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601311 (2)
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601311 (2)
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Last modified
1/13/2022 5:59:53 AM
Creation date
8/23/2021 8:54:25 AM
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Template:
Assessor
Account Number
601311
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
8/17/2021
MTL
092W240001500
Assessor Section
Manufactured Structures
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. <br /> CURRENT LOCATION INFORMATION.(including city, state, ZIP)... : <br /> Current location:2655 PROGRESS WAY WOODBURN OR 97071 (FACTORY) County:MARION <br /> ❑Dealer lot Dealer name: <br /> Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP) <br /> New location:9185 STAYTON RD.AUMSVILLE OR 97325 <br /> I County:MARION <br /> Dealer license number: <br /> ❑Dealer lot I Dealer name: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> LEISURELAND HOMES INC. <br /> Are you changing the name of an existing owner? Q Yes ❑No <br /> Changing from:LEISURELAND HOMES INC. to: SHAEFER BROTHERS LLC. <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes 0 No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes El No If yes,attach Abandonment Affidavit(Form 2951) <br /> If yes, attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? ['Yes Q No (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box).. . •. <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> SCHAEFER BROTHERS LLC. <br /> Mailing address: Mailing address: <br /> 36252 S. KROPF RD.WOODBURN OR 97071 <br /> 1 2 <br /> Phone number: Phone number: <br /> SO3-0)-0 cf YO <br /> Email address: Email address: <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> • <br /> Mailing address: Mailing address: <br /> 3 4 <br /> ❑ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br />
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