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<br /> ■[], Dealer/seller ..(I Lender 10 Escrow/title agent D Owner/buyer 0 Legal representative
<br /> •
<br /> Name:CASCADE FACTORY HOMES,INC _
<br /> Address(including city,state,and ZIP):590 N.PACIFIC HWY,WOODBURN,OR 97071
<br /> Phone:(503)981-5314
<br /> Email;CAS CADEHOMESeYAHOO.COM _
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<br /> Home ID number(1f known): DMV X-plate number([f knower)t
<br /> rE.w r355(07(o NEW
<br /> D Moving in from another state
<br /> Has no home ID or X-plate because: ❑Coming out of county deed records
<br /> Other: •
<br /> Manufacturer.
<br /> FLEETWOOD HOMES • Model:EAGLE 284835 Year:2018
<br /> •
<br /> •
<br /> Manufacturer serial number • HUD number
<br /> FLE2100R18-16974A ORE 541197
<br /> FLE2100R18-189748 0RE541198
<br /> •
<br /> *Number of sections:2 *Square footage:1279 *Number of bedrooms:3 'Number of bathrooms;2
<br /> *Type of roofing:COMPOSITIO *Type of siding:CEMENT *'Heating:ELECTRIC *Cooling:NO
<br /> *'Date of sale: *Sates price:$56,756.00 *Includes land:D Yes ®No
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<br /> Dealer name: Dealer license number: Dealer address and phone:
<br /> CASCADE FACTORY HOMES,INC MSD-41 590 N.PACIFIC HWY
<br /> WOODBURN,OR 97071
<br /> (50 i)981-5314
<br /> ©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,
<br /> I hereby declare that the above statement is true to the best of my knowledge and belief,and that I understand it Is
<br /> made for use as evidence in court and is subject to penalty for perjury.
<br /> Dealer name(print):
<br /> Dealer signature: Date:
<br /> CASCADE FACTORY HOMES,INC •
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<br /> Transporter name: Transporter address and phoao:
<br /> NEWMAN'S MOBILE HOME TRANSPORT P 0 BOX 235
<br /> SILVERTON,OR 97381
<br /> 503.932-5142
<br /> 440-2952(17171COM) Page 2
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