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s 906 _5-)et,'ern 97317 <br /> .SECTION • a NATURE OF.FiLINP;(check all tat <br /> New home to MHODS IY3Uct:digloa• nfo6"grOu.erArner D o on ate: <br /> VaNtacefiliura.sdie `KKR\kgaitaseal`p,r6Perty to storage <br /> \431(VcXvi%faxzekeitOge LI"RerairreikoAsafikperly_stptus El Trip Permit • <br /> tetErOgr lance [1,0theplaseilote): <br /> sgaiors!2 :; APPLICANT INFORMATION (Oria.s,qprip,t).: <br /> 0 Dealer/Seller 0 Lender 0 Escrow/Title Agent 0 Owner/Buyer 0 Legal Representative <br /> - • •,1,Name:COMMONWEALTH HOMEOWNER SERVICES Phone:503-244-2300 <br /> oat,mlaule,last) <br /> .Address:18150 SW BOONES FERRY ROAD <br /> citY:PORTLAND state:OR ZIP:97224 . <br /> Email:MELISA.COOK@CWRES.COM <br /> SECTION.3 5. HOME INFORMATION (InfotrnatIon in bold Is required) "• <br /> Home ID#: OR No Home LID: New Home 0 Out of state home El Leaving County Deed Records <br /> Manufacturer:FLEETWOOD (0007 <br /> Model:EAGLE Year:2024 <br /> Serial Number(s) HUD Label Number(s)*Required if new-home <br /> FLE2100R23-23618A ORE 562649 <br /> FLE2100R23-23618B ORE 562650 <br /> #of Sections: 2 Sq.footage: 1608 Bedrooms: 3 Bathrooms: 2• • <br /> Roofing.type: COMP Siding type: Vertical Smaki Heating type: ELECTRIC Cooling type: NONE <br /> • Date of sale: 1-5-2024 Sale price: $225,000 Includes land: Dyes ENO <br /> SECTION 4 DEALER INFORMATION(leave blank If no dealer)'. <br /> (first,middlName'ast)COMMONWEALTH HOMEOWNER SERVICES, INC. <br /> License#:MSD508e,l <br /> Address:18150 SW BOONES FERRY ROAD <br /> City:PORTLAND State:OR ZIP:97224 <br /> Email: Phone: <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: t- <br /> SEcTJ9N :' ' • LOOATIO;r1Wi. _ <br /> Current Address:2655 PROGRESS WAY <br /> City:WOODBURN County:MARION State:OR Zip:97071 <br /> Park Name:(if applicable) 0 This is a dealer lot or storage facility <br /> ID This home is being moved to a new location Complete the section below <br /> New Address:2232 42ND AVENUE SE, SP.#900 <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:NEWMAN'S MOBILE HOME TRANSPORT Phone: 503-932-5142 <br /> Address:PO BOX 236 City: SILVERTON State: OR <br /> Email: <br /> Page 2 <br />