|
Authengsign ID:5BBDa4A7-7EBD EF11 BBCF-002245299D57 �/ �LY.�C�, sr up , U . _ .
<br /> 4.0-rIoN:1'. :;t -•.:: ,R;,l ,. NAT;U,RE OF,FILIN,G�(checkal'thatipply ` .! r
<br /> New home to MHODS a yner tali itprsl( xe: • ) .
<br /> 0,41.IAt5TheNS9le g gage
<br /> CiliAcutibuihVist,Ctlartge tAmkjiNft-ftaal,prseIrtd3nstatus ®. -Permit
<br /> ertapinhoiignce [ .]hill V i Bite)
<br /> ! AOO N 2, N , , : : . PL CA NT INF.O MATIO N (p e print) a ,;- i- ikrctk
<br /> .:
<br /> - -• 1]Dealer/Seller ❑Lender Escrow/Title Agent
<br /> ❑ g ❑Owner/Buyer ❑Legal Representative . • -
<br /> Name:COMMONWEALTH HOMEOWNER SERVICES . Phone:503-244`-2300: - '
<br /> Urst,middle,last)
<br /> 1 Address:18150 SW BOONES FERRY ROAD
<br /> . City:PORTLAND State:OR .. • • ZIP:97224 - •
<br /> Email:MELISA.000K@CWRES,COM ..
<br /> s',SECTlON:3 °`' , ,Y ;HOME INFQRMATIO1i(information in,;bold is.required)' .,:.4.:.!:... ; . ••j•,-N l-.
<br /> • Home ID#: OR No Home ID: ❑New Home ❑Out of state home 0 Leaving County Deed Records
<br /> Manufacturer:FLEEIWOOD /_ Li a ci 5
<br /> Model:SANDPOINTE •
<br /> Year:2023
<br /> Serial Number(s) HUD Label Number(s)*Required if new home'
<br /> FLE2100R23-23221A . ORE 561267
<br /> #:of Sections: 1, _ - • Sq.footage: 728 Bedrooms: 2 Bathrooms: 1
<br /> Roofing type:.COMP Siding type: T1-11 Hardboard Heating type: ELECTRIC '•Cooling type:::NONE
<br /> Date of sale; iSale price: $66,280 Includes land; El No .
<br /> 17fapplicable) a- `a. .. _ .._..
<br /> SECTION 4 ,,_ •, • DEALER-INFORMATI.ON,(leave.blank if.no-dealer)•" 'r;; '
<br /> • Name:
<br /> • • License#: - • •
<br /> u•st middle, last)
<br /> Address: .-
<br /> I City: State: ZIP:.
<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: Date:
<br /> gtCTI.,P,,,,, 7 t o��� L:p •:::?� a,lot t^TAR i A:�q r '' yLyL`Y ..'.``E�' r�. ' �s,�.! .4 i _Y!i�'�c
<br /> ON 5'; . sti.. r.. ; . x ',LL.- :HOM1 LOCAT1ore, �..r. ,9 . ::.. . • ., . s `.
<br /> Current Address:4882 LANCASTER DRIVE NE,SP.#141 .
<br /> City:SALEM . County:MARION State:OR .Zip:97305
<br /> Park Name: (if applicable) STARLITE MHC ❑This is a dealer lot or storage facility
<br /> El This home is being moved to a new location Complete the section below
<br /> New Address:
<br /> City: County: . State: Zip:
<br /> Park Name: (if applicable) 0 This is a dealer lot or storage facility
<br /> Transporter Name: Phone:
<br /> Address: City: State:
<br /> Email: S •
<br /> Page 2 '
<br /> 1 .
<br />
|