|
. ,
<br /> 0 ,A m-E--
<br /> 770 r yen d T. wv, - •-• - . . . ... . . ....,,
<br /> %_ • .
<br /> . • . . .
<br /> Ettitt,,..-.:1.:ii,„•,,7-..:.7i:-:y.,..--_, :;,:,,..„,.:- ,.,',...:„:,:,NATURE OF FILING l(check al 1.iilatolijy).':
<br /> - w iA1/4J0,413zis -o er
<br /> - la,,Ilke.5_,I1 1.614z.... ag`colfkpel., pt.-tzar:Q. o strrage---
<br /> Sj/Xectftity-ifiter.entange e g e tus 0 Trip Perinit
<br /> lja/Nekortb)ciakitag.... -ISIXTiheLlpirtva..neto:
<br /> SECTION. F,:::;,:.,,:,; _,-..f::..,-,„:,,:;,;!.:,::.: .,::,AppLICAstIrkiwomoioN60,-iDrfor:,,..:,,,],_.!'.i:.!..
<br /> 0 Dealer/Seller CI Lender D Escrow/Title Agent D OwnerBuyer 0 Legal Representative
<br /> Cirst , iranie:J&M-Homes LLC Phone:541-927,..1471
<br /> - , ,miadle,last) . -
<br /> Acitfr9sS:33213 Hwy 34 SE
<br /> City:Albany:. State:OR ZIP:97322_
<br /> , • : mail:lsinicn@jaridmhomes.corn
<br /> SECTION r ''.•''''' -'-'-. :16METI4F-CiROATTOO;(16f6fiji0i:Oh*beAtii160!0):5::::Y.'a,..a-'ei.;':::i ';:;-:::''.-sg,..[-,,, ,41.,..,,.,
<br /> T . Home in#:i j Evf. . OR No Home ID: New Home El Out of state home P Leaving County Deed Records
<br /> . .
<br /> Manufacturer CMH , illO. t PJI 9"i.,_
<br /> Model:72TEM28563BH25 Year:2025
<br /> , • . : . . Serial Number(s) HUD Label Number(s)*Required if new home:•
<br /> AL B0446020RA 0RE569064
<br /> ALB0446020RB ORE569065 .
<br /> . . ., .
<br /> ' - #of Sections:- 2 -- Sq.footage: 1512 Bedrooms: 3 - Bathrooms: 2
<br /> - Roofing typei. Architectural Siding type: Vertical Wood Heating type: Electric Cooling type:- None- -7
<br /> ile
<br /> Date cif sale:- 7/0125:,
<br /> I Sale price: 139355 Includes land: LI Yes A No
<br /> gapplicab ) I 1'
<br /> $EttioN:4T:_ _;•:::. -.,,:.,7,::::i.:.::...:.::,!--,5;'PbE4LtRINP.CikiiiiAtiOS(!(a-Vi66iiilf,Ji0ii:eki60;:;',,, ,,,..:::,,:H.,.:.,.-i;,„--g:::,
<br /> (first middle lasi) 6 Homes LLC • License#:mSE)165,,,,.:5,:i: '
<br /> , 2:mK A'1_ :
<br /> : ‘ Address•15850 S Pope Lane
<br /> • • . _, .. _ •. _,.. , _ _ .
<br /> ,
<br /> tity:Ol'ego .
<br /> ftICity State:OR zIP:97045: ' - .. .... _ —
<br /> . „ Entail:dasla@jandmhomes.com Phone:503-908-8166 . .
<br /> _1 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 unders d it can be used as evidence in court and is subject to a penalty of perjury.
<br /> Signature: RA., Aivyytepi Date: .9/2 3A 5
<br /> SECTION 5 HOME LOCATION
<br /> Current Address:2445 Pacific Blvd SW
<br /> City:Albany County:Linn State:OR Zip:97321
<br /> Park Name: (if applicable) 1::]This is a dealer lot or storage facility
<br /> N This home is being moved to a new location Complete the section below
<br /> New Address:7292 Torvend Rd NE
<br /> City:Silverton County:Marion State:OR Zip:97381
<br /> Park Name: (if applicable) El This is a dealer lot or storage facility
<br /> Transporter Name:J&M Homes LLC Phone: 541-928-1471
<br /> Address:33213 Hwy 34 SE City: Albany State: OR
<br /> Email:Isimon@jandmhomes.com
<br /> Page 2
<br />
|