Laserfiche WebLink
coel trade -2r <br /> go air <br /> • <br /> .3C � Church 5 . .Je ers®n <br /> .. , . :.. NATURE OF FILING.(check;all that applies) <br /> ❑' ip ❑ ition: <br /> 1%P o�rear operon o s 0 Trip perm-i 1 ge, <br /> ❑ Oar: . , <br /> APPLICANT INFORMATION <br /> ❑■ 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 ci✓DYAHOO.COM <br /> ::.HOME INFORMATION(* required)..:: <br /> Home ID number(if known): DMV X-plate number(if known): m,3 5(005 0t, <br /> C Ul a <br /> ❑Moving in from another state <br /> Has no home ID or X-plate because: ❑ Coming out of county deed records <br /> ❑ Other: <br /> Manufacturer:FLEETWOOD HOMES Model:EAGLE 28483S Year:2019 <br /> Manufacturer serial number HUD number <br /> FLE2100R18-19150A ORE 542462 <br /> FLE2100R18-19150B ORE 542463 <br /> *Number of sections:2 *Square footage: 1279 *Number of bedrooms:3 *Number of bathrooms:2 <br /> *Type of roofing:COMPOSITIO *Type of siding:CEMENT *Heating:ELECTRIC *Cooling:NO <br /> *Date of sale: *Sales price:58,736.00 *Includes land: ❑Yes I]No <br /> • DEALER INFORMATION:(if no`deafer; leave blank} <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 /> TRANSPORTER INFORMATION (if not moving, leave blank) <br /> Transporter name: Transporter address and phone: <br /> NEWMAN'S MOBILE HOME TRANSPORT P 0 BOX 236-SILVERTON, OR 97381 <br /> 503-932-5142 <br /> 440-2952(7/17/COM) Page 2 <br />