2026-003146

Klamath County, Oregon
04/10/2026 09:24:02 AM

Fee: $92.00
After recording return to: (For County Recorder Use
Eric Lee Duarte and Nichole Ann Duarte
PO Box 218 Beatty OR 97621
Send all future tax bills to:

same as above

APPLICATION FOR RECORDING MANUFACTURED HOME AS REAL PROPERTY

Check appropriate box: 0 New home 0 Existing home - X Plate Number (if applicable)
LEGAL DESCRIPTION OF MANUFACTURED STRUCTURE
YEAR MAKE HUD NUMBER VEHICLE IDENTIFICATION NUMBER (¥IN) | WIDTH | LENGTH
1993 Fuqua 12160
HOME ID COUNTY ID NUMBER | SITUS ADDRESS
268025 43273 Sycan RD Beatty OR 97621

Legal description per ORS 93.600 or reference number of previously recorded deed. (Attach additional sheets, if needed.)
Map and tax lot number:

3612-00000-00401

PRINTED NAME OF OWNER(S)
Nora Abrott Koenig

PRINTED NAME OF OWNER(S) (For additional owners, attach a second sheet)

MAILING ADDRESS (If different than situs address)
PO Box 216 Beatty OR 97621

SECURITY INTEREST HOLDER NAME AND ADDRESS (If no security interest holder, write “none.” Attach additional sheet if needed.)

Ll gl S reemmenmn

County assessor/t'@ collector or escrow officer ' Daté

CERTIFICATION

I certify that, according to ORS 446.626:
+ The same person owns the manufactured structure and the real property as described above on which the manufactured structure
is or will be situated OR

+  The owner of the manufactured structure holds a recorded leasehold estate of 20 or more years of the land;

¢ The manufactured structure is or will be affixed to the real property and subject to taxation by the county in which it is located as
an improvement to the real property;

+  Each person with a security interest in the manufactured structure and each person with a security interest in the real property
approves the exemption from ownership document; and

+  This certification is being submitted for recording to the county clerk for the county in which the real property is located. A copy
of said recorded document is being provided to the county assessor in addition to the State of Oregon Building Codes Division,
or one of its county agents along with the County Manufactured Home Notification and Tax Certification Form for Used Homes
and a Manufactured Home Bill of $ale/Change Application.

X SIGNATURE OF OWNER

X SIGNATURE OF OWNER A 4
State of Oregon, County of =¥ | {1 {4 (4

The J?vgomg insty unent wa\s acknowledged before me this
day of - R_t TN (?t{
N RV EINTN AT ) c,&“WWwy

Signature of notery public: Ly PEUVEYY Y
My commission expires: f £ fl"'l J (Notary seal)

BCD

Department of Consumer
snd Business Sarvices

440-5176 (12/24/COM)

OFFICIAL STAMP Page |1

EMILY JEAN COE !
NOTARY PUBLIC-OREGON
COMMISSION NO. 1062023
MY COMMISSION EXPIRES SEPTEMBER 08, 2029

Additional sheet for legal description, if needed.

Parcel 2 of Land Partition 38-92 situated in the SW1/4 Section 35, Township 35 South, Range 12 East of the
Willamette Meridian, and Section 2, Township 36 South, Range 12 East of the Willamette Meridian, Klamath
County, Oregon.

440-5176 (12/24/COM) Page | 2