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<br /> Dealer/Seller ❑Lender ❑Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative •
<br /> Name:Willamette Homes • Phone:
<br /> (first,middle,last)
<br /> Address:11950 SW 2nd St#300
<br /> • City:Beaverton State:OR ern:.97005
<br /> Email:info@willamettehome.com •
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<br /> Home ID#: IU E.W OR No Home ID: 0 New Home 0 Out of state home ❑Leaving County Deed Records
<br /> Manufacturer:Fleetwood • 6)
<br /> Model: • Year:2025 •
<br /> ' Serial Number(s) HUD Label Number(s)*Required if new home
<br /> FLE2I00R25.24477A ORE 566233
<br /> FLE2100R25-24477E ORE 566234
<br /> #of Sections: 2 Sq.footage: 1280 Bedrooms: 3 Bathrooms: 2
<br /> Roofing type: Arch Shingle Siding type: Fiber Cement Heating type: Electric Cooling type:- N/A •
<br /> Date of sale: 5/1/25' Sale price: 91,059 Includes land: ❑Yes Q No
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<br /> Name:Willamette Homes License#:153
<br /> (first,middle,last) .
<br /> Address:11950 SW 2nd St#300
<br /> City:Beaverton State:OR • ZIP:97005.
<br /> Email:info@willamettehome.com Phone:(503)726-0604
<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: 1r.�G 2eJeief- Date: 3/18/25
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<br /> Current Address:Fleetwood Factory
<br /> City:Woodburn County:Marion • State:OR Zip:97140
<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: 14 0813iper St NE J•d a r ' N b
<br /> City:Aurora County:Marion State:OR Zip:97002
<br /> Park Name:(if applicable) El This is a dealer lot or storage facility
<br /> Transporter Name:Newmans Mobile Transport Phone:
<br /> Address: City: Silverton • State: OR
<br /> Email:
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