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<br /> MI Dealer/44W 0 Lender 0 Escrow/0e agent 0 Owneribuyer 0 Lewd represontative
<br /> Name: ON1H OBA Clayton Haynes Albany
<br /> Address(icluding city.state,and ZIP): 1437 Cenbuy Dam NE Albany,OR 97321
<br /> Thom: 541.907,8555
<br /> EMeli: liC0130niayiontwerese,corn
<br /> - '1'-';'-'
<br /> Home ID amber(Oman): DWI X./AS[6 munher(ifknown):
<br /> NiEw` rn 354 q5 Cv
<br /> Ej Moving in from another state
<br /> . _
<br /> Hes no home ID or X-phrte because: 0 Coming out of county deed records
<br /> • 0 Other:
<br /> / Manufactunn:Fleetwood of Wahl, Mudd:Broadmora Year: 2017
<br /> Idamifachther Saint!Mother HUD nuMber
<br /> . _ , _
<br /> FLE230tD17-33037 AB
<br /> *Member idol:00cm:2 *Square footage 1904 *Number of bedrooms:3 *Number of bathrowns:3
<br /> 4Type of roofinv Shin* *Type of siding:LP elletuins Electric *Coolinx
<br /> *Date of sid, 7,13,17 *Sales/Irk&299,90426 *ballades lend:IN Yes 0 No
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<br /> Dealer net= Dealer license natehar: Dealer address and plioro
<br /> CMH OSA Clayton Hornets Albany 1430195 1437 Century Orly°NE
<br /> Albany OR 97321
<br /> 541,96.8.5%
<br /> Ilmis manufactured structure is free and clear of all mortgages,deeds of trust,security interests,and liens.I ba sie the
<br /> legal lied to sell this nureufsctued structure.
<br /> I hereby declare that the above statement is hue to the hest of my knowledge aud belief,sad that I understand irk
<br /> made for use as evidence hi wart and is subject to penalty for perjury.
<br /> Dealer name Curtinr): siguatute: Date:
<br /> Myrna Harder'
<br /> I. ,Aliti. ail i 41$1 i , E415/17
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<br /> Transporter nom ' Trauspotter address and phone:
<br /> Benelt : PO Box 903099
<br /> While Qty, OR 97503 541479-3444
<br /> mean rurricom Page 2
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