Laserfiche WebLink
B 8 rincifo n <br /> tAyney ct 7 q <br /> NATURE OF FILING (check all that applies) <br /> it est III Change ownership e <br /> e i ( 50,1'oe'Dnrty � ] n s s ❑Trip permit KIVAA rage <br /> d tost <br /> t r: <br /> APPLICANT INFORMATION <br /> It 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 /> ❑Moving in from another state l 5361 14� <br /> Has no home ID or X-plate because: ❑Coming out of county deed records <br /> ❑Other: <br /> Manufacturer:Palm Harbor Homes Model:W128684W Year:2023 <br /> Manufacturer serial number HUD number <br /> PHH3100R21-14473A ORE 558670 <br /> PHH310OR21-14473E ORE 558671 <br /> *Number of sections:2 *Square footage:1,836 *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:2/7/2023 *Sales price:$150,107 *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 /> 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 si nature: Date: <br /> CASCADE FACTORY HOMES INC \t ` ,-wi• 2/7/2023 <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 />