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<br /> `SECTION i :MATUREOF, 1lI tda�.(ths?tkallttt taPlfrY) .3�. , ,,
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<br /> 0 New home:to N11101,4S a n 'o it ( :- c); •,
<br /> f ru T<a. tal_ •ty ,- o a .
<br /> 0 Security interest chars I - to _fie re t a • tt3 .r ants 'f' rmit
<br /> :.;SECTION 2 j w Y ,, 4 h"F"4i' , AP CANT INFORMATION(p ac `prr�tt 1 # "Ys; '
<br /> 0 Dealer/Seller. ❑Lender ❑.EscrourTitle Agent El O nerf13uvcr 0 1,,emid Representative '
<br /> Name: -Ain Homes • t.I I Ph hone:(714)432-9800 x.1113
<br /> rsl:middle,Iard1
<br /> Address,385 Clinton St 1
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<br /> City:Csasia Mesa I Statc:Cf, 1 ZIP;
<br /> Email:: y i a
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<br /> SECTION 3 .".... HOME 1100 R MATION.ci nforr.9 a tkoti,irt'bojd is required}.": . . ;i.. ,;.. ..'t
<br /> Home ID. , Iv i A OR No 1lome ID: 0New Home ❑Out ofstutc borne 0 Learn Co attvLk^c t�R�oord
<br /> Manufacturer:CHAMPION ()V (6.6 B-7. ,
<br /> Nlodt±2F E903 CT }Fear-2023 }
<br /> Serial Number(s) i UJL)Label Number(s)"Requircd.if new boric:
<br /> 24500011A101601 A/B ORE 561459
<br /> ORE 561460 I
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<br /> #of Sections: 2 Sq.footage: 1,326 Bedrooms:
<br /> 3 Batltrootrts: 2
<br /> Roofing type:, Composition " _ Siding type: 'I1-71 hardwood Heating type: Heat pump Cooling type: Centrai,A/C '
<br /> . Date l 07/09/2025 :- Sale price: 227,900.00� Includes land: 0 Yes gj No t '
<br /> . SECTION 4 "3:: . DEALER INFORMATION(le`ave bCasi if no dealer) r'.,. i , ' ¢ i` :',
<br /> NatrurCal- Moines
<br /> (first middle„ftni# meta License h. 3SSIi 63
<br /> Address:385 Clinton St j
<br /> . City:Costa Mesa State:CA LIP:92626
<br /> Em:ail:t t cheller al-am.com Plane(714)432-9800 a'1114
<br /> ystructure e ,y asr-tt_ interests,and liens,1 It--a'ye the;
<br /> I hereby declare this snnnutas.ttxrs:c3 is frc�and clew of all tuvrteagc ,deeds of trus
<br /> legal tight to sell this manufactured structure or my interest in it. The inforrratlo istriris true to the best of'my knowledge and
<br /> - belief,and I understand it can be used as evidence in c , d is subject -natty of perjury. 3
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<br /> Signature: President! Date:
<br /> 'SECTION 5i ,', HOMEA OCATIO f -i k,,,1. t t
<br /> C ucrcnt Address: nt'r .5' r?a. ,, f ',
<br /> City/State/Zip: Saleft;-SR, '/3O2 kl c I i0 4VVIC Ole ?7/ za # County.it ritx4' ,_
<br /> Park Name:Ofa;p /icabtr) 5 $e 0 This is a dealer l kz or sTortga f Citity
<br /> 0-this home is being moved to a new location Complete the section eloser E
<br /> New Address:, -3 S''o 2 r tc....+i- f e: i :
<br /> City.-: sc..iia County: .State ,7•f/Z I lap: ??+ .-2_
<br /> Park Name: (ii appi/ able;) A L•h;1r .')(apt 0 This.is a dueler lot or storage ini lity , -
<br /> Transporter lame . ph; ). S" -/:.,.) J ,.;,,, Co-.," ::..r ' 1
<br /> f 4 I Phone: s
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<br /> Address: /72 � r4 T City: Nb.11/I 1 •:itatc:
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<br /> . Email: ,`
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