1998, 08-18 Title Elimination102380-3
RETURN ADDRESS
Daryl A. Rodrigues, P.S.
1309 West Dean Avenue #101
Spokane, WA 99201
File No. A97774
J I155c-R5(---
u p i(m ^ o snmeTOIV MANUFACTURED HOME
/CEfS/fG APPLICATION
PLEASE CHECK ONE
® TITLE ELIMINATION • TRANSFER IN LOCATION 0 REMOVAL FROM REAL PROPERTY
1
MANUFACTURED HOME
TPO / PLATE NUMBER
$15305
YEAR
1977
MAKE
MTNMN
LENGTHWIDTH(FEET)
56 X 1 4
VEHICLE IDENTIFICATION NUMBER MN)
T.n9R1 n91 2
U LAND ADDITIONAL LEGAL DESCRIPTION ON PAGE
TITLE FEES
MANUFACTURED HOME WILL BE ®AFFIXED 0 REMOVED
PgoparyfAx EgBGELNUMBER
7J 33
F
FILING FEE
LOT
25
BLOCK
6
PLAT NAME
LABERRY MOBILE PARK
SECTION/TOWNSHIP/RANGEAPPLICATION
A legal description can be obtained from the local County Assessor's Office. If there is not enough room here,
use the Applicaton Attachment fo TD-420-732,
MOBILE HOME FEE
m, available at your local County Audito 's Office.
Lot 25, Block 6, LABERRY MOBILE PARK, according -to
ELIMINATION FEE
plat recorded in Volume 8 of Plats page 63, in
Spokane County,
USE TAX
Washington.
SUB -AGENT FEES
TOTAL FEES 6 TAX
U GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
COUNTY It
SPOKANE
INCORPORATED UNINCORPORATED
X
// REGISTERED OWNERS
2
ll LEGAL OWNERS
1
NAME OF FIRST REGISTERED OWNER _ __ DOL CUSTOMER ACCOUNT NUMBER_
Dawna L. Anest Erin ,T WnI fe ANVE&1'DL391X-- WOLFEE7374RL
ADDRESS OF FIRST REGISTERED OWNER CITY STATE ZIP CODE
19122 East Cane Circle Greenacres WA 9.9016
NAME OF FIRST LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
Metwest Mortgage Services Inc
ADDRESS OF FIRST LEGAL OWNER CITY STATE ZIP CODE
929 West Sprague Avenue Spokane WA 99201
GRANTEE(S) ADDITIONAL NAMES ON PAGE '
NAME OF FIRST GRANTEE DOL CUSTOMER ACCOUNT NUMBER
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. (RCW 46.12.210)
I DO SOLEMNLY
LAW T 1
THIS EHIC
ATTEST UNDER PENALTY
WE ARE THE REGISTERED OWNERS
AND THI IN RMA ON IS
OF PURJURY
OF
ACCURATE:
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR
ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY: X -4
McCreary
I!
Xon
Acing Treasurer SIGN O FIRST GI R DOWN R
��
TLE!IF
n-v V U.,� A
APPLICABLE
SIGNATU
OF FIRST LEGAL OWNER AND TITL FAPPLICABLE SIGNA OF SEC DREGIS ED OWNER AND TITLE,
IF APPLICABLE
N`T WOW OTARIZATION / CERTIFICATION FOR REGISTER OWNER(S) SIGNATURE
\ ' : ..A4- �// State of Washington
F c County of Spokane bemremeoM1 8/18/98
o`• $Stop �f9�.� Signbeoranecm
?
co: F '� Dawna L. Anest and
o NOS y �'• E by Eric J. Wolfe Sign lure
/^
PUBLIG :^ Printed Name of Applicant
'Cr •
S�h Notary Public CountDealeNo. OR 8,/1 5/2000
•/.9 0.-/` No.
Title AND: Notary
�`I
Expirationire
at
�OF ; 5 r�:r;♦\\ I DEALERSHIP PositioNAgenVNOTARY Notary Date
�4101 Ilfl%'
DEALER'S REPORT OF SALE I certify that this information is correct. The vehicle Is clear of encumbrances except as shown.
DEALER NAME
WA DEALER NUMBER
DATE OF SALE
PURCHASE PRICE I TAXJURISDICTION/FAY. RATE
I DEALERS ALTH. ORZEO SIGNATURE --------__—._._— -___
❑ USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery).
fl COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Sub -Agents)
I certify that the above application appears to have been completed correctly, and the applicant has sufficient documentation to
proceed with the recording of this form.
NAME (TYPED OR PRINTED)
COUNTY OFFICENFS OPERATOR NUMBER
SIGNATURE
DATE
TD-420-729 MANUF HOME APPL (R/12/96)OR Page 1 of 2
INSTRUCTIONS AND ADDITIONAL INFORMATION ON REVERSE SIDE
U TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME TITLd COMPANY/PHONE NUMBER
SIGNATURE / POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
El BUILDING PERMIT OFFICE CERTIFICATION
I certify that the manufactured home has been affixed to the real property as described, OR a building permit has been issued for this
purpose and the attachment will be inspected upon completion ,
N ME BLDG PERMIT OFFICE/PHONE M
44 4 14?Lf'
Ste)"'N 7�''`
B17/1 NA SPOKANE COUNTY DATE
n4t3 DIVISION OF TITTIMINGSCI—a.1-9 ?
INSTRUCTIONS
COMPLETE THE APPROPRIATE BOXES ON THE FORM AS INDICATED BELOW,
DEPENDING UPON THE TRANSACTION YOU WISH TO PROCESS.
A. Manufactured Home Title Elimination Application (complete boxes 1, 2, 3, 4 and 6). Use to eliminate a title for a manufactured
home which is to become real property.
B. Manufactured Home Transfer In Location Application (complete all boxes). Use only when a manufactured hone (whose
title has been eliminated) is being moved to land with a different legal description AND will become part of the real 4roperty to
which It will be moved and affixed. If the transfer in location Is between two different counties, prepare this form in (duplicate and
have each recorded in its respective county.
C. Manufactured Home Removal From Real Property Application (complete boxes 1, 2, 3, 4 and 5). Use when tifiing a
manufactured home whose title has been previously eliminated. Once properly completed and recorded, this application
becomes a supporting document along with others required to apply for a Certificate of Title for the manufactured home.
IMPORTANT: SIGNATURES OF THE OWNERS ON THE MANUFACTURED HOME APPLICATION 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 T6 WHICH IT IS/WILL BE AFFIXED. IF THE MANUFACTURED HOME IS BEING REMOVED FROM REAL
PROPERTY, SIGNATURES OF THE OWNERS PER THE REAL PROPERTY RECORDS INDICATE CONSENT Tq THE
REMOVAL. THE FORM MAY THEN BE USED FOR MAKING APPLICATION FOR TITLE WITH THE DEPARTMENT OF
LICENSING AS:PROVIDED BY CHAPTER 46.12 RCW.
Note: Owners of the manufactured home must own the land when the application is fora Manufactured Horne Title
Elimination or a Manufactured Home Transfer In Location, as provided by Chapter 65.20 RCW.
SECTION 1 Enter the description of the manufactured home.
SECTION 2 Place an "X" in the appropriate box and enter the property tax parcel number, lot, block, plat number and
section/township/range, when applicable. Write a legal description in the space provided. If there is not enough room,
use the Title Application Attachment (TD0420-732). When processing a'Transfer in Location Application," 'both boxes
should be checked. The application must then be accompanied by two separate land descriptions.
SECTION 3 This area must be signed by all registered owners of the manufactured home when processing a title elimination:. If
the manufactured home has been sold and is being removed from the real property, the owners per the real
property records must complete this portion to obtain a Certificate of Title. Signatures of the owners must be
notarized or certified by the selling dealer or a vehicle licensing agent. Fees will include a filing and application
fee plus sales or use tax due. Additional fees may include: a title elimination fee and a Mobile Home Affairs Fee.
Subagents will charge an additional service fee. (Fees are subject to change without notice.)
SECTION 4 Take the properly completed Manufactured Home Application and all necessary supporting documents to the County
Auditor/Licensing Agent Office for approval. Supporting documents may include but are not limited to: proof of
ownership or a Manufacturer's Statement of Origin (MSO), proof of taxes paid, and applicable release(s) of interest.
Subagents may not complete the approval portion of this form.
SECTION 5 The 'Title Company Certification" box must be completed when processing a'Transfer In Location" or h "Removal
From Real Property' application. Important: The final recorded application form must be submitted L^ a vehicle
licensing agent within 10 days of the title company's certification.
SECTION 6 When processing an "Elimination" or "'Transfer In Location" application, a city or county office (depending upon the
location of the manufactured home) must certify that the home is affixed to the land;or, issue a building permit to affix
the manufactured home to the land, inspecting the completed attachment. The issuing office must sign the
application, adding the permit number if the inspection has not yet occurred.
IMPORTANT: Once the application has been approved by the County Auditor/Licensing Agent Office, take you ,'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. .l
APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the Manufactured -Horne Ap cation,
paying all required fees.
The Department of Licensing has a policy of providing equal access f its services.
If you need special accommodation, please call (360) 902-3600 or TDp.(360) 664-8885.
Qe
TDd20-729 MANUF HOME APPL (R/12/96)OR Page 1 of 2