Laserfiche WebLink
Qv -1 -1 GlrCb <br /> Pasty ( <br /> 0 <br /> Docusign Envelope ID:783C2C2B-050B•8AA5-800A-0A5CBE235DDA c54 <br /> ,,SECTION-1 :`' ;NATURE OF'FILING,(check all thatapply)= <br /> St,Nn1/4 9De host (LS ion : <br /> ggr--Malhame.sale l� n' g.• . p :. rty —e h ted t5rage <br /> [LS c r'tyvater sLchh nge ' m pro rty status Trip Permit <br /> alvfanda.43fihlterkance t ie e-dote): <br /> SECTION,2F, ; APPLICANT'INFORMATION:(please pririt) <br /> ❑I Dealer/Seller 0 Lender ❑Escrowf tle Agent 0 Owner/Buyer ❑Legal Representative <br /> Name: <br /> Aita Cima CorpBA: FactoryExpo Homes Phone:503-980-3990 <br /> (first,middle,last) P P <br /> Address:2555 Progress Way <br /> City:Woodburn State:OR zIP:97071 <br /> Email:agarcia@factoryexpohomes.com <br /> SEGTION;3;. HOME(INFORMATION(Information;in bold isreguired) <br /> Home ID#: fJ E t,},./ OR No Home ID: 0 New Home 0 Out of state home ❑Leaving County Deed Records <br /> Manufacturer:CAVCO 1.0 l 324 c <br /> Model:Winnepeg 24443U Year:2026 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> CAV2100R26-25467A - <br /> CAV2100R26-25467E <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 /> pfapplirnhle) <br /> SECTION 4_:. . DEALER;INFORMATION.(leave blank if,.no dealer) <br /> Name- <br /> Alta Cima CorpBA: FactoryExpo Homes License#:M S D448 <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: 4, Date: 5/4/2026 <br /> ;-SECTION 5 �� ,'• �< .. . ;HOME,LOCATION : �_, <br /> Current Address:2555 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 /> ❑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 0 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 />