|
,
<br /> '613 ,pair r 1 . a t i �.�f w- r r T�,��za..eKt ,.�2$i�i r t
<br /> s{*h�,J x r �i} p1 yp'� }� ppp��� •a fi H�G.itii.sp t€:ct`U a
<br /> Current location:2555 Progress Way,Woodburn,OR. 97071 County:Marion
<br /> Q Dealer lot I Dealer name:Factory Expo Homes I Dealer license number:MSD 448
<br /> ❑Park name(if applicable): ,
<br /> Out-of-state/feileral or tribal property location:
<br /> Yf. 1. V4 44 t 1 r 1; { irP , Xtaff j4lGg�1MWM
<br /> NS
<br /> New location: 230 Detroit Ave.S,Detroit, OR. 97342 County: Marion
<br /> ❑Dealer lot I Dealer name: I Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
<br /> "ice n. 40 P" :n { .F 7 dS ? a z Caz alt,+,,fir eLw: fte,s�ib serer 7° tz... ,mm a� S£tl
<br /> g s's�';t'fyv�-,�' �q at: ti 5 �'s-� P �l t. is r.,,% � ��»z $
<br /> ,�Y ,x -� =3s -v t-*
<br /> ad-t'Dr7tr 7„i '..L v.�. x• :4:-.1-'. 1110'.. a"�a a',w, ;6��-1ktw,;r..,r: "ry i . ''xx.,Y ,N f + r `„�. ,
<br /> Current owner names:Alta Cima Corp.
<br /> Are you changing the name of an existing owner? El Yes ❑No
<br /> Changing from:Dealer to:Owner
<br /> Home transfer by inheritance? Q Yes Q 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 0 No If yes,attach Abandonment Affidavit(Form 2951)
<br /> Home transfer through divorce,trust,or right of survivorship? ElYes Ei No If yes,attach Change Affidavit
<br /> (Form 5221)
<br /> A i.. , •3 �,S T t s low 2 .. ugk '.st 'i4 . tTax. a* * /, 4-,,- i, Ste.' �iry
<br /> �-,b7 •t: '`r4t� r t�YY '' � }t ' b -car rV� u ° T-^ elpt*,'"`-'1
<br /> ...� ,r"4¢!.. •I rif• rw0- 3' 'Y'n' 4 -,�,,v,v 4.41V ^A.z.�us .� s };s2«R f e 4'IvY 1�Cf
<br /> Buyer/new owner name(Last,first,middle): Buyer/new owner name(Last,first,middle):
<br /> Osborne, Robert• Osborne, Michael D.
<br /> Mailing address: Mailing address: ,
<br /> PO Box 363 PO Box 363
<br /> 1. Newberg, OR. 97342 2 Newberg, OR. 97342
<br /> Phone number: Phone number:
<br /> 503-507-1010
<br /> Email address: . Email address:
<br /> quarrypeople@aol.com
<br /> Buyer/new owner name(Last,first,middle): Buyer/new owner name(Last,first, middle):
<br /> Osborne, Terri J.
<br /> Mailing address: Mailing address:
<br /> 3 4
<br /> 'Same as above El; as above
<br /> r. Phone number: Phone number:
<br /> Email address: . Email address:
<br /> 440-2952(7/19/COM) Page 3
<br />
|