Laserfiche WebLink
• <br /> 98 -721 Gol club RdSt 11- 01,0 <br /> Docusign Envelope ID:783C2C2B-050B-8AA5-800A-0A5CBE235DDA 54-Ct -4-on <br /> ',SECTION'I _ ' ,NATURE OF'FILING;(check ali that apply) <br /> lit--N kotpe-tRQDS In•-,adlaingteViPtgacner 111.,ertsol'ton : <br /> d htigrtgsale Q - g.• t-: p :.`rty N—e6 tostrrage <br /> terest.ah�nge o ' m pro rty status Trip Permit <br /> e i etitance le estate): <br /> SECTION2 . :=` APPLICANT INFORMATION(please print) <br /> ❑� Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative <br /> Name:Alta Cima CorpBA: FactoryExpo Homes Phone:503-980-3990 <br /> (first.»,fiddle,lash P P <br /> Address:2555 Progress Way <br /> City:Woodburn State:OR ZIP:97071 <br /> Emaikagarcia@factoryexpohomes.com <br /> SECTION'S.- "HOME1NFORMATION_(Information In bold i's'required)_ <br /> Home ID#: N VJ.l OR No Home ID: 0 New Home ❑Out of state home ❑having County Deed Records <br /> Manufacturer:CAVCO LO l 3'4 (el <br /> Model:Winnepeg 24443U Year:2026 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> CAV2100R26-25467A - <br /> CAV2100R26-25467B <br /> #of Sections: 2 Sq.footage: 1026 Bedrooms: 3 Bathrooms: 2 <br /> Roofing type: ARCH COMP Siding type: LAP SIDING Heating type: ELECTRIC Cooling type: NONE <br /> Date of sale: 4/7/2026 Sale price: $92,533.77 Includes land: ❑Yes Q No <br /> (lapplicable) <br /> SECTION 4.:.` DEALER INFORMATION.(leave blank if,,no'dealer) .. <br /> Name:Alta Cima CorpBA: FactoryExpo Homes License#:MSD448 <br /> (first,middle,last) P P <br /> Address:2555 Progress Way <br /> City:Woodburn State:OR ZIP:97071 <br /> Email:agarcia@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: ,rQ a tz Date: 5/4/2026 <br /> SECTION 5 �'.w.:' °HOME,LOCATION <br /> Current Address:2555 Progress Way <br /> City:Woodburn County:Marion State:OR Zip:97071 <br /> Park Name:(d'applicable) ®This is a dealer lot or storage facility <br /> ❑This home is being moved to a new location Complete the section below <br /> New Address:9874 Golf Club Rd SE#26 <br /> City:Stayton County:Marion State:OR Zip:97383 <br /> Park Name:(if applicable) Oak Estates MHC ❑This is a dealer lot or storage facility <br /> Transporter Name:Blue Haul Transportation Phone: 818-434-5501 <br /> Address:38681 Garden Dr City: Scio State: OR <br /> Email:blue.haul@yahoo.com <br /> Page 2 <br />