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'.y -NATURE OE FILING (aback ail Oat applies). <br /> ❑ Change security interest ❑ Change ownership ❑ Demolition. Date of demolition: <br /> ❑ Recording as real property [' Removing from real property status 0 Trip permit ❑ Converted to storage <br /> ID Other:NEW HOME <br /> • AFOLIC-ANT'I FORMATION <br /> El Dealer/seller ❑ Lender ❑ Escrow/title agent ❑ Owner/buyer ❑ Legal representative <br /> Name:COMMONWEALTH HOMEOWNER SERVICES <br /> Address(including city,state,and ZIP): 18150 SW BOONES FERRY ROAD, PORTLAND, OR 97224 <br /> Phone:503-244-2300 <br /> Email:MELISA.COOK@CWRES.COM <br /> HOME INFORMATION'(* required) <br /> Home ID number(if known): DMV X-plate number(if known): <br /> TBD 0 <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:SKYLINE Model:WEST RIDGE Year:2022 <br /> Manufacturer serial number HUD number <br /> 245-000-H-A101255A ORE 558899 <br /> 245-000-H-A101255B ORE 558900 <br /> *Number of sections:2_ *Square footage: 1344 *Number of bedrooms:2 *Number of bathrooms:2 <br /> *Type of roofing:COMP 1 *Type of siding:HARDIBOARD *Heating:HEAT PUMP *Cooling:HEAT PUMP <br /> *Date of sale:1-6-23 *Sales price:$145,735 *Includes land: ❑ Yes 0 No <br /> ALER:INFORMATION (If no dealer,leave blank] <br /> Dealer name: Dealer license number: Dealer address and phone: <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 signature: Date: <br /> TRANSPORTER INFORMATION (If not moving, leave blank) x' <br /> Transporter name: Transporter address and phone: <br /> Newman's Mobile Home Transport PO Box 236 <br /> Silverton, OR 97381 <br /> 503-932-5142 <br /> 44p-2952(7/17/COM) Page 2 <br />