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Harold A. Lauritsen ~ AG182001 State of Oregon Department of Consumer and Business Services Building Codes Division 1535 Edgewater St NW Mailing Address: PO Box 14470 Salem,OR 97309-0404 (503)378-4530,FAX(503)378-4101,TTY(503)373-1358 Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov Manufactured Structure Ownership Document Certificates of title are no longer issued for manufactured homes. This ownership document reflects all owners and security interests recorded as of the print date listed below. For the most current recording status, please check the website mhods.oregon.gov or call the Department of Consumer and Business Services at(503) 378-4530. Home Information Manufacturer. SKYLINE HOMES Dwelling Type: Manufactured Dwelling Manufacture Year _ _2089 — __ _Model: WEST RIDGE PREMIER 120OCT Date of Sale: 06/13/2018 Purchase Price: $50,000 Includes Land: No Square Footage: 1232 No. of Bedrooms: 3 No. of Bathrooms: 2 Roofing Material: Composition Heating Type: Electric Siding Type: Lap cement composition Cooling Type: Central Air Conditioner Section Information Serial Number HUD Number 1 BZ91-0191-Y-B ORE 513348 2 BZ91-0191-Y-A ORE 513349 Site Information 17100 SW LASICH LN County: Washington SHERWOOD,OR 97140 Right of Survivorship: No Owner Owner Type TIGARD,CITY OF Business 13125 SW HALL BLVD TIGARD, OR 97223