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,.......... <br /> [� • <br /> ppiumobetworthatvoroof <br /> ❑ <br /> Chajlas_security interest D Change-ew ership Q-B n: <br /> ❑ ecng as roperty m - ..c •-: : • •.-- . s 4 Trip permit EkCe -te -t -storage <br /> ❑'OtEier: <br /> 4 Dealer/seller ❑Lender ❑Escrow/title agent ❑ Owner/buyer ❑ Legal representative <br /> Name:CASCADE FACTORY HOMES,INC <br /> Address (including city,state,and ZIP):590 N. PACIFIC HWY,WOODBURN,OR 97071 <br /> Phone:(503)981-5314 <br /> Email:CASCADEHOMES@YAHOO.COM <br /> t <br /> Home ID number(if known): DMV X-plate number(f known): <br /> NES X355(074 rvEv7 <br /> ❑Moving in from another state <br /> Has no home ID or X-plate because: ❑ Coming out of county deed records <br /> ❑Other: <br /> • <br /> Manufacturer:FLEETWOOD HOMES Model:EAGLE 14562S Year:2018 <br /> Manufacturer serial number HUD number <br /> FLE2100R17-18714A ORE 539016 <br /> *Number of sections:1 *Square footage: 746 *Number of bedrooms:2 *Number of bathrooms:I <br /> *Type of roofing:COMPOSITIO *Type of siding:CEMENT *Heating:ELECTRIC *Cooling:NO <br /> *Date of sale: *Sales price:$34,778.99 *Includes land: ❑ YesI■❑No <br /> p, y� am%cyi "}: <br /> '•`,>�;;"4t. f : t--,c y 7 s1,IM q i; Mi .r.Y•:Fa::i:.,,.,1,4.;t':�i.tial .Z.a 3;•;i:�F' <br /> ,,•��'„ �,�� T n,�;.. Tr•,�...h�,.r!.mi., �. .f+�n „6 <br /> Dealer name: Dealer license number: Dealer address and phone: <br /> CASCADE FACTORY HOMES, INC MSD-41 590 N. PACIFIC HWY <br /> • WOODBURN,OR 97071 <br /> (503)981-5314 <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 best of my knowledge and belief,and that I understand it is <br /> made for use as evidence in court and is subject to penalty for perjury. <br /> Dealer name(print): Dealer signature: Date: <br /> CASCADE FACTORY HOMES, INC <br /> •r <br /> .�TNSR E;iNF()RM4T1PN Qi} c tIno V4 3411 <br /> .�,...,�. ��'• �..,..r• r<: 't:,;.i.t.e.,:l.rt;.i '•rW,-� <br /> Transporter name: Transporter address and phone: <br /> NEWMAN'S MOBILE HOME TRANSPORT P 0 BOX 236 <br /> SILVERTON, OR 97381 <br /> 503-932-5142 <br /> 440-2952(7117/COM) Page 2 <br />