|
.1 -7 4 5 MEA0eyr r� �
<br /> G . 9 O
<br /> vV� PO . Yt x
<br /> r.',,n'I,.h J+ tut` d -.i .'1,44' �4 ur.i� =f/4ry7�6 �Sl .Y
<br /> lA9� yiketWFILATNId oGyteirilideati ilei '' e 4** ;R5F i4* V e;�.. / y, ;xr, . 44i,ah n. -q.. dlf „:,:;,:p1,4,4- .0,, n ,.fiZi . e. s )3 r amr� r y
<br /> ❑�h� est ❑Change ownership [ r•`u
<br /> iti.. L. e 0 ' 10 •
<br /> C] r -•,o di .: r=.l •'.pz 31 `e•'.vi•_ f.m e. .roeerty . at r •. .: i :t r kon - e. to • age
<br /> EiFit‘
<br /> -I�o:,� �lJ a' �fj+. ,y:�1`�r1.7'Ii \'°3.1- l Y i •i"SC•d > .l 1 e Y•+iT .� r 1
<br /> L',g%, kf p. , 3,cT'� ;' J7+M1;k tlru KI, lif � yr�+ tJ��y�2' p� x r j �+w t 7x-'�„ r� r� §f!cox r `d,^�� to ,d"r t
<br /> 4'?fol if,•i.`44' :1,l''1,,i1,^s 14,;51;trufg 1,50i,1W60s.:0 t>A leAgt1 1ai1� „IYr•:�Ri�1 1�1Vt ct" i ti(..{ I r !- < Mr i C , r '?`zry�.
<br /> �a..��.C._rativ -...�, .,� ,vt....�.,e', v: ' ..t�Y.:!�.>�?r :u..L .r,;; '�;t:xri,;i:<� . rv,,.fl,.,-: .
<br /> 0 Dealer/seller I ❑Lender I ❑Escrow/title agent I ❑ Owner/buyer I ❑ Legal representative
<br /> Name:Factory Expo Homes
<br /> Address(including city,state,and ZIP):2555 Progress Way,Woodburn, OR. 97071
<br /> Phone:503-981-0770
<br /> Email:moconnell@factoryexpohomes.com
<br /> 16v ��r�d AP �lt ,
<br /> ,_ __g. ,_,_
<br /> __. , ./ eItIrAfre ,Ri • rr il .
<br /> a
<br /> Home ID number(if known): DMV
<br /> X-plate number(if known):
<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: Redding 28483T I Year: 2021
<br /> Manufacturer serial number. I HUD number
<br /> FLE2100R21-21648A
<br /> FLE210OR21-21648B •
<br /> *Number of sections:2 I *Square footage: 12791 *Number of bedrooms: 3 1 *Number of bathrooms: 2
<br /> *Type of roofing: Arch. Comp.*Type of siding: Vert. Cement I *Heating:Electric I *Cooling: None
<br /> II *Date of sale: 10/22/2020 .rI *Sales price: 79,1 90.61 .c3 *Includes land: ❑ Yes XNo
<br /> tR "t iareVILtgit Tilf-a i igi a bae It < f ;
<br /> r
<br /> L4
<br /> II ,X'E �,,/Ri:fq F r\ ¢, r-0.-L.- .:r . tilI v'ro-p.nlrr a.i, ,,-q,:+.. r-. ,.r....�. rici.)3Frf w1 g.
<br /> .,
<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 /> ['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): Dealer signature: Date:
<br /> Alta Cima
<br />' } Corp. eTZrf1,+, ,.. r(9 •� .... i 4.;,;a .... % 0S. . lee. r`Y1 05/19
<br /> /2021
<br /> `!W RYY n, ��J S 5- �l ',1”
<br /> K
<br /> tt 2Y �xr R # tJ 5�3 �, N d1N ( rpJ e �''f4:01,0%,,w-,,'Pi'eA �;�0s
<br /> k,t ' �tirk�%2Aqf�1p :pK ;Pif ; iG 1_..m,,, , A Y..,, t ? ,r
<br /> Cs,
<br /> , � I.! :rFJY ezi22 ' i ik
<br /> _ . 11:y5r ,i.Tr.JI,Y7 ., .
<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 /> i
<br />
|