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O n L sL , sL <br /> ... <br /> New home to MHODS o er ZHael olithuu,(H$fe: ) <br /> /Olstg.Itotnclale-. tSkilecetazzigThal.pffiperty la-tarilWaktcrsterage <br /> Elk.8eonri ' st ati'hge EI,KatevirfasteRti-protrai3y status Trip Permit <br /> ce I ....Qtber4leasce note): <br /> APPI.I CANT <br /> If�1FC1RMA710NIPleasepiirit) :: :: ':`:�. ,-... <br /> XDealer/Seller ❑Lender ❑EscrowlfitleAgent ❑Owner/Buyer 0 Legal Representative <br /> Name: <br /> (first,middle,lase Alta Cima Corp. Dba: Factory Expo Homes Phone:503-980-3990 <br /> Address: 2555 Progress Way <br /> city: Woodburn State:OR. ZIP: 97071 <br /> Email:moconnell@factoryexpohomes.com <br /> :SECTION 3 HblflllE aN ORMATION:(information inbold s egtiired)::.: ;;:: <br /> Home ID#: lV E OR No Home ID: XNew Home ❑Out of slate home❑Leaving County Deed Records <br /> Manufacturer: Fleetwood [p (} ‘3 C <br /> Model: Quartzville 28583E Year: 2025 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> .FLE2100R24-24069A ORE 564122 <br /> FLE2100R24-24069B ORE 564123 <br /> #of Sections: 2. Sq.footage: 1546 Bedrooms: 3 Bathrooms: 2 <br /> Ruaring tYPe: Arch Comp. Siding: Lap Siding Heating type: Electric Cooling type: None <br /> Date of sale: Sale rice: Includes land: ❑yes RNo <br /> pf�Fr�br� 04/24/24 p 159,925.82 <br /> oN�' . ,4 ��EA�ERIINFORMATIQN(leai!eb)anklf.nadeater) :°: <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes License#: MSD 448 <br /> (first middle,last) p p <br /> Address: 2555 Progress Way <br /> city:Woodburn State: OR. ZIP: 97071 <br /> Email: moconnell@factoryexpohomes.com Phone: 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: ie.6.ito Date: 07/10/2024 <br /> SECTION:5 .:'• HOME'LOCATION .:.. ..:: <br /> Current Address:2555 Progress Way <br /> City: Woodburn county: Marion State: OR Zip: 97071 <br /> Park Name:of 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: 2798 Robins Lane SE <br /> City: Salem County: Marion State: OR Zip: 97317 <br /> Park Name:(if applicable) ❑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: plansabunchCa.comcast.net <br /> Page 2 <br />