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604752
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Last modified
7/12/2022 1:00:23 PM
Creation date
3/18/2022 10:01:50 AM
Metadata
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Template:
Assessor
Account Number
604752
Assessor Doc Type
Trip Permit
Doc Type Date
3/16/2022
MTL
051W08DA10000
Assessor Section
Manufactured Structures
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Gra_n ; . S - -. woof <br /> NATURE OF FILING (check all that applies) <br /> L gNse u•i interest ❑� Change ownership tmitatiVnatieNansieliatifkio <br /> �apa� relixerpe /atekvi rf inn j�ye t� ®Trip permit [ <br /> APPLICANT INFORMATION <br /> ❑■ Dealer/seller ❑Lender ❑Escrow/title agent ❑ Owner/buyer ❑ Legal representative <br /> Name: CASCADE FACTORY HOMES INC <br /> Address(including city,state,and ZIP): 590 N PACIFIC HWY,WOODBURN OR 97071 <br /> Phone: 503-981-5314 <br /> Email: CASCADE FACTORY HOMES <br /> HOME INFORMATION (*required) <br /> Home ID number(if known): DMV X-plate number(if known): <br /> IQ EV) 04-1 5 <br /> Moving in from another state t 333 CD <br /> Has no home ID or X-plate because: n Coming out of county deed records <br /> 'Other: --.— <br /> Manufacturer:Fleetwood Homes Model:210EG28604S &13l' Year:2022 <br /> Manufacturer serial number HUD number x`11 <br /> FLE2100R22-22214A ORE 5574881 <br /> FLE2100R22-22214B ORE 5574882 <br /> *Number of sections:2 *Square footage:1,599 *Number of bedrooms:4 *Number of bathrooms:2 <br /> *Type of roofing: ARCH SHING *Type of siding: CEMENT *Heating:ELECT *Cooling:N/A <br /> *Date of sale:3/16/2022 *Sales price:$123,679 *Includes land: ❑ Yes ❑■ No <br /> DEALER INFORMATION (if no dealer, leave blank) <br /> Dealer name: Dealer license number: Dealer address and phone: <br /> CASCADE FACTORY HOMES INC MSD-41 590 N PACIFIC HWY <br /> WOODBURN OR 97071 <br /> 503-981-5314 <br /> T-42clearof !land <br /> _ _This manufactured structure is free and a. mortgages,deeds of trust,security interests. liens. I have the <br /> legal right to sell t'.1is 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 pena4ty for perjury. <br /> Dea?er name(print): -----�-- Deale e: .. 7 Date: <br /> CASCADE FACTORY HOMES INC 3/16/2022 <br /> TRANSPORTER INFORMATION (if not moving, leave blank) <br /> Transporter name: Transporter address and phone: <br /> SUPERIOR HOME TRANSPORT LLC PO BOX 1067 JEFFERSON, OR 97352 <br /> 503-551-3454 <br /> 440-2952(7/19/COM) Page 2 <br />
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