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610132
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Last modified
8/8/2024 11:14:35 PM
Creation date
8/8/2024 12:36:51 PM
Metadata
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Template:
Assessor
Account Number
610132
332467
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
8/7/2024
MTL
072W18AC08700
Assessor Section
Manufactured Structures
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• <br /> '364 '3 <br /> - • Lp 10g Scle_ryl . ' <br /> 11011 f ' (3 -e- <br /> .. _......:....:.:...:....,...:,....,......._:...:::�.:::::,.,::.:..:;;.:.:.::::.:;:,,:::,: :,,,NATURE,OFFILING`(the.k.all:thataPRIY):.:: : .. ,.;: i:: .;:::...:.:.:.:.::.::: ::.:.:. <br /> New home to MHODS er : • ) <br /> e [3.-2uertec�yt .storage <br /> ia,Staatitli tefageetenge tatus X Trip Permit <br /> sritance a te): <br /> lgt <br /> Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative <br /> Name: <br /> • <br /> (first,middle,lash 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 /> Home ID#: OR No Home ID: XNew Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer: Fleetwood C) ( D, <br /> Model: Rosewood 28604M Year: 2025 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> FLE2100R24-24043A ORE 564085 <br /> FLE2100R24-24043E <br /> ORE 564086 <br /> #of Sections: 2 Sq.footage: 1600 Bedrooms: 4 Bathrooms: <br /> 2 <br /> Roofing type: Arch Comp. Siding type: Vert. Cement Heating type: Electric Cooling type: None <br /> Date of sale: <br /> Date <br /> 05/15/2024 Sale price: 122,794.00 Includes land: ❑Yes XNo <br /> Name: Alta Cima Corp. ba: FactoryExpo Homes License#: <br /> (first,middle,last) p p MSD 448 <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: Q/e.gitg,411 Date: 07/17/2024 <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: 3043 Hollyridge Loop NE <br /> City: Salem County: Marion State: OR Zip: 97305 <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: blue.haul@yahoo.com <br /> Page 2 <br />
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