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