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... ...• ....�: a;: : ! TOTIJIMOEF19ING�(che�kallairat�aPPIY):` s > :"' • � `:�::•:.�::'�:::::: <br /> ►! New home to MHODS 0. e. ) <br /> o <br /> e rty f ed te-stbrage <br /> Cl/kgaitafThtertilitelfitge 0 X Trip Permit <br /> ce <br /> 0—(4301-69144se note): <br /> I+CTIOf z;;, <br /> gDealer/SeIler ❑Lender ❑Escrow/TitleAgent ❑Owner/Buyer <br /> 0 Legal Representative' <br /> Name: : <br /> (first,middle,last) Alta Cima Corp. Dba: Factory Expo Homes Phone: 503-980-3990- <br /> . Address: 2555 Progress Way _ <br /> . City: Woodburn State:OR. ZIP: 97071 <br /> - Email:moconnell@factoryexpohomes.com <br /> N 3<:i;:. ,::;;,>:;i::,:::; ;:,,;;::;,::;::§TilHOME INFORMATIO <br /> . ....,... ,. . k(mfnrmali[on:rn:6oldis:regiYired): : • . <br /> Home ID#: OR No Home ID: ►2 New Home 0 Out of state home ❑Leaving County Deed Records <br /> Manufacturer: Fleetwood t1J7 4 i CI <br /> Model: Redding 28483E Year: 2023 1 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> FLE2100R23-23449A <br /> FLE2100R23-23449B <br /> #of Sections: 2 Sq.footage: 1280 Bedrooms: 3 Bathrooms: 2 <br /> Roofing type: Arch Comp. Siding type: Vert. Cement Heating type: Electric Cooling type: <br /> None' <br /> Date of sale: - <br /> (lfappltcable) 03/28/2023 Salepriee: 140,859.48 Includes land: El yes No <br /> SECTION '.'.5::?';;:.:s:.,.:,. .., =.,,,:._:::.,,::.,,;, . E ., Ri. . . <br /> <.._":.:...:. ::.:',,;,;.,,:,;:,,:�:�:OEAL�It�1�Nm0ATi0p:(leaveb)ankif;nadea(er .;%. ::< i:i:::::" ':.:::::: .' . <br /> Name: Alta Cima Corp. ba: Factory Expo Homes(first,middle,last) p' License#: MSD 448 <br /> Address: 2555 Progress Way <br /> city:Woodburn state: OR. ZIP: 97071 <br /> Email: moconnell@factoryexpohomes.com Phone: 503-980-3990 <br /> I hereby declare 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 or my interest in it.The information listed is true to the best of my knowledge and <br /> belief,and I understand it can be used as evidence in court and is subject to a penalty of perjury. <br /> Signature: ./ yn ,e <br /> =.SE• :.:.. <br /> Current Address:2555 Progress Way <br /> City: Woodburn County: Marion State: OR Zip: 97071 <br /> ' Park Name:of applicable) X This is a dealer lot or storage facility <br /> 'This home is being moved to a new location Complete the section below <br /> New Address: 7060 Wapato St. NE <br /> City: Salem County: Marion State: OR Zip: 97305 <br /> Park Name:(if applicable) . ❑This is a dealer lot or storage facility <br /> Transporter Name: - Blue Haul Transport Phone: <br /> Address: 38681 Garden Dr. City: Scio State: OR <br /> Email: <br /> Page 2 <br />