|
r
<br /> fir:•
<br /> ❑.Chalage-seetmit crest ❑ nge-ownet ►ip e :- . "• -.i olition:
<br /> ❑ p ty ❑ . _ • - • ... - , --.-- s Ei Trip perm n rted-te-storage
<br /> ❑.Other:
<br /> ,P { AN F.Qa A
<br /> 0 Dealer/seller ❑Lender ❑Escrow/title agent ❑ Owner/buyer ❑ Legal representative
<br /> Name: J&M Homes, LLC
<br /> Address(including city,state,and ZIP): 12901 SE 97th Ave.#100 Clackamas, OR 97015
<br /> Phone: 503-908-8166
<br /> Email: apowell@jandmhomes.com
<br /> OME.I �O. M PION -.a, a uired '-. :: >_:.
<br /> .__,._._,-.....•............,...�..-......... .......... ......,.......,.......,...r., .._.r_........... ..ter... ,.....r..,....._.,,s._.._...._.........,.. ........ .. .,F::-r�_r : ..,. .. ._ .
<br /> �q.
<br /> Home ID number(if known): DMV X-plate number(ifknown):
<br /> . BCW M 355x.7
<br /> [] Moving in from another state
<br /> Has no home ID or X-plate because: ❑ Coining out of county deed records
<br /> ❑Other:
<br /> iiufactt er CMH MFG West, Albany Model:481F Year:2018
<br /> - ..
<br /> :F::i�?'i:r�
<br /> Manufacturer serial number._. ..:- ..,,- :� :::.,, r,<_.r.-,::::: t:•.:': HUD ntunbet• ; ;:' .,_ .:,,; ,.._;:.:.:_.
<br /> ALB037765ORA ORE-
<br /> ALB037765ORB ORE-
<br /> ,
<br /> *Number of sections:2 *Square footage:1296 *Nuthber of bedrooms: 3 *Number o bathrooms:2
<br /> *Type of roofing: Composition *Type of siding: Wood *Heating: Electric *Cooling: None
<br /> *Date of sale:4/5/2018 *Sales price:$74,257.00 . *Includes land:❑Yes 0 No
<br /> .........................:.:..............,,,.._..:.........: ..n..
<br /> _..:t..........,-_.,..................t...,....... .......... r a 1-.Po^: y�. .,,.sf-:; - }, -
<br /> � c
<br /> - e ye�b`aL,� _
<br /> D . - 4 f>I�94 ler !_ a I - =�,_.E
<br /> r.. ,_ ..::.:....:..:... . .: : . ,..-. '4.�,..: . C„r. -:.t.:,-r,,...(v ....�::f.:�'.._::.a�;:':S"-:1:3�,.,_....:ti - it'^ , - :;`.'nf:?.�:,i
<br /> Dealer name: Dealer license number: Dealer address and phone:
<br /> J &M Homes, LLC MSD155 12901 SE 97th Ave. #100
<br /> Clackamas, OR 97015
<br /> 503-908-8166
<br /> 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.
<br /> I hereby declare that the above statement is true to the t of my knowledge and belief,and that I understand it is
<br /> made for use as evidence in court and is subject • penalty for Aim;
<br /> Dealer name(print): D:ealersi_ :'titre:, (,• Date
<br /> J &M Homes, LLC r 10b '`��
<br /> __L.....Wit,. i-._.._. '-
<br /> ............ . �� ..,..,1....,..a•:n„ ,:_>:_L.cr ._-..::..e..y.•:,.h:.,•,.,.;. - _ - ='.�i::.:v:, ..:, ^i°S°'1-'.:.::?:_ •sY:-�
<br /> c':a Lr.__._._,,. ,^-..._�..e,a.__..__c S .... .,rr,,�..::;...,_..f'" :.-,.,;u:....:..:.:.., _ _ .Jh't _rP..�a�; s-;l cis;.
<br /> -'-.zc-c,c.._t..._,_:---hn-r-..,{. � _ , _ . �..._ n' ::::.::::�: i t .�::/:��fi,n.��.,, r' _, e
<br /> :Fly' - - - ,M1-4t� ='fG_.._=, ® , i•,V^ tl�� ��'i"a'}:'��'.:<-::S:..i:l:�":�:
<br /> ,�- t==-,� --":-�= -.�:TRANSI?ORTEI2��INFOR ot;1llo;'r Vie, nk = _
<br /> „ r�
<br /> I P 1
<br /> .._.....-}..,.. JAL :'f•i...:.-::- Li':_::r�i�:�
<br /> :.r.�i;.-.i .1._.—_..:,.._-}<.,.,,.> , -.,-.S,..e—iF.s,:2r.-:,..:•r:�-:.�_:.._.g.,.<�•-.,.k F.:.-.vr: _ ..,.....i:.-.. ..............r.......,-... ::....._.,�..h,r. _.s...'a_.-..................r... _. .. ........r...-
<br /> Transporter name: Transporter address and phone:
<br /> 440-2952(7/17/COM) Page 2
<br />
|