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CI to rn2.ct-Q <br /> 3q <br /> 35Cro3vR1 V95 cl- KM r J(� , e..F <br /> Ii <br /> NATURE OF FILING (check all that applies) . . • j�` : <br /> i = sc tt' iILe 1 « s ' i1n &Af n n: <br /> II ' ''o F i' s • p1 glNi y t� I Trip permit c d <br /> tiNCART: 11 <br /> . <br /> APPLICANT.aINFORMATION I :' <br /> * Dealer/seller ❑Lender ❑Escrow/title agent 0 Owner/buyer ❑ Legal representative <br /> Name:CASCADE FACTORY HOMES, INC 11 <br /> Address(including city,state, and ZIP):590 N. PACIFIC HWY,WOODBURN, OR 97071 11 <br /> Phone:(503)981-5314 i <br /> Email:CASCADEHOMES@YAHOO.COM <br /> . '. HOME INFORMATION (*;required) . . ' II:- <br /> . <br /> Home ID number(if known): DMV X-plate number(if known): <br /> I1Ew . M 35701 q 1i <br /> ❑ Moving in from another state <br /> Has no home ID or X-plate because: ❑ Coming out of county deed records <br /> n Other: <br /> Manufacturer:FLEETWOOD HOMES Model:210EG28483S Year:2019' <br /> ii <br /> Manufacturer serial number • HUD number <br /> 11 <br /> H <br /> FLE2100R18-19360A - ORE 545034 <br /> FLE2100R18-19360B ORE 545035 I: <br /> I <br /> *Number of sections:2 *Square footage: 1279 *Number of bedrooms:3 *Number of bathrooms:2 I; <br /> li <br /> *Type of roofing:COMPOSITIO *Type of siding:CEMENT *.Heating:ELECTRIC *Cooling:NO <br /> *Date of sale: 1-29-19 1 *Sales price:59,723,50 *Includes land: ❑ Yes 0 No j I <br /> - DEALER INFORMATION,,(if�no dealer; leave ,blank) t <br /> Dealer name: Dealer license number: Dealer address and phone: I <br /> CASCADE FACTORY HOMES, INC MSD-41 590 N. PACIFIC HWY <br /> WOODBURN, OR 97071 <br /> (503)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 understandlit is <br /> made for use as evidence in court and is subject to penalty for erjury. 11 <br /> Dealer name (print): Dc, or s. r Date:J I I <br /> CASCADE FACTORY HOMES, INC ��. ��^� 1lg1j1ci 11 <br /> TRANSPORTER INFORMATION (if,not'mavingi leave blank) -' - 3. <br /> Transporter name: Transporter address and phone: <br /> i <br /> NEWMAN'S MOBILE HOME TRANSPORT P.O. BOX 236 • <br /> SILVERTON, OR 97381 I <br /> 503-932-5142 I <br /> I <br /> 440-2952(7/17/COM) Page 2 • I <br />