Laserfiche WebLink
SECTIONS NATURE OF FILING`"(check all'that apply) :; <br /> ❑ New home to MHODS ❑ Adding or removing a co-owner ❑ Demolition(Date: ) <br /> [] Used home sale ❑ Recording as real property ❑ Converted to storage • <br /> ❑ Security interest change rSi,1 Removing from real property status Trip Permit <br /> ❑ Transfer by inheritance ❑ Other(please note): <br /> APPLICANT,I•NFORMATION (please.print) ..� .,-. ._ •. � ..a � ._.. . <br /> ❑Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative <br /> Name:(first,middle, last) Candy Carey Phone: 971-240-7720 <br /> Address: 9832 Nusom Road NE <br /> City: Silvertbn State: OR ZIP: 97381 <br /> Email: <br /> SECTION 3 - HOME INFORMATION•'(information in'bold is:required)- <br /> Home ID#: 259429 ' OR No Home ID: ❑New Home ❑Out of state home ❑Leaving County Deed Records <br /> Manufacturer: Nashua (2I I <br /> Model: Year: 1983 <br /> Serial Number(s) HUD Label Number(s).*Required if new home <br /> 25078 <br /> #of Sections: 1 Sq.footage: 600 Bedrooms: 2 Bathrooms: 1.5 <br /> ' Roofing type:- Comp" • Siding type: Text plywood Heating type: Electric Cooling type: : N/A <br /> Date of sale: � � " <br /> ( of sale) 11-6-24 Sale price: $20,000 Includes land: ❑Yes 0 No - .. <br /> SECTION'4 DEALER\INFORMATION(leave blank"ifno dealer) <br /> Name: _.. <br /> (first,middle,last) License#: <br /> Address: <br /> 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 /> SECTIONS h ° `` HOME LOCATION <br /> Current Address: 15808 S Springwater Rd <br /> City: Oregon City County: Clackamas State: OR Zip: 97045 <br /> Park Name: (if applicable) ❑This is a dealer lot or storage facility <br /> 0 This home is being moved to a new location Complete the section below <br /> New Address: 9832 Nusom Road NE <br /> City: Silverton County: Marion State: OR Zip: 97381 <br /> Park Name: (if applicable) ❑This is a dealer lot or storage facility <br /> Transporter Name: Lynn Bigsby Phone: 971 209 5757 <br /> Address: Gul C Ct b RCS City: Stalin State: C/— 3 C) <br /> Email: •-ca,lrlA L 4-YLtCV)rig i 71C hnctt corn <br /> \1 Page 2 <br />