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611251 (2)
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Last modified
11/7/2024 11:04:41 PM
Creation date
11/7/2024 10:14:00 AM
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Template:
Assessor
Account Number
611251
512712
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
11/5/2024
MTL
051W06CC00100
Assessor Section
Manufactured Structures
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qq Woo...( I� Wobav <br /> • • <br /> ....,,,..... ....... . ,OF?iFILING(ihe�k�all:that•aPPIY):°::�:=:�'���,s'.`::'��' �;:_:.;`::�.:: ::::;�:..:.�... <br /> 1$[ New home to MHODS bVeadiakeesertits.viliwave.ownfrN 1 <br /> gu?sefl`h08re�e ��_ ) <br /> 1453/0atf erC@d-tcstorage <br /> . ge '‘Eikaiyaneodagfiroth.sedNOtptgkstrttus g Trip Permit <br /> iSkaansfetriabrkitailte rSKOtheiNgjel se? te): <br /> . .. ....:..-�:.•:.::.,::..,.:.:...::..:::��::;::::.dl'PLI±C°AN.T.:;l(�FGRIVfATrON least:��itrit� ���`�>`. :�: ;:;;_,.:.:;.-::::.:::;:. ;•.:. <br /> Dealer/Seller ❑Lender ❑Pscrow/TitleAgent ❑Owner/Buyer ❑Legal Representative. <br /> Name: <br /> (first,middle,Iasi) • Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: 2555 Progress Way <br /> • City: Woodburn State:OR. ZIP: 97071 <br /> Email:moconnell@factoryexpohomes.com <br /> -• .: t�OIIAIE�IN�ORMAYIOiIV(itifotrnatior�irt`:boldasre'�iilred <br /> Home ID#: V tod ui OR No Home ID: XNew Home ❑Out of slate home ❑Leaving County Deed Records <br /> Manufacturer: Fleetwood <br /> Model:Winnepeg 24443U Year: 2025 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> . FLE210OR24-24300A <br /> FLE210ON24-2430 3 <br /> #of Sections: 2 Sq.footage: 1026 Bedrooms: 3 Bathrooms: 2 <br /> Roofing type: Arch Comp. Siding type: Vert. Cement Heating type: Electric Cooling type: <br /> None <br /> Date of sale:• IJapplcabts09/04/2024 Sale price: Includes 77,923.00 <br /> land: D Yes RNo <br /> ��: .. .:..:....._�...::.,:.::,:.:.:.•.;,;..:,.::::.:.:.,:...,;:�::,:...,:�.-::<!�;:D:....:,....ERI�VFORMATION:(leave;6l�nkif:no:dea(er)�°�:�:> >,:;:::_;:>::;.::>�::`�` ��::�`�; .`�� <br /> Name` Alta Cima Corp. ba: FactoryExpo Homes • License#:(first,middle,fast) p P MSD 448 - <br /> Address: 2555 Progress Way <br /> city:Woodburn state: OR. ZIP: 97071 <br /> Email: moconnell©factoryexpohomes.com Phone: 503-980-3990 <br /> I hereby declare this manufactured structure is free and clear of all mortgages,deeds of trust,security interests,and liens.I have the <br /> legal right to sell this manufactured structure or my interest in it.The information listed is true to the best of my knowledge and <br /> belief,and I understand it can be used as evidence in court and is subject to a penalty of perjury. <br /> Signature: O/�� Date: <br /> t • 09/24/2024 <br /> .5ECTI <br /> A <br /> :..... ...........,........:::..,:...;.::•.,:... .:..:.:...:::::,:;;;.;:;;:;;;�:;;;;,:.�::::::::�:: � HONi -LOCATION.::.::�::.:�.•:�:�=::::�;::: :�::::::;.{;::::::.::;.:::�:;:>.... . <br /> .......... ..... .. <br /> Current Address:2555 Progress Way <br /> City: Woodburn county: Marion state: OR Zip: 97071 <br /> Park Name:(if applicable) X This is a dealer lot or storage facility <br /> This home is being moved to a new location Complete the section below <br /> New Address: 19,99 Jansen Way#14 <br /> City: Woodburn County: Marion State: OR Zip: 97071 <br /> Park Name:(if applicable) <br /> ❑This is a dealer lot or storage facility <br /> Transporter Name: Blue Haul Transport Phone: 818-434-5501 <br /> Address: 38681 Garden Dr. City: Scio State: OR <br /> Email:blue.haul@yahoo.com <br /> Page 2 <br />
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