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• <br /> f nn <br /> . .:.-;:SECTION.1 :;,:.:..:,',:: ,,::: -..i.,':::::.:-.1: :,.-: ,:NATURE:estipiLi$4,(chea,.iiiihipahiji) <br /> El New home to MHODS ItYkifilifig"atatAeirei))owner - EP'PrfiklitickEr(Pate: ) <br /> iMv36.61.416ernale U/-Vancclat-arbrailar.el/ertY Ei.."1:361ar itettrrstorage <br /> : \O-Saigif9tafftesirange ST-Xatrainattareerept*Ettatus 0 Trip Permit <br /> CI,TorgittaPialterlfalve Kj/CYttorNe_gse7aQte.)-: <br /> .:-.-s00104:•4:1::,6.,P1?-42'.::',:5;A...f,:;:;:::4..;',iA17,!OlgAilTif!*064:00:x(040)tfriot,-,5N:;.:,.,,- -/,:,:.,,,i.,.,,,v.,,,,,,,.:._:wi.: ;-.,!,--,--,-:?:,,;:.::,. . .., <br /> [-_-_]Dealer/Seller 0 Lender 0 Escrow/Title Agent ci Owner/Buyer 0 Legal Representative <br /> (first,midd t)''''ipLhA .m.0 <br /> mes LLC phone:541-928-1471 <br /> le,las <br /> Address:33213 Hwy 34 SE <br /> City:Albany- State:OR ZIP:97322 <br /> Email:Isimon@jandmhornels.com <br /> ',,Z•AggIO3,IrtWaitt 12gt. ?HOMEi'INFORMATION <br /> Home ID#: Ki E\AI OR No Home ID: 0 New Home 0 Out of state home D Leaving County Deed Records <br /> Manufacturer:CMH 40085(0 <br /> Model:72TE M16602AH24 Year:2024 <br /> Serial Number(s) HUD Label Number(s)*Required if new home - <br /> ALB043021OR <br /> _ .. <br /> #of Sections: 1 Sq.footage: 900 Bedrooms: 2 Bathrooms: 2 <br /> . .. . <br /> Roofing type: Architectural Siding type: Vertical Wood Heating type: Electric Cooling type: None <br /> —- Date of sale: 10/30/23 Sale price: 87452 Includes land: 0 Yes ENo <br /> gfapplicable) <br /> SET LON#::R,':F :•.'_:?,,A7::.si:1 :,,:i:-.:Ai:,i'. ..;!--iE41,.40(NP:011MATION:(16A41116i1140..,.d4ler) . : ,:',4'.;!:4::V.:. ,,g(S.,-,1:: :'-'t- Sz'','4';''.' <br /> Name'•Psi,midd J&M Homes LLC License#:MSD155 <br /> le,last) <br /> Address:15850 S Pope Lane <br /> City:Oregon City State:OR ZIP:97045 <br /> Email:dasla@jandmhomes.com Phone:503-908-8166 <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 underst 4 d it can be used as evidence in court and is subject to a penalty of perjury. <br /> Signature: ERA, .04/7itErr) <br /> Date: <br /> Ectiotitkr5...:::;,-: ::-.,:.7T,:.,:M.-.-'7,:;::::::. : --:.:?..-:;',.::P,:::::1-: •:>:':•..:.....11064t.1 .0gAtiltiN :: .X.z'-'- '",!;,'!-L .,%:,;': :: Ar.1-7.,'.,:',.;;.-.: :::::,'"::‘,Jj'''':-'::-.1,'--t-'1‘;z'' <br /> Current Address:2445 Pacific Hwy SE <br /> City:Albany County:Linn State:OR Zip:97321 <br /> Park Name: (( applicable) 0 This is a dealer lot or storage facility <br /> II This home is being moved to a new location Complete the section below <br /> New Address:4402 Gordon St SE <br /> City:Salem County:Marion State:OR Zip:97317 <br /> Park Name:(if applicable) 0 This is a dealer lot or storage facility <br /> Transporter Name:J&M Homes LLC Phone: 541-928-1471 <br /> Address:33213 Hwy 34 SE City: Albany State: OR <br /> Email:Isimon@jandmhomes.com <br /> Page 2 <br />