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MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME • FIRST ASSIGNMENT , MANUFACTURER: Fleetwood Homes,Inc. For Value Received,the undcrsi:ncd hereby trans crs is Sta mcnt of Origin and e mond ttircd home described therein to: 1#4.- ., ,,u`.,,r t ADDRESS: 2655 Progress Way,Woodbum, OR 97071 Address: y1 LIZ ?!. 'i 4.(x, , • (yr--47 3oZ and certifies that the home is new and not been registered in this or any other state;he also warrants Street,City.Stoic.mid Zip the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below Amt_Ofen Date To Whom Duer - ,tyAdddress The undersigned MANUFACTURER hereby certifies that the new manufactured home described below, emde,� /[J at 1 11 e the property of said MANUFACTURER,has been transferred �ttcd ' � Yt I I It 9y , • �, — this 29th day of April , 2021 on Invoice No 202047019000 ransferor ' - ' 1 ignere position Dealer License crmit)No. OFA Before me perbj Ily appditt Mai q�� . 0 ` who by me being To: FACTORY HOMES CLEARANCE CENTER duly swv ri up9n' ath saylgQ ( nQ Nh abo,...0 a true and correct. Subscibcd'att2f'swom to tkzfAMOIS NO yof_ I , 7DZ1 Distributor.Dealer.Etc I MY COMMISSION (EfF)FE i MPIStiv1---`3 I>f 1i 1 • County,State of OK Whose Address is: PO BOX 6262176 Notary Seal SECOND ASSIGNMENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured TUALATIN,OR 97062 home described therein to: City.State.and Zip Address: and certifies that the home is new and has not been registered in this or any other state;he also warrants Trade Name: 210EG-Eagle-28483S Model Year: 2021 the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below Amt_Of Lien Date To Whom Due Address Model No: 210EG28483S Body Width Ft: 26'8" Body Length Ft ' 52'0" /Ft: 48'0" Dated , at Including Hitch Excluding HitBy: d Transferor arm Name) Sign Here Position . Square Feet 1280 Date of Manufacture: 04/22/2021 Dealer License(Permit)No. Before me personally appeared who by me being duly sworn upon oath says that the statements set forth above are true and correct_ Manufacturer's ID No: FLE2100R21-21454A Weight: 18,560 Subscribed and sworn to before me this day of Manufacturer's ID No: FLE2100R21-214548 Weight: 16,040 Notary Public for County,State of Manufacturer's ID No: Weight: Notary Seal THIRD ASSIGNMENT Manufacturer's ID No: Weight: For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured Manufacturer's ID No: Weight: home described therein to: Manufacturer's ID No: Weight: Address: and certifies that the home is new and has not been registered in this or any other state;he also warrants • the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below The CORPORATION further Certifies that this was the first transfer of such new manufactured home in Amt Of Lien Date To Whom Due Address ordinary trade and commerce. Fleetwood Homes,Inc. Dated at Corporation • Transferor(Firm Name) Sign Here Position • By: LC.��t••..\`• e. Dealer License(Permit)No.. Sign Name Tit or Position Before me personally appeared who by me being duly sworn upon oath says that the statements set forth above are true and correcL 2655 Progress Way,Woodburn,OR 97071 Subscribed and sworn to before me this day of , Office Address of Signatory(City&State) Notary Public for _ County,State of Notary Seal