1994, 01-05 Mobile Home Info Manufactured Home:
1965 MAYFL 46x20
Year Make Width Length
Vehicle Identification Number HDR205oCK2S1405
Registered Owners:
Neal D. & Joann E. Skaufel, Mary A. Romans
Names Gerald 0. & Rosalie M. Grevstad Signatures' �/�
Legal Owners: e4L � ao/
f Names Washington Mutual Savings Bank Signatures'
'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 HEiSHE/THEY OWN AND TO WHICH IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Number 55192.0808
Lot 8, Blk. 1, Apple Valley Estates, as per plat thereof recorded in Volume
Legal Description 9 of plats, page 36, Spokane COunty, State of Washington.
A Agra -/ ' '77-7
Owners' Names Signatures' c
'SIGNATURES OF OWNERS INDICATE CONSENT TO 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 I /O l has been issued for the purpose of affixing the manufactured home to the land and will be
inspected upon completion. E COUNTY
� •
�7i)S i0.4 �l�1��11 �•-s�ON OF BUILDINGS , S_ 5)1 3,2
NAME SIGNATURE : DO.PERMIT OFFICE 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 GATE 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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