Laserfiche WebLink
MANUFACTURERS STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME <br /> FIRST ASSIGNMENT <br /> MANUFACTURER:Fleetwood Homes For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> home described therein to: <br /> ADDRESS: 2655 Progress Way,Woodbum, OR 97071 Address: <br /> • <br /> and certifies that the home is new and has not been registered in this or any other state;he also warrants <br /> Street,City,State,and Zip the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below . <br /> Amt.Of Lien Date To Whom Due Address <br /> The undersigned MANUFACTURER hereby certifies that the new manufactured home described below, Dated , at <br /> the property of said MANUFACTURER,has been transferred By, <br /> • this 20th day of April , 2023 on Invoice No 202372197500 Transferor(Firm Name) Sign Here Position <br /> Dealer License(Permit)No. <br /> Before me personally appeared who by me being <br /> To: JO PROPERTY_ GROUP LLC ,- duly sworn upon oath says that the statements set forth above are true and correct. <br /> Distributor,Dealer,Etc. Subscribed and sworn to before me this day of , <br /> Notary Public for County,State of <br /> Whose Address is: 1700 ADAMS AVENUE SUITE 212 Notary Seal <br /> SECOND ASSIGNMENT <br /> Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> COSTA MESA,CA 92626 home described therein to: <br /> City,Stale,and Zip Address: <br /> and certifies that the home is new and has not been registered in this or any other state;lie also warrants <br /> Trade Name: 210SP-Sandpointe-14441 A Model Year: 2023 the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below <br /> Amt.Of Lieu Date To Whom Due Address <br /> Model No: 210SP14441A Body Width Ft: 13'8" __ <br /> Body Length Ft: 48'0" /Ft: 44'0" Dated , at <br /> Including Hitch Excluding Hitch By <br /> Transferor(Firm Name) Sign Here, Position <br /> Square Feet: 601 Date of Manufacture: 04/19/2023 Dealer License(Permit)No. <br /> Before me personally appeared who by me being <br /> Manufacturer's ID No: FLE2100R23-23247A Weight: 18,540 duly sworn upon oath says that the statements set forth above are true and correct• <br /> Subscribed and sworn to before me this day of , <br /> Manufacturer's ID No: Weight: Notary Public for County,State of <br /> Manufacturer's ID No: Weight: Notary Seal <br /> THIRD ASSIGNMENT <br /> Manufacturer's ID No: Weight: For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> Manufacturer's ID No: Weight: home described therein to: <br /> Manufacturer's ID No: Weight: Address: <br /> and certifies that the home is new and has not been registered in this or any other state;he also wanants <br /> the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below • <br /> • The CORPORATION further Certifies that this was the first transfer of such new manufactured home in Amt.Of Lien Date To Whom Due Address <br /> ordinary trade and commerce. <br /> Fleetwood Homes - Dated , at <br /> By: <br /> Corporation . <br /> Transferor(Firm Name) Sign Here Position <br /> By:• ' T LC `] A.V., ` C�— yrr Dealer License(Permit)No. <br /> (� `l Before me personally appeared who by me being <br /> ' Sign Name Title4ir}Position duly sworn upon oath says that the statements set forth above are true and correct. <br /> 2655 Progress Way,Woodburn,OR 97071 Subscribed and sworn to before me this day of <br /> Office Address o Si lato Notary Public for County,State of <br /> j g, ry(City&State) <br /> - Notary Seal <br /> 1 . <br />