Laserfiche WebLink
�� `^+ <br /> Authentisign ID:54BC24DA-EA52-F011-8F7C-000D3A6A9962 D �/�„�/�, S e.v /'�r L /''� l ern �J <br /> (La c Y K L J 0 V `.J 1 VV / <br /> ci <br /> SECTION 1 NATURE OF FILING.(check all that apply) <br /> ❑■ New home to MHODS i er 4)rt : ) <br /> Wkeseioina".FraN • c 1 Cni,tay,dtpdVttOr.age <br /> INNALtligilzekancAtage g i us ❑] Trip Permit <br /> 0/XvirAgNA•ifkAtailaek t e t1gsNote): <br /> SECTION 2 APPLICANT INFORMATION.(please print) <br /> ]Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑ Legal Representative <br /> Name. <br /> COMMONWEALTH HOMEOWNER SERVICES, INC. Phone:503-244-2300 <br /> (first,middle, last) <br /> Address:18150 SW BOONES FERRY RD <br /> City:PORTLAND State:OR ZIP:97224 <br /> Email:MELISACOOK@CWRES.COM <br /> SECTION 3 •- HOME INFORMATION (information in bold is required) <br /> Home ID#: Y vE Vv OR No Home ID: ❑New Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer:CAVCO MANUFACTURING, LLC:CAVCO WOODBURN b 359 <br /> Mode1:210EV28603Z Year:2025 <br /> Serial Number(s) HUD Label Number(s) *Required if new home <br /> FLE2100R25-24628A ORE 566926 <br /> FLE 2100R25-24628B ORE 566927 <br /> #of Sections: 2 Sq.footage: 1425 Bedrooms: 3 Bathrooms: 2 <br /> Roofing type: COMP .- Siding type: LAP CEMENT Heating type: ELECTRIC Cooling type: NONE <br /> Date of sale: 4-14-25 Sale price:$106,021 Includes land: ❑Yes 0 No <br /> -af applicable) <br /> SECTION 4 DEALER INFORMATION (leave blank if no dealer) <br /> Name: License#: <br /> (first,middle, last) <br /> Address: <br /> City: State: ZIP: <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 /> Signature: Date: <br /> SECTION 5 HOME LOCATION <br /> Current Address:2655 PROGRESS WAY <br /> City:WOODBURN County:MARION State:OR Zip:97071 <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:2410 Lancaster Dr SE SP.#1005 <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 />