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lay /or PcLrR SELyns <br /> X New home to MHODS �A o er ei on : ) <br /> -goiReded-to•storage <br /> ge o tus X 'hip Permit <br /> • <br /> .:. ., ...:.:....:.:.�_:... ,...-....�...., :.:,.•>::b :PLICAN7:INFO.RMATION= ..Ipb5p ilrit <br /> Dealer/Seller 0 Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Represenntative <br /> Name: <br /> (first,middle,last) Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: 2555 Progress Way <br /> City: Woodburn State:OR. • ZIP: . 97071 <br /> .pnail:moconnell@factoryexpohomes.com <br /> �,-�<�:;,:,,;.::;;:•,._,,::.......:::::..::.,�>:;;,,,fiQMIE IN6�OR'MATIO -..a...:::,:.;... ,. .. ..,.:�;::.. <br /> 1V,(mf rma#ion th holdas:re ulred) • <br /> Home ID#:NEW OR No Home ID: XNew Home 0 Out of state borne El Leaving County Deed Records <br /> :Manufacturer: Fleetwood 17539 6g. <br /> .. Model: Macksburg 24342E Year: 2025 <br /> • SeriaI Number(s) HUD Label Number(s)*Required if new home,.... . . , . <br /> FLE210OR24-24071 A <br /> FLE210OR24-24071 B <br /> • <br /> #ofSectiions: 2:. Sq.footage: 793 Bedrooms: 2 Bathrooms::. 1 .`_ <br /> Roofngtype: Arch Comp. Siding type: Vert. Cement Heating type: Electric Cooling type:. None . <br /> Date of sale: <br /> afappitcabie) 06/05/24 Sale price: 105,412.34 Includes land: ❑Yes XNo • <br /> .:.;;.::<..:..•: ....:(I ,.e,blankh"no;deale)`'�' :>;?•::;;: :.�;:::: . :`::;':<�.::' . <br /> . Name: Alta Cima Corp. ba: FactoryExpo Homes .License#: MSG! 448 <br /> (first,middle,last) P p <br /> Address- 2555 Progress Way <br /> citrWoodburn state: OR. ZIP: 97071 <br /> Email: moconnell@factoryexpohomes.com Phone: <br /> 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: Q" 1,‘,441e Date: 07/02/2024 <br /> .SECTIONS:........:.. <br /> Current Address:2555 Progress Way <br /> City: Woodburn county: Marion State: OR Zip: 97071 <br /> Park Name:(if applicable) X This is a dealer lot or storage facility <br /> This home is being moved to a new location Complete the section below <br /> New Address::,,_'. 75(;, --wry/p i' Par K Rd Sc, Ly tans <br /> city: Lyons county: Linn state: OR Zip: 97358 <br /> Park Name:(if applicable) El 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 at7.yahoo.com <br /> Page 2 <br />