HomeMy WebLinkAboutBLD1990-00659 C (4JLH
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Manufactured Home: C__,-'
Year 1990 Make Dartmouth Width 28 Length 60
Vehicle Identification Number
1-10946
Registered Owners: , �
Linette Rice & Richard P, Rice `
Names Signatur .- l 4,�LQ — ��'
Legal Owners: alitn-
�, ,Charles R, Marsh
Names Si9natures' �Wv\ wlL
'SIGNATURES OF OWNERS 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 TO WHICH IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home is Being Affixed:
5 "A�
Property Tax Parcel Number 9 / 3 S.
`f 0// yv G am' `
Legal Description j S 7 2 �/ �` / tc) a 0 4 . r ` to ' _ ' "
Richard P Rice & Linette Rice Signatures2 Owners' Names 9
'SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISTED ABOVE.
Building Permit Office Certification: APPROVE
I certify that the manufactured home has been affixed to the real property as described above and building permit
number t'-E ci V-6 e-Gas been issued for the purpose of affixing the mar fa;Gturecl home to the land and will be
1990
inspected upon completion. ir ".,
y
•� s� i)L-e—_, ��2T.���/ �' 'Jeff o n nt� ertiir� I/ ..
NAME SIGNATURE / BLDG.PERMIT OFFICE �,• & Buiidin�"�{ g?partm8nt PHONE NUMBER
County Auditor/Agent Licensing Office Approval: (Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME SIGNATURE OFFICE/CAAP OPERATOR NUMBER DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME SIGNATURE COUNTY DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
TD-420-730 MFG HOME TITLE ELIM IN/1/90)Page 2 of 2