Laserfiche WebLink
M b V L r>J -1-6 — 4 34 b t-kosi RO 5 totteJ- ry,e. <br /> NATURE OF FILM O!i (check:alp that appOOc s) <br /> achbuge se ir'ty,ii erest ( ( 1 Change ownership I n,Da11'tio a e o d`em®1-ition: <br /> lain s earDroperty I *Removing from real property status I f Trip permit I ® rerte to[lather: <br /> APPLICANT NG OO NATIOf <br /> Dealer/seller <br /> I 0 Lender I 0 Escrow/title agent ® Owner/buyer <br /> I 0 Legal representative <br /> Name:41/ e"-?-t L S' 4A(C.9 �4� i #(.9,24-P <br /> Address(including •et,state,and ZIP):/6 ; � �y c -- GI 7 5 Z._Phone: -0, ✓ ° <br /> Email: <br /> _'. NOW OG IFOI G�IilAT11 N9 * r 6 o a�ore l� <br /> Q q D <br /> Home ID number(ifknown): DMV X-plate number(fknown): <br /> K ig gado (on 6 037 $-) <br /> 0 Moving in from another state <br /> Has no home ID or X-plate because: ®Coming out of county deed records <br /> ❑Other: <br /> Manufacturer: Reed,, 9 P�d I Model: thug.l I Year:(92-J <br /> Manufacturer serial number I HUD number <br /> iiAri, 2-4R i 5971 <br /> *Number of sections: 2- I *square footage:f‘X01 *Number of bedrooms: 3 I *Number of bathrooms: <br /> *Type of roofing: I *Type of siding: -r,/// I *Heating: elealK I *Cooling:,)A <br /> *Date of sale: q'-2 6,_/q l *Sales price: j <br /> �C�c�Cj I 'Includes land: Yes® i1�'rl No <br /> DEALEk. INFORMATION (Of ri© cleaner, Wave hlarn*). <br /> ADealer name: Deal ,license number: Dealer address and phone: <br /> // W s//la ,o1'✓,r� <br /> Ian <br /> 441014 <br /> M5 bec-I% sT ,.,c®A, ®✓f q�. <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): Deals gnature: Date: <br /> /4/c <br /> ,,NSPORTER ON ORA IO ilk (Of not m©'nu j, Wave blank) <br /> Transporter name: Transporter address and phone: ,- <br /> pa,: <br /> ��-�, 5 -r; luX9'7 <br /> 1 M •E cuffs 5-0 —.1401-3(el? <br /> 440-2952(7/17/COM) Page 2 <br />