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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