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2007, 09-05 Title EliminationCOUNTY NUMBER NAME OF REGISTERED OWNER Don K. Strebeck NAME OF ADDITIONAL REGISTERED OWNER Silvia Strebeck ADDRESS 19004 E. Marietta Avenue NAME OF LEGAL OWNER Nurnerica Credit Union NAME OF ADDITIONAL LEGAL OWNER ADDRESS 301 N. Havana RETURN ADDRESS ALLIED ESCROW GROUP INC 901 N. MONROE STE 328 SPOKANE WA 99201 PLEASE CHECK ONE JJ WASHINGTON STATE DEPARTMENT OF Cam LICENSING 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) MANUFACTURED HOME TPO/PLATE NUMBER MAKE FTWD TITLE ELIMINATION ❑TRANSFER IN LOCATION ❑REMOVAL FROM REAL PROPERTY VEHICLE IDENTIFICATION NUMBER (VIN) ORFLW48A25549CN 13 LENGTH/WIDTH(FEET) 52 X 27 LEGAL DESCRIPTION ON PAGE 2 REAL PRO PERTY 503 TAX PARCEL NUMBER MANUFACTURED HOME WILL BE 'AFFIXED ❑ REMOVED LOT PLAT NAME OR SECTION/TOWNSHIP/RANGE BARKER ROAD MOBILE HOMES ADDITIONAL NAMES ON PAGE NUMBER OF LEGAL OWNERS 1 BLOCK 4 GRANTOR(S) REGISTERED/LEGAL OWNER(S) NUMBER OF REGISTERED OWNERS 2 CITY Spokane Valley CITY Spokane QUARTER/QUARTER SECTION DOL CUSTOMER ACCOUNT NUMBER 57gE8DK5/ 08L DOL CUSTOMER ACCOUNT NUMBER 5TRE6.5*504A-P STATE ZIP CODE WA 99027 DOL CUSTOMER ACCOUNT NUMBER DOL CUSTOMER ACCOUNT NUMBER STATE ZIP CODE WA 99202 I DO SOLEMNLY ATTESTES ACCURATE: OF OFTE:RJURY THAT I / WE AM/ARE THE REGISTERED OWNER(S) OF THIS VEHICLE AND THIS INFORMATION Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S) SIGNATURE State of Washington Spokane Signed or attested County of before rrTF�n NOTARY SEAL OR STAMP JULIE A STIRPE NOTARY PL l t OF IRAS�4 ST` PRINT NAME OF REGISTERED OWNER yVHI'117GTUdhhY Silvia Strebeck Jul i . Stir pe COMMISSION {PIREJb, PRINTED NAME OF NOTARY County/Office No. OR AND: Dealer No. OR9�19 08 Notary Expiration Date 5- Don K. Strebeck L_� I LNIBER 19, 200 PRINT NAME OF REGISTERED OWNER "�"�'"-`'``TT Title Notary Public DEALERSHIP POSITION/AGENT/NOTARY Signature N� OR AGE 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and cor correct perAthe real pNUMBERproperty records. TITLE NAME (TYPED OR PRINTED) SIGNATURE / POSITION Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. I c BUILDING PERMIT OFFICE CERTIFICATION D the manufactured home has been affixed to the real property as described. ertify that: 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. BLDG PERMIT # NAME (TYPED OR PRINTED) ^.T S NA URE / POSI ION BLDG PERMIT OFFICE/PHONE # DATE 0