Laserfiche WebLink
• <br /> D9 8 5 ,/ ELc Or. C c_.e (net( GL -Z3e <br /> NATURE OF FILING (check all that applies) <br /> nest Change ownership I e o :fon D of•F o •n: <br /> t ec• •. g real • .pe 11.11/44oNg,froaQi2.91,61t0t0 0 Trip permit Ikkek_ioffeAtp,gro <br /> ❑rQyfi <br /> APPLICANT INFORMATION <br /> 0 Dealer/seller ❑Lender ❑ Escrow/title agent ❑ Owner/buyer ❑ Legal representative <br /> Name:HOMES DIRECT OF OREGON LLC MILLERSBURG <br /> Address(including city,state,and ZIP):3838 PALM HARBOR DR MILLERSBURG OR 97321 <br /> Phone:541-928-2083 <br /> Email:TANYA.ABADILLA@HOMES.DIRECT <br /> HOME INFORMATION (*required) <br /> Home ID number(if known): DMV X-plate number(if known): <br /> NEW 6 V r `as 1 <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:PALM HARBOR Model:310HD30703P Year:2022 <br /> Manufacturer serial number HUD number <br /> PHH3100R22-14858A ORE 557557 <br /> PHH3100R22-14858B ORE 557558 <br /> *Number of sections:2 *Square footage:2044 *Number of bedrooms: 3 *Number of bathrooms:2 <br /> *Type of roofing:ARCH *Type of siding:FIBER CEM *Heating:ELECTRIC *Cooling:NONE <br /> *Date of sale: 2/23/2022 *Sales price:$150,472.00 *Includes land: ❑Yes 0 No <br /> DEALER INFORMATION (if no dealer, leave blank) <br /> Dealer name: Dealer license number: Dealer address and phone: <br /> HOMES DIRECT OF OREGON LLC MSD-523 3838 PALM HARBOR DRIVE NE <br /> MILLERSBURG MILLERSBURG OREGON 97321 <br /> 541-928-2083 <br /> U This manufactured stricture 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): eale signatur i 4,6ieuijk_ Date: <br /> HOMES DIRECT OF OREGON LLC MILLERSBURG GG o OZA Z- <br /> TRANSPORTER INFORMATION (if not moving, leave blank) <br /> Transporter name: Transporter address and phone: <br /> BENNETT TRUCKING &TRANSPORT 409 BIGHAM BROWN RD <br /> JACKIE YOUNG EAGLE PT OREGON 97524 <br /> 541-879-3444 JACKIE YOUNG <br /> 440-2952(7/19/COM) Page 2 <br />