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<br /> DocuSign Envelope ID:34F982E3-3578-46E2. 5-6F5419FE355F0
<br /> 1538344 ,
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<br /> n Dealer/Seller r Lender r Escrow/Title Agent n Owner/Buyei rLegal Representative ;
<br /> _ ..Name: Daniel Murphy and Theresa Dowers-murphy
<br /> Phone: .
<br /> Psi,middle,last)
<br /> Address: 7595 SUNNYBROO*LANE SOUTHEAST
<br /> City: SALEM
<br /> State: OR •I M.: 97317 •:
<br /> Emaik-
<br /> .
<br /> ' -
<br /> AEOTIPN;3.i. * * ';'`.2'', , '' '"'" HOME INFORMR1104 01046.iiiiim.),10 bold is required)
<br /> . -
<br /> Home ID#: kli Evj OR No Homey New Home [put of state home 0 Leaving County Deed Records.
<br /> Manufacturer: CLAYTON Co 0'4 3 5 6
<br /> Model: TRL601F
<br /> I Year: 202X il
<br /> Serial Number(s) HUD Label Number(s)*Required if new home
<br /> AL130426630RABC
<br /> #of Sections: 3 Sq.footage: /ci gsl Bedrooms: 3 I Bathrooms:
<br /> Roofing type: ! it! Biding type: vitvgi„, Heating type: ( -24 e.. I Cooling type:I 6-c.ecras t„-- '' •,Date of sale: -, 1 1 /-1 -,.,
<br /> Ht.
<br /> atappr,cabs, _Li oviou Sale price: Z.3< eil Includes land: r Yes r(No
<br /> SECTION 4 ; ' ' ' DEALER INFORMATION:(We've blank If no'dealer)
<br /> Name CLAYTON HOMES ALBANY,- OR --------------1.----------ii - -----ceakiR #MSD 1.95 middle last)
<br /> CCB ;`!1(-6Qi-.)(‘
<br /> . . . _. .
<br /> Address:-1437 CENTURY DRIVE NE
<br /> City: ALBANY ii State: OR ZIP: — 97322
<br /> Email:
<br /> Phone: (541)96743555
<br /> I hereby declare this manufactured structure is free and clear of all mortgages,deeds of trust,security interests,and liens.[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 i can be used as evidence in court and is subject to a penalty of perjury.
<br /> Signature: i/A. Date: s1v/ail
<br /> SECTION. HOME LOCATION
<br /> Current Address:DA.,i,5 -pact f•lc, ,c\-,f ,i 1 v(-4
<br /> Th . glib .211 City: 11-.)yi u I County: 4_1 rii-, , ....1,....ziii: —
<br /> Park Name:(if applicable) te cC11is is a dealer lot or
<br /> r This home is being moved to a new locati Complete the sail°:below _ >
<br /> New Address: k
<br /> CitY: (Nrit. ry-) County: al h statflil____I_ ELL__
<br /> Park Name:arapplicable) 7 This is a dealer lot or storage facility
<br /> ; . Transporter Name: 44.,,,i-,n,,,i+- K_Az ,-./Ple' I phone: 01-1- tn(-1-3(1/41I
<br /> Address; " - 0. ."60)( • V7q 1-j I CitY:CM/1014( / I State: INN,d."
<br /> '
<br /> Email:
<br /> 440-2952(11/22/BCD) Page 2
<br /> OR Title Application-7/2023-TitleApp11211
<br /> 004786514-00006
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