|
MANUFACTURER'S STATEMENT:OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME
<br /> FIRST ASSIGNMENT
<br /> MANUFACTURER:Cavco Manufacturing,LLC:Cavco Woodbum • For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured
<br /> home described therein to: C et S'„"-.AA'oA (",,_ter,,,r- I, k Q,.,_.
<br /> ADDRESS: 2655 Progress Way,Woodbum,OR 97071 Address. 1 \fib s„, c'-x.r,. .,rr..._ a. . c>r,r 'eta- c'0,7-,, ,',i
<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 /1 /9 /,��
<br /> the property of said MANUFACTURER,has been transferred - , �.,—��..--D By: ( i X)�/ ` � ., ,?.,
<br /> r this 14th day of April , 2025 on Invoice No 202592761300 Transferor(Finn Name) rgn Here /Jj Positio
<br /> Dealer License(Permit)No. �nS,c, `i,-v
<br /> ir
<br /> Before me personally appeared C`s,�r,s ��,su .-,:-.--- who by me being
<br /> To: COMMONWEALTH HOMEOWNER SERVICES, INC. �r duly swum u irn •,r.t the statements set forth above are true and correct. ;.
<br /> sl bscribed y .re me this 1,4 day of ;tv,sk,r,
<br /> Distributor,Dealer,Etc. r rr .
<br /> : _ , ,,.,.-.•- ;.E4&tlic for t n'1 r,-,`�-...�n a,.e•,,r, C-irunty,State of C 1N..h .asr,
<br /> Whose Address is: 18150 SW BOONES FERRY ROAD d(9lillMIION NO.1014450
<br /> Street MY OMMISSION EXPIRES JULY 08,2025 SECOND ASSIGNMENT
<br /> hor value Received,the undersigned hereby transfers this Statement of Origin and the manufactured
<br /> PORTLAND, OR 97224 home described therein to:
<br /> City,State,and Zip Address:
<br /> and certifies that the home is new and has not been registered in this or any other state;he also warrants
<br /> Trade Name: 210EV-Everq teen-EV28603Z Model Year: 2025 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 /> Model No: 210EV28603Z _ Body Width Ft: 26'8"
<br /> Body Length Ft: 64'0" /Ft: 60'0" Dated at
<br /> Including Hitch Excluding Hitch By:
<br /> Transferor(Firm Name) Sign Here Position
<br /> Square Feet: 1425 Date of Manufacture: 04/01/2025 Dealer License(Permit)No.
<br /> Before me personally appeared who by me being
<br /> duly sworn upon oath says that the statements set forth above are true and correct.
<br /> Manufacturer's ID No: FLE2100R25-24628A Weight: 25,420 Subscribed and sworn to before me this day of
<br /> Manufacturer's ID No: FLE2100R25-24628E Weight: 19,360 • 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 warrants
<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 /> Cavco Manufacturing,LLC:C vco Woodbum . .Dated. , at
<br /> • By:
<br /> Corporation Transferor(Finn Name)
<br /> e f Sign Here
<br /> Position •
<br /> By: e_rt Pt (ry s l A .: �. Dealer License(Permit)No.
<br /> Before me personally appeared who by me being
<br /> Sign Name Title or 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 /> - Notary Public for County,State of
<br /> Office Address of Signatory(City&State) Notary Seal
<br />
|