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e mat led Sara hasl'ell Gnc CClvl�l ij <br /> 040CTL N 1_ t4 uNA'>�C1# OF:F C� 1 ' 1401c,al ap.�ly3. i a 's <br /> ❑ New home to MHODS ❑ Adding or removing a co-owner El Demolition(Date: ) <br /> ❑■ Used home sale ❑ Recording as real property El Converted to storage <br /> ❑ Security interest change ❑ Removing from real property status El Trip Permit <br /> ❑ Transfer by inheritance El Other(please note): <br /> S' ,fON Lm4: 03r �u ��i �"9'` �14 01'�1 }Cte.�:.-"iYtl s _ `SS.r�w� ' _.u.,„,:zt� .. s; <br /> a,r.,_a. r. �.�ri1 ..,.� �_""F�.:u.,.'k.]�_.. ,a :s �. _ _ .`��— v,H,& ., t Y <br /> ❑Dealer/Seller ❑Lender 0 Escrow/Title Agent ❑Owner/Buyer ❑Legal Representative <br /> Name' FidelityNational Title Phone: 503-585-7219 <br /> (first,middle, last) <br /> Address: 500 Liberty St Se, Ste 200 <br /> City: Salem State: OR ZIP: 97301 <br /> Email: Christine.Brinton@fnf.com <br /> rM�sEC 40,ft8 4 r. V M FAR- a*N{tnfoi+ l 1 l' l' 1s wreak (V;Crer : t t P k • <br /> Home ID#: 161031 OR No Home ID: ❑New Home 0 Out of state home 0 Leaving County Deed Records <br /> Manufacturer: Elcar <br /> Model: Unknown Year: 1970 <br /> Serial Number(s) HUD Label Number(s)*Required if new home <br /> EC24602PK1 0755 <br /> #of Sections: 1 Sq.footage: 1368 Bedrooms: 2 Bathrooms: 2 <br /> Roofing type: Composition Siding type: Metal Heating type: Electric Cooling type: Central Air <br /> Date of sale: •' /2025 Sale price: $217,500.00 Includes land: Yes El No <br /> of applicable) `� <br /> 8/ ❑ <br /> ,.SECTIO 4`11 w .I S S' r D,EAii:El '1WOR aititifaill a d ite . _. ,71.17 <br /> Name: License#: <br /> (first,middle,last) <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 /> Current Address: 3100 Turner Rd SE, Spc 424 j <br /> City: Salem County: Marion State: OR Zip: 97302 <br /> Park Name: (ifapplicable) Paradise Island MHP E 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: <br /> City: County: State: Zip: <br /> Park Name: (if applicable) ❑.This is a dealer lot or storage facility <br /> Transporter Name: Phone: <br /> Address: City: State: <br /> Email: <br /> Page 2 <br />