|
/fig g
<br /> i ,.
<br /> �`� �rj Cct�v
<br /> ti-, F—C12-- In lqidc � R1t'ii sc.6 MI'1L5
<br /> cJ
<br /> ` ¢ ;,, -;g r ` -A u '`tot dciti-tovwll-that app les 'E n , o i F R,�n:_- f
<br /> x
<br /> Etta n s 6 't r' e• t ❑� Change ownership ❑w�eI 10 ' I. .a o�. � o '.'s,?
<br /> ❑ e r s ° r a8` ' s 1 s'J [V1u" storage .
<br /> �Y ((gyp `(� �p `
<br /> x r w'@x Y 4 "t si°�,r r"•," -�- any .t4 ? #.,�, "e`z i ;.t;r M��i g+ l4.N'1 ii I06kki Ai 0O N fi v ,c 4^`,..,y ,� s f-,,.� .,i, ,, ,err _ i..
<br /> ..f�W. . r.-,r ! r..: .,._1.,, ',—. *�} P ? ^v.,�'. s.-.... x,S,_ ,,,. � .ra Y 5.'.�-. x�' ,h ..'z.,'.� z„,,. a'x ;.,,,m
<br /> ,.r.n .. ,...,», 1..,,._ c.3.....y
<br /> ❑® Dealer/seller ❑Lender ❑Escrow/title agent ❑ Owner/buyer ❑Legal representative
<br /> Name: Factory Expo Homes t
<br /> •
<br /> Address(including city,state,and ZIP): 2555 Progress Way, Woodburn, OR. 97071
<br /> Phone: 503-981-0770
<br /> Email: moconnell@factoryexpohomes.com .
<br /> 1111,1,11,14,11,00040'.000114544,1001,,,,M31,111
<br /> ... ._. .
<br /> Home ID number(if known): l DMV X-plate number('if known): i'
<br /> t . 1 .. 35-74 P5
<br /> .
<br /> ❑Moving in from another state
<br /> Has no home ID or X-plate because: ❑ Coming out of county deed records
<br /> ❑ Other: r
<br /> • 1
<br /> Manufacturer: FleetwoodModel: McCloud 28663V Year: 2019
<br /> Manufacturer serial number ;•HUD number: [
<br /> FLE2100R19-19657A 0 i�� 5-115-
<br /> 5 I
<br /> t"
<br /> FLE2100R19-196578 Ur ,Qi - . 5-`1 S .�-/P_
<br /> 4.
<br /> t,
<br /> t.
<br /> *Number of sections: 2 *Square footage: 1759 *Number of bedrooms: 4 *Number of bathrooms: 2
<br /> j
<br /> *Type of roofing: Arch. Comp. *Type of siding: Vert. Cement *Heating: Electric *Cooling: None " i
<br /> l
<br /> *Date of sale: 12/27/2018 *Sales price: 104,572.00 *Includes land: ❑Yes 0 No
<br /> .irs D. 000,•daave acs y ( 7;
<br /> Dealer name: DealeL11Len5e'number:
<br /> - Dealer address and phone: - - •4
<br /> Alta Cima Corp. MSD 448 2555 Progress Way i
<br /> Dba: Factory Expo Homes Woodburn, OR. 97071
<br /> 1
<br /> I
<br /> OThis manufactured structure is free and clear of all mortgages,deeds of trusty 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 itis s
<br /> made for use as evidence in court and is subject to penalty for perjury.
<br /> Dealer name(print): Dealer signature: ' Date: f
<br /> Alta Cima Corp. v , // 02/12/2019
<br /> ftGl ; t at r x, r: r sa`, a l..x r ,.S ,, .. -. c T*c ,
<br /> �V � . a ,- r T1tt�1'N$P`00Eizt tN�'o iUi4l'If N ( �o#m�uintleava bank ` t
<br /> .<,'�,Rx",r . :F.:, .:,,*rii-.r-'z f",r ,r 33 ,,.-- '�, ,A x..-r. x w k y 9, `�'"'
<br /> .. .�p< .,si. ..,- .'kdax,Yta,_,.,,-a � rr,F r-der - x,,,.,, ..�._,.. ,__ -'_'_ �_�c.�..,.�.-. .,«:'s...... ? _.,
<br /> Transporter name: Transporter address and phone: `
<br /> Superior Home Transport,LLC PO Box 1067 i
<br /> Jefferson,OR. 97352
<br /> . 1
<br /> 440-2952(7/.17/COM) Page 2
<br />
|