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D,B44A-rno1 1-Zo , A-Lutorq <br /> X New home to MHODS 'CIAlklabigaratetezioe-oviner al—DtilcoligkOate <br /> )1CaV3tga3a `sale ChilefOrdillgUisaProPertY <br /> 57SaaitY2terest,ch-ezge aNgeriftudtgefibmietnamPrty status 0- Trip Permit <br /> .KI/tvalgraWahlxitfgeeSIyloN2 APPLtCANT1NFORMATJON(please print) <br /> MASIther..(please-note): <br /> •••• •• •-: <br /> Dit Dealer/Seller 0 Lender 0&crow/Title Agent Owner/Buyer 0 Legal Representative <br /> Name: <br /> (lint,middle,Iasi) 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 /> !!. <br /> Home ID#: OR No Home ID: XNew Home El Out of state home ED Leaving County Deed Records <br /> Manufacturer: Fleetwood (.008559 <br /> Model: Linville 28664E Year: 2024 . <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> FLE2100R23-23532A ORE 562347 <br /> FLE2100R23-23532B ORE 562348 - <br /> #of Sections: 9 . Sq.footage: .1 76n Bedrooms: 4 Bathrooms: 2 <br /> Roofing type: Arch Comp Siding type: Vert. Cement Heating type: Electric Cooling type: None <br /> Date of sale: <br /> wapikcabio 8/30/23 Sale Priem 124,387.91 Includes land: DYes XNo <br /> SECTION 4 4 DEALERlINFORMAflON(leave blank If no dealer) <br /> :. <br /> Name: <br /> Ultst,middle,lag) Alta Cima Corp. Dba: Factory Expo Homes License#: MS D 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: 77/44././....(,)/eo.itfrt.,a Date: 10/11/2023 <br /> SECIIONs , HOME LOCATION <br /> Currant Address:2555 Progress Way <br /> County: Marion <br /> City: <br /> Woodburn State: OR Zip: 97071 <br /> Park•Name:(if applicable) X This is a dealer lot or storage facility <br /> ylf This home is being moved to a new location Complete the section below <br /> New Address: 12844 Arndt Rd. NE <br /> County: Marion <br /> City: <br /> Aurora State:OR - zip: 97002 <br /> Park Name:of applicable) D 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: blue.haul@yahoo.com <br /> • <br /> Page 2 <br />