners:
Names "DONALD W. LEISTI KO
BRENDA S. LEISTIKO
Legal Owners:
Signatures'
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Names Signature)�'�
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'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY 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/IS
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Number 35241 3811
LOTS 6,7 AND 8 EXCEPT THE WEST 25.19 FEET OF 8
Legal Description BLOCK 2. SWIFTS SUBDIVISION OF LOT 8 REMINGTON PSR
PER VOLLRrlE 0 OF PLATS, PAGE 39 L0
Owners' Names t r ► " p • Signatures2
►'
'SIGNATURES OF OWN R INN A E C O HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISTED ABOVE.
Building Permit Office Certification:
I certify that the manufactured home has been affixed to the real property as described above and/or building permit
number, r 9 / has been issued for the purpose of affixing the manufactured home to the land and will be
inspected upon completion. n SPOKANE COUNTY
BUILDING & SAFETY
NAME
SIGNATURE
SLOG. PERMIT OFFICE
- /01'7-07 951-3d
DATE
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
OFFICE/CARP OPERATOR NUMBER
DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME
SIGNATURE COUNTY DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
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