2008, 05-15 Title Eliminationstewart
title of spokane
11917 E. Broadway Ave., Suite 102
Spokane Valley, WA 99206
Phone (509) 927-7171 — Fax (509) 927-3393
May 15, 2008
City of Spokane Valley
Attn: Permit Department
11703 East Sprague
Here is an Manufactured Home Elimination form for 17318 E 4`h Avenue, Spokane Valley, WA 99016.
I have been told that the final inspection has been done so the title can be eliminated. After the
Building Permit Office Certification has been signed, please give me a call at the above number and I
will send someone to pick it up.
If you have any questions or concerns, please call me. Thanks for your assistance.
Sincerely,
Stewart Title of Spokane
Laura J. Biddle
Limited Practice Officer
RETURN ADDRESS
ctWASHINGTON STATE DEPARTMENT OF Manufactured Home
LICENSING Application
Anyone who knowingly makes a false statement of a material fact is
of a felony, and upon conviction may be punished by a fine, imprisonment,
[TITLE
REMOVAL
(RCW
PLEASE CHECK ONE
ELIMINATION
IN LOCATION
FROM REAL PROPERTY
46.12.210)
■TRANSFER
•
guilty
or both.
1 MANUFACTURED HOME
TPO / PLATE NUMBER
YEAR
1985
MAKE
GUER
LENGTH/WIDTH(FEET)
52 X 28
VEHICLE IDENTIFICATION NUMBER (VIN)
11420
2 LAND LEGAL DESCRIPTION ON PAGE
MANUFACTURED HOME WILL BE [AFFIXED
REAL PROPERTY TAX PARCEL NUMBER
55192.1407
• REMOVED
LOT
70,000.00
BLOCK
3
PLAT NAME OR SECTION/TOWNSHIP/RANGE
Apple Valley Estates 1st Addition
QUARTER/QUARTER SECTION
Q GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
COUNTY NUMBER
NUMBER OF REGISTERED OWNERS
'y
NUMBER OF LEGAL OWNERS
2
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
Charles H. Stone
NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
Ruth V Stone
ADDRESS CITY STATE ZIP CODE
PO Box 141928 Spokane WA 99214
NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
Same as registered owner
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY
VEHICLE AND THIS INFORMATION IS ACCURATE:
Signature of Registered Owner and Title, IF
Signature of Additional Registered Owner and Title, IF
THAT I / WE AM/ARE THE REGISTERED OWNER(S) OF THIS
APPLICABLE
APPLICABLE
. NOTARY SEAL OR STAMP
State
by
by
Title
NOTARIZATION/CERTIFICATION
of Washington
County of
FOR REGISTERED
Signed
or
before
OWNER(S) SIGNATURE
attested
me on
Signature
PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT
PRINT NAME OF REGISTERED OWNER PRINTED
NAME OF
County/Office
AND:
Notary
NOTARY
No. OR
Dealer No. OR
DEALERSHIP POSITION/AGENT/NOTARY
Expiration Date
4 TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME (TYPED OR PRINTED) TITLE COMPANY / PHONE NUMBER
SIGNATURE / POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
5 BUILDING PERMIT OFFICE CERTIFICATION
certify that: El the manufactured home has been affixed to the real property as described.
El a building permit has been issued for this purpose and the attachment will be inspected upon completion.
NAME (TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE #
BLDG PERMIT #
SIGNATURE / POSITION DATE
TD-420-729 (R/6/06) W Page 1 of 2
MANUFACTURED HOME - FROM SECTION 1
TPO / PLATE NUMBER
YEAR
1985
MAKE
GUER
LENGTHANIDTH(FEET)
52 X 28
VEHICLE IDENTIFICATION NUMBER (VIN)
11420
6
SIGNATURE OF LEGAL OWNER
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE / REMOVAL FROM REAL PROPERTY.
Signature of Legal Owner and Title, IF APPLICABLE
Signature of Additional Legal Owner and Title, IF APPLICABLE
NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S) SIGNATURE
State of Washington Signed or attested
County of before me on
by Signature
PRINT NAME OF LEGAL OWNER NOTARY OR AGENT
by
PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY
County/Office No. OR
Title AND: Dealer No. OR
DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
7
LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office)
Lot 7, Block 3, Apple Valley Estate First Addition, according to the plat thereof recorded in Volume 11 of Plats,
Pages(s) 58, records of Spokane County, Washington.
Situate in the County of Spokane, State of Washington.
8
DEALER'S REPORT OF SALE
I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN.
ANY REQUIRED SALES TAX HAS BEEN COLLECTED.
DEALER NAME (TYPED OR PRINTED)
WA DEALER NUMBER
DATE OF SALE
PURCHASE PRICE
TAX JURISDICTION/TAX RATE
DEALERS AUTHORIZED SIGNATURE
U USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery).
9
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents)
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 OFFICE/VFS OPERATOR NUMBER
SIGNATURE
DATE
10
TITLE FEES
FILING FEE
APPLICATION
MOBILE HOME FEE
ELIMINATION FEE
USE TAX
SUBAGENT FEES
MPORTANT: Once the application has been approved by the County Audtor / Vehicle
TOTAL FEES & TAX
Licensing Office, take your 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.
APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the
Manufactured Horne Application, paying all required fees. Vehicle
licensing subagents charge a service fee.
For full instructions on completing this form for Title Elimination, Removal from Real Property or
Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions.
The Department of Licensing has a policy of providing equal access to its services.
If you need special accommodation, please cal (360) 902-3600 or TTY (360) 664-8885.
TO-420-729 (R/6/06) W Page 2 of 2