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s36846 1\) i qc, sE-- 6aL5 <br /> CkL5 CA.Thr <br /> 1539023 <br /> 10110,1 .v; <br /> rt-vavievelavnEw PACInealettikinglsr4ckvnier rcAlodfiteglwalo .) <br /> 'RAKel1.610,a4e 01460.119 (0,Ezteryy FA-CRAVekedIrkiirgie <br /> siXeSeeNifMtVaVrage <br /> • o r s Trip Permit <br /> Wit421tioWyNkilierIPAtiee rtAttlfaVae,a): <br /> 7; '44) .Pf-4-1,C-M1IOFQAMATION194a,445.111-,:: <br /> ri Dealer/Seller r Lender r Escrow/Title Agent ri Owner/Buyer r-Legal Representative <br /> Name: Bert Munger and Melody Munger -Phone: <br /> Orst,middle,last) <br /> Address: 35846 NIAGARA HEIGHTS RD <br /> City: MILL CITY State: OR ZIP: 97346 <br /> Email: <br /> :;.'fi::,:lit.010:1,NPOR010-1,E0:91.etnletioinjo_tiek*re4pC0 <br /> Home ID#: OR No Home ID:E New Home 17 Out of state home fi Leaving County Deed Records <br /> • Manufacturer: CLAYTON &OgSe5 (51b0(../0 <br /> Model: DRM482P Year: 2023 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> ALB0429330RAB <br /> #of Sections: Z. Sq.footage: ct(9 : Bedrooms: 1_ Bathrooms: I- <br /> • Roofmg type:peak con,* Siding type:Now P40.46 Heating type: sr...eel/4u- Cooling type:e..earc-tiZt,e- <br /> Date of sale: , <br /> (If applicable) ,1.1" it) Sale price: 1.12,,x„it, Includes land: r Yes No <br /> .4g ctioN,,,t, DEALgkiNtORMAtION'oaveblarik if no dealer) <br /> Name: CLAYTON HOMES ALBANY,OR #MSD 195 <br /> (first,middle,last) <br /> CCB 1[146990 <br /> Address: 1437 CENTURY DRIVE NE <br /> City: ALBANY State: OR ZIP: 97322 <br /> Email: <br /> Phone: (541)967-8555 <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: <br /> Date: 10 \ ??? <br /> SECTION HOME LOCATION <br /> Current Address S tAt q . fvl) <br /> City: A-t-13 oorty I County: AJ INJ State: 0 te• Zip: q*77,1 <br /> Park Name:(if applicable) This is a dealer lot or storage facility <br /> fl This home is being moved to a new location Complete the section below <br /> New Address:3-; 4-4 tit.pogoca...6, peel ettk-r, <br /> City:' pelkFtvgF). 6-4-rEs County: .6,:roaesim„;01, state: ale_ Zip: q 74-Ca. <br /> Park Name:(e applicable) This is a dealer lot or storage facility <br /> Transporter Name: 1?eN Kler-r-r --rieve,r4 Phone: <br /> Addresse4) goy. low 0 5 CitY:ht e,00067 State: <br /> Email: <br /> • <br /> 440-2952(11/22/BCD) Page 2 <br /> OR.Title Application-7/2023-TitleApp11211 <br /> 004808919-00002 <br />