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• <br /> - • 54 1 La o �. Sot/ )e-: <br /> NAT:UR�OF:FILING':(theck all:that'a I ) <br /> M New home to MHODS 0.51 ( l q,o net [ Da r e: <br /> EidUedAwele44PasE9rdiPMPrAPPPeLtY EfArtwerted to storage • <br /> `SL,S t e nge [ tus �` Trip Permit <br /> D:9i no e): <br /> . XDealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative _ _ <br /> Name: <br /> Urst,middle,last) Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980.-3990 <br /> Address: 2555 Progress Way 1 - . <br /> City: Woodburn State:OR. ZIP: 97071 - _ <br /> Email:moconnell@factoryexpohomes.com <br /> .: .:...... .�::..::........A...,.�I.pIS��:IN�dRAII•a71(�1V(lnfetm�#ioii;lii:6oldisre••illred) - <br /> Home ID#: kit W OR No Home ID: XNew Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer: Fleetwood 6 U <br /> Model: Honeydew 14441A Year: 2024 - <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> FLE2100R23-23512A <br /> - #ofSeetions: 1 - Sq.footage: 601 Bedrooms: 1 Bathrooms: 1 - <br /> -Rbofin e: Arch Com Vert. Cement Heating <br /> gtyP - P• Siding e.� gtYPe� Electric Cooling type: N. None. . <br /> • Date of sale: <br /> (Ijapplfcable) 05/03/2023 Sale price: 68,422.00 Includes land: ❑Yes XNo <br /> :......,..DEAL,ER.?I.NI~,ORMATION:.leave:b)anklfno•:`dealir =` :�:�:<: ;'<:::.::�::::•.:::;::'. ': . ..� ' <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes License#:(first,middle,last) p p 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 tzust,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: Q Yet' Date: 09/06/2023 <br /> :.SECTION, <br /> Current Address:2555 Progress Way <br /> City: Woodburn county: Marion State: OR Zip: 97071 <br /> Park Name:(f 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: 5451 Lardon Rd. 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: 818-434-5501 . <br /> Address:38681 Garden Dr. City: Scio State: OR <br /> Email: <br /> Page 2 <br />