|
1\43u Roweng .4\pe Sc , 2. ons
<br /> � S
<br /> :���o ��.0 r i�r� �y�+,i�v�'x' ,- ' s. �s r � ,�a,'« �ha��33�}i?k .7 x'�.�,{3�r �'� �,�>�� nt. atr•:N} k^sst, ntrA,.m
<br /> �rm� , ''e.--u > ��`-i1YAT�IR` f'����I��NUi�C�EC�ifa�l„������`��}7�IG5�,;�'�> ,Y'�qz�" ".�"'�.a;�+,�'�'��'t;A'"s'sr,�fx
<br /> «n..'•Y nAK> fik. .. ....>, :�-�.., l.-•.;?.�f"'2E .NF�r1� '.Yt, r:r.
<br /> 9 (ufiiSi:iffrerest El Change ownership Elp m lit' n to 0 oKyeitio
<br /> 1�]M a di r:. .•.o.- U c- o�•--fro rty st s- i pen C to ge•
<br /> 13� �� �tZtra'FIKa . . h,F ¢Tte0.1j� riailellgra
<br /> 0 Dealer/seller 0 Lender ❑Escrow/title agent ❑
<br /> Owner/buyer ❑Legal representative
<br /> Name:Factory Expo Homes
<br /> Address(including city,state,and ZIP):2555 Progress Way,Woodbum, OR. 97071
<br /> Phone:503-981-0770
<br /> Email:moconnell@factoryexpohomes.com
<br /> d�J7�y�ru$:��ias,�" t<1r k' f;mS%kt.s�Cr�,3�ii�•i �9T�3 ucy 1 u M S' c��n Fr"d :7-1iM 'i?='K d Szr� )v �s�ks- rvu, Y{a yz isn !tr s}
<br /> ' "' c ',° r t' u s c�`rr y 'S a d`�t. '' �'e ri Sf r wEw,rk rnNE�lar":i
<br /> � � '�;�,� fry, ,�;'�!;�'�"O�lil}�FIN"FC��aNf�1Ti hf�.I��r�q��r�c��,..;�.{{,��., ,,��;N,.T� ,�1�:.�,�}r.r�`" � �r-
<br /> taf s;c.r 'at:� .�y.xHi :k Fr .ii •..�:«..�s.�Yx's.x.,��.
<br /> Home ID number(f known): DMV X-plate number(if known):
<br /> igE W/ m359B?8
<br /> ❑Moving in from another state
<br /> Has no home ID or X-plate because: ❑Coming out of county deed records
<br /> ❑Other:
<br /> Manufacturer:Fleetwood I Model:Wellington 28482R I Year:2021
<br /> Manufacturer serial number. HUD number
<br /> FLE2100R20-21039A
<br /> FLE2100R20-21039B •
<br /> *Number of sections: 2 *Square footage:. 12791 *Number of bedrooms: 2 I *Number of bathrooms: 2
<br /> *Type of roofing: Arch. Comp.I *Type of siding: Vert. Cement f*Heating: Electric f *Cooling: None
<br /> *Date of sale: 01/20/2020 1 *Sales price: 65,391.00 f *Includes land:❑Yes XNo
<br /> A LYi.J`A5"s�,�rY�.��'S:YIi {a,r��{ 1 'VSA Y1ih(� f,M� x"�F f 5 1 t.! r NJra M� FFt{,7 iris r }'r� t e)�'�.S�A-TF,f..ylr'•jSn 7..nw�^;y r�i^�'
<br /> }
<br /> .:.X?. ha7/. :ft��' 1^y�,....,.,(v ....4»., 1+3s4'T� y,�..... .. .,`b +e.•pasa. ,��a?.°C
<br /> Dealer name: Dealer license number: Dealer address and phone:
<br /> Alta Cima Corp. MSD 448 2555 Progress Way
<br /> Dba: Factory Expo Homes Woodburn,OR. 97071
<br /> 0 This manufacturedlstructure 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): ; Dealer signature:�J Date:
<br /> Alta Cima Corp. 7/1,44,5_, 1C�h e 10/09/2020
<br /> p.� r '�•.2 i:W'c 711.- . ,tom,ay:.,br ,I-„ 73t i q ,{�� ♦
<br /> ei )1 �� & t n {t $ a > s x %jE t` i
<br /> ���,��`� �'.�rx-�ft���S��SF�'1����(�'�O{�lif(I�►TfC)N (��nts�m�vtfi'g lea�/eb�artkj��' ` �)`'�.�
<br /> ' t.v,1 :2'-' rg e. Fr Yr r sr a 4 �' } ;, x � Y';:,s+-r,-,u ilkgig..' ;^;, i x-
<br /> �' �,�.sL -���Yr.A�rq, 1 ,?^. t.� h: _:'!'; d ,t„ .,mak„t''",:a,v h:sH•�;Jr.,.�. �'� . .� F r., v,':1..fm+»;..,F
<br /> Transporter name: Transporter address and phone:
<br /> Superior Home Transport, LLC PO Box 1067
<br /> Jefferson, OR. 97352
<br /> 440-2952(7/19/COM) Page 2
<br />
|