Laserfiche WebLink
I • <br /> • <br /> NATURE OF FILING (chock all that applies) <br /> LI Change security interest El Change ownership El Demolition Date of demolition: <br /> Ej Recording as real property 0 Removing from real property status 0 Trip permit 0 Converted to storage <br /> •El Other:NEW HOME. <br /> AP OLICAkrINFORMATION <br /> 1 Dealer/seller 0 Lender LI liscrow/title agent LI Owner/buyer El 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 /> -140:10t.INFORMATION <br /> Home ID number(if known): DMV X-plate number(if known): <br /> TBD Co6'3 5 <br /> ri Moving in from another state <br /> Has no home ID or X-plate because: ri Coming out of county deed records <br /> E Other: <br /> Manufacturer:SKYLINE Model:WEST RIDGE Year:2022 <br /> Manufacturer serial number HUD number <br /> 245-000-H-A101241A ORE 558875 <br /> 245-000-H-A101241B ORE 558876 <br /> *Number of sections:2 *Square footage: 1344 *Number of bedrooms:2 *Number of bathrooms:2 <br /> *Type of roofing:COMP *Type of siding:HARDIBOARD *Heating:HEAT PUMP *Cooling:HEAT PUMP <br /> *Date of sale:1-6-23 *Sales price:145,735 *Includes land: 0 Yes El No <br /> b4AtAft t000RmAtibR:01 .io'de ‘r tea4e‘ blank) <br /> , • . , <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 /> TRANdPORTERtNFORMATION not . <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 /> 440-2952(7/17/COM) Page 2 <br />