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. - NATURE F!LlNGa�c�eck�al!'�h � "�� <br /> NATURE OF � �t ap��ies�)� <br /> K 'tC yat g�e kiy fest 0 Change ownership i a f o . <br /> d a o o ' e o s ].Trip permit on-N keptrd t _storage <br /> ' they: <br /> � APPLICANTS=NFtRIIA3I`Ca <br /> ❑Dealer/seller ❑Lender ❑Escrow/title agent /2 Owner/buyer ❑ Legal representative <br /> Name: Travis and Kari Towery <br /> Address (including city, state,and ZIP): <br /> Phone:503 999 6961 <br /> Email:Travisandkari@comcast.net <br /> HOME INFORMATION erequlred <br /> Home ID number(if known): DMV X-plate number(if known): <br /> -6cc1 c 1 c:3 15 7 ,5 <br /> n Moving in from another state <br /> Has no home ID or X-plate because: n Coming out of county deed records <br /> n Other: <br /> Manufacturer: Skyline Model:Ramada 7953 Year:2019 <br /> Manufacturer serial number HUD number <br /> KQ91-0413-L ORE S545240 <br /> *Number of sections: 1 *Square footage:728 *Number of bedrooms: 2 *Number of bathrooms: 1 <br /> *Type of roofing: Comp *Type of siding: sr8 I r&f *Heating: Electric *Cooling: NA <br /> *Date of sale: 10/11/22 *Sales price: $1 *Includes land: ❑Yes ■❑No <br /> DEALER INFORMATION if no dealer:, leave bean ) <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.,blahlk); <br /> Transporter name: Transporter address and phone: <br /> 0041 V Ql-f.° <br /> 440-2952(7/19/COM) Page 2 <br />