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<br /> Docusign Envelope ID:0FD39D98-9778-4F52-8248-9372913EFB6E
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<br /> Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative
<br /> Name:
<br /> Urst 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 /> {'pp`y�...i}}}(� Email: agarcia@factoryexpohomes.com
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<br /> Home ID#: N E V . OR No Home ID: ©New Home ❑Out of state home ❑Leaving County Deed Records .
<br /> Manufactutr.e : Fleetwood Model: 28604M Rosewood Year: 2025
<br /> Serial Number(s)
<br /> HUD Label Number(s)er(s) Required if new home
<br /> FLE210OR22-24400A
<br /> FLE21000H24-2440ub
<br /> #of Sections: 2 Sq.footage: 1600 Bedrooms: 4 Bathrooms: 2
<br /> Roofing type: ARCH COMP Siding type: Vert. Cemt. Heating type: ELECTRIC Cooling type: NONE
<br /> Dlamp sale: 10/03/2024 Sale price: $116,355.00 Includes land: CI Yes No
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<br /> Name:Alta Cima Corp.
<br /> Urst,middle,last) Dba: Factory Expo Homes l License#:MSD448
<br /> Address:2555 Progress Way
<br /> City:Woodbum I State:OR ZIP:97071
<br /> Email:agarcia@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 /> Sign
<br /> ature: Date: 12/10/2024
<br /> a Ft rrt u, .a,.n 02
<br /> Current Address:2555 Progressive Way
<br /> City:Woodburn County:Marion State:OR Zip:97071
<br /> Park Name:(if applicable) ©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: 7940 Marion Rd
<br /> City: Turner County: Marion State: OR Zip: 97392
<br /> Park Name:(if applicable) ❑This is a dealer lot or storage facility
<br /> Transporter Name: BLUE HAUL TRASPORTATION Phone: 818-434-5501
<br /> Address: 38681 Garden Dr City: Scio State: OR _
<br /> Email: blue.haul@yahoo.com
<br /> Page 2
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