Laserfiche WebLink
T � <br /> . • <br /> c •cl 9 Tans en � V V � .. <br /> LOctui barn <br /> ,��::;:::::;';:.<:�':�:� .;.::;:�::::':•:.:• <br /> X New home to MHODS �,'dd e � : ) <br /> �r-vI�e she erfJerC�rl-bo storage <br /> g .is tsL C.trhannge TikaniotiaTiratimatnar6ti,grtAstatustg Trip Permit <br /> e <br /> • <br /> •:Sl<:'''ION;iS�i::�^:::':: '_�••, '':i�:i: i`r,'-':i 3`.;;.'�:::�: .:.::,: i <br /> r.: , ''�"APPII±CAN.T•-:It�FC�RMAi'(ON' �`lease�ifnt <br /> Dealer/Seller 0 Lender 0 Escrow/TitleAgent ❑Owner/Buyer 0 Legal Representative <br /> Name: <br /> Urst,middle last) Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: 2555 Progress Way <br /> city: Woodburn State:OR. ZZIP: 97071 <br /> Email:moconnell@factoryexpohomes.com <br /> •'�'��•'" ': bM1�INr=dRMA71bIV'i inftfttri�'o��:`"b <br /> Home ID#: �� OR No Home ID: XNew Home [I Out of state home Q Leaving County Deed Records <br /> Manufacturer: Fleetwood <br /> Model:Winnepeg 24443U Year: 2025 <br /> Serial Nu mb er(s) HUD Label Numbers)*Required if mew home <br /> FLE210OR24-24300A <br /> FLE210O 24-24:3u013 <br /> .#ofsections: 2 Sq.footage: 1026 Bedrooms: 3 Bathrooms: 2... <br /> Rool'ingtype: Arch Comp. Siding type: Vert. Cement Heating type: Electric Cooling type: None <br /> • Date aisle: 09/04/2024 Sae price:°rapplkame) l Im 77,923.00 Includes land: ❑Yes RNo <br /> :.... : ..: �:�DEAIt�RzI.NF,aR •.....: ... . <br /> ..:.......::...:_,:..:..,.:.,...:�.,,.:,:::;:_;:::;;':_;:-,.,.:;:;-:.. ..�..... ...,._.......CATION(leave6larililfiio'deafer)�•' � :' �;:;::::�::: ':.�':::.:::.' ' <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes License#:(Rrst,middle,last) p P MSD 448 - <br /> Address: 2555 Progress Way <br /> city:Woodburn State: OR. ZIP: 97071 <br /> Emait: 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: )"(vu Date:e. 4 <br /> :......... . .:,.......,:,�:..,....... ..... . ....:. ..... . ,:. A►PION :�<�::: ::=:::::::::° ::::: :"::�:::°';::.;:::�:�...:: �: � ::::::. <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 /> 1This 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:(f applicable) ❑This is a dealer lot or storage facility <br /> TransporterName: 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 />