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5 73 tea.. J Pvl-. 01 SF • <br /> Lyons et -1 3 <br /> .:.. <br /> IgtNew home.,,to <br /> MHO...D.:,S:;:::::,.,,...• \ '"• pm ' er <br /> �v__be as4 >♦ g storage ,. . <br /> age !9 R tus J Trip Permit <br /> OUrtinesfenbygtheritance ase ote): <br /> : <br /> ... : ;, ;;: 'C�ANT) �CjRNC�1TIOIVI ..fi'a5e�"[i't ; �='� : :::; : <br /> Dealer/Seller Lender� ❑ ❑Escrow/Title Agent ❑OwnerBuyer ❑Legal Representative <br /> • Name: <br /> (first,middle,kart) Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: <br /> 2555 Progress Way <br /> City: Woodburn State:OR. zIP: 97071 <br /> Email:moconnell@factoryexpohomes.com <br /> ;;;,;.;,;r,,!=:HOME.°INrORMATIO 1_(Information jn bold:isre ulred <br /> . • - •Horne ID#: OR No Home ID: XNew Home 0 Out of state home ❑Leaving County Deed Retards <br /> Manufacturer: Fleetwood ® � rJ <br /> Model: .Linville 28664E • Year: 2024 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> ... FLE210OR23-23633A <br /> FLE210OR23-23633B <br /> #ofSections:_,2 • . Sq.footage: 1760 Bedrooms: 4 Bathrooms:; <br /> Rooting,typer' Arch Comp. Siding type: Vert.Cement Heating type: Electric Cooling type:• None <br /> Date of sale: 05/16/2023 Sale price: 159,114.00 Includes land: ❑Yes XNo(fafftJ <br /> :.,.. >;. : :,: ,!':dEAIiERI1NbRiiNATI I'........ .::.. <br /> ON eave:6lanft�if�noi`dealer�:':':c>•;�:<::.: :.:.:: - --•- <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes 1 License#: <br /> (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: <br /> 503-9$0-3990 . ._... <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: Q'(htital Date: 11/09/2023 <br /> :SECTIONcS: "' <br /> Current Address:2555 Progress Way <br /> City Woodburn county: Marion State: OR Zip: 97071 <br /> Park Name:(if 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: 25758 Taylor Park Rd. SE <br /> City: Lyons County: -ter Marion State: OR Zip:97358 <br /> Park Name:(if applicable) ❑This is a dealer lot or storage facility <br /> Transporter Name: Rl:j Haul Transport Phone: 818-434-5501 <br /> Address: 38681 Garden Dr. City: Scio State: OR <br /> Email: blue.haul@yahoo.com <br /> Page 2 <br />