Laserfiche WebLink
003ODJO.r . ces <br /> SECTION ; , NATURE OF FILING that apply) <br /> !I -ICNrliblue-tt51.411ADS KAddagAkernoVIng4V.,o-yymer ) <br /> ciSk,,Usedllovesale NAGadirgsaszaaillePertY EVetstrfaieTto-storage <br /> ApalritsAintgiorcliange a'RenibizirrNrarreAngOertylstatus 2 Trip Permit <br /> It/rassfkLeinhkitance Ipliall(r\6191fase-note): <br /> SECTION 2 APPLICANT INFORMATION <br /> El Dealer/Seller D Lender EJ Escrow/Title Agent fp Owner/Buyer D Legal Representative <br /> (first,middle,last)Name:J&M Homes LLC Phone:541-928-1471 <br /> Address:33213 Hwy 34 SE <br /> City:Albany State:OR GIP:97322 <br /> Email:Isimon@jandmhomes.com <br /> SEctiON-3 HOME fii)P ORATION(information in bold is required) <br /> Home ID#: OR No Home ID: El New Home El Out of state home El Leaving County Deed Records <br /> Manufacturer:CM H 1 34) <br /> Model:72DRM28563DH26 Year:2026 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> ALB0450970RA 0RE571397 <br /> ALB045097ORB ORE571398 <br /> #of Sections: 2 Sq.footage: 1512 Bedrooms: 3 Bathrooms: 2 <br /> Roofing type: Architectural Siding type: Vertical Wood Heating type: Electric Cooling type: None <br /> Date of sale: 12/10/24 Sale price: 149109 Includes land: D Yes No <br /> Of applicable) <br /> SECTION 4 .0gALotINFpForips:(leo/.e blank <br /> firstmiddlName'J&M Homes LLC License#:MSD155 <br /> ( , e,last) <br /> Address:15850 S Pope Lane <br /> City:Oregon City State:OR LIP:97045 <br /> Email:dasla@jandmhomes.com Phone:503-908-8166 <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: (*OA: >Iowan Date: el/i4//20 <br /> SECTION 5 , HOME LOCATION <br /> Current Address:2445 Pacific Blvd SW <br /> City:Albany County:Linn State:OR Zip:97321 <br /> Park Name: (if applicable) El This is a dealer lot or storage facility <br /> 111 This home is being moved to a new location Complete the section below <br /> New Address:268 Dogwood Dr <br /> City:Gates County:Marion State:OR Zip:97346 <br /> Park Name: (if applicable) 0 This is a dealer lot or storage facility <br /> Transporter Name:J&M Homes LLC Phone: 541-928-1471 <br /> Address:33213 Hwy 34 SE City: Albany State: OR <br /> Email:Isimon@jandmhomes.com <br /> Page 2 <br />