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611256 (2)
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611256 (2)
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Last modified
12/13/2024 11:02:54 PM
Creation date
12/13/2024 9:17:56 AM
Metadata
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Template:
Assessor
Account Number
611256
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
12/3/2024
MTL
082W06AC02600
Assessor Section
Manufactured Structures
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3--ao O La ca-S-�—�( YC r. Se, ' <br /> Authentisign ID:3265E5A1-F5a0-EF11.86CF-002248299057 S C " 3 / 7 <br /> IGtk m6 oibDS ititzetnOsagrzroo.owner ate: <br /> El Used home sale o ' as [l]'Co i rt d'tiz,,sttlage <br /> KI/Sccurityjnteze,st-chartge a petty-sfatus ® Trip Permit <br /> 3.,:_isfokb..yinixd,ta c>�C E th 1 as ote) <br /> Clflt?N'� ' APPLICANT INFORMATION(pfeaeaprint), <br /> Dealer/Seller ❑Lender D Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative <br /> Name. <br /> COMMONWEALTH HOMEOWNER SERVICES Phone:503-244-2300 <br /> (first,middle,last) <br /> Address:18150 SW BOONES FERRY ROAD <br /> City:PORTLAND State:OR ZIP:97224 <br /> Email:MEUSA.COOK@CWRES.COM <br /> MSECT1ON 3\ � ., MClM 1 F�1 kVIAi'1131V,(infQrtnahon fn fa 4d ls,#equired}< n . ..r <br /> Home ID#: Iv 6 V V OR No Home ID: ©New Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer:CLAYTON ( i <br /> Mode1:72DR14401AH24 Year:2024 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> ALB043541 OR ORE 564722 <br /> #of Sections: 1 Sq.footage: 560 Bedrooms: 1 Bathrooms: 1 <br /> Roofing type: COMP Siding type:'Vertical Smart Panel Heating type: ELECTRIC Cooling type: NONE <br /> Date of sale: <br /> ajapplicable) 3-'5'49 Sale price: S SDIVS— Includes land: ❑Yes No <br /> SRCTION 1, .n: "• ,., DEALE :INFORMATION,(leave bIar>k tf tto dealer} ' . :. ,' � , <br /> Name:COMMONWEALTH HOMEOWNER SERVICES,INC. License#:MSD508 <br /> Urst,middle,last) <br /> Address:18150 SW BOONES FERRY ROAD <br /> City:PORTLAND State:OR ZIP:97224 <br /> Email: Phone: <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 /> Signaturekrts Guerhsey Date: 12/02/24 <br /> 1QprA Oy <br /> Current Address:2445 PACIFIC BLVD SW <br /> CityALBANY County:LINN State:OR Zip:97321 <br /> Park Name:(if applicable) ❑This is a dealer lot or storage facility <br /> 0 This home is being moved to a new location Complete the section below <br /> New Address:2200 LANCASTER DRIVE SE,SP.#16A <br /> City:SALEM County:MARION State:OR Zip:97317 <br /> Park Name:(if applicable) SUNDIAL MHP ❑This is a dealer lot or storage facility <br /> Transporter Name:NEWMAN;S MOBILE HOME TRANSPORT Phone:503-932-5142 <br /> Address:PO BOX 236 City:SILVERTON State:OR <br /> Email: <br /> Page 2 <br />
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