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• <br /> 5EC'9"lt�id a k . . ATURE OF�111`49G�clieck all�fhat PpIY1,Y. <br /> ZANNAVIS,t6t41103DS caVVIIVANAKkieViAuer ®'113 61kjsmifiatc:�) <br /> Used home sale ateol'd'l ihaf rtY aeaunlatenvatarge <br /> � q�.��ft�'nit24�nge y� u� g n I e tus ®. Trip Permit <br /> u�1*� 3 � Ly V <br /> g-t'E ON 2 ; API CANT INFCIRMATION' plsa`se nnt) <br /> EJ Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/I3uycr D Legal Representative <br /> Name:ADVANCED HOME BROKERS, INC. Phone:503-650-0304 <br /> first,middle,}last) <br /> Address:10762 S.E. HWY.•212 <br /> City:CLACKAMAS State:OREGON ziP:97015 <br /> Email:johnabraham1958@gmail.com <br /> SECTION 3 £ HOME INFORMA`,('ION(tnformation In,bold Is required} Y <br /> Home ID#:212712 OR No Home ID: ❑New Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer.'CORINTHIAN 1j'I C 4 1 <br /> Model:'UNKNOWN Year:1977 <br /> Serial Number(s)_ HUD Label Number(s)*Required if new home <br /> 147093087 ORE 013096 <br /> #,ofSeetions: :'1 Sq.footage: 924 Bedrooms: 3 Bathrooms: 2 <br /> Roofmgtvpe METAL Siding type: 'METAL Heating type: HEAT PUMP Cooling type: HEAT PUMP' <br /> Dal"}sale: 03-06-23 Sale price: $15,950.00 Includes land: ❑Yes 111 No <br /> {IJ"a�licableJ . <br /> INFORMAYION <br /> Name-ADVANCED HOME BROKERS, INC. License#:MSD-579 <br /> (first.,middle:last) - <br /> Address 1:0762 S.E. HWY. 212 <br /> iCityCLACKAMAS State:OREGON ZIP:97015 <br /> Emaii johnabc harn1958@gmait.com Phone:503-650-0304 <br /> I hereby declare this. factured structure is free and clear of all mortgages,deeds of trust,security interests,and liens.I have the <br /> legal right to sell "s nufacwred strut e or my interest in it.The information listed is true to the best of my knowledge and <br /> belief and 1 and s d' can e d vidence in court and is subject to a penalty of perjury. <br /> Stgnatur Date 0 . ... . .. ., <br /> mil. z z cb HDM CA•11'Il �! <br /> i� ��m.ax° Nam. ,�a,., taa•3.��s��.Aaca..�..,..a„e a>mv..�.`a, ,.� -- .0 �v�,.....,,. <br /> Current Address;11732 PINE ST.SRC 2 <br /> C.tty:SILYERTON County:MARION I State:ORE. 1 Zip:97381 <br /> Pitts Name 't"�'rpp1}cable) PALO PARK 0 This is a dealer lot or storage facility <br /> 't ,' .... <br /> his home Is bein moved to a new location Complete the s tlon below alo Z 93131 PRAIRIE RD: <br /> City:JUNCTION CITY County:LANE I State:ORE Zip:97404 <br /> R, trppllcabk) (]� This is a dealer lot or storage theility <br /> fz- -Na- CT WIL 'QN Phone: 541-980-5711 <br /> t der¢ :PC BOSS 862 City: LYLE State: WA. <br /> 1J: 180 2,4dad,@yalloo,com <br /> Page 2 <br />