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606780
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Last modified
6/2/2023 8:50:23 AM
Creation date
3/16/2023 4:14:29 PM
Metadata
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Assessor
Account Number
606780
Assessor Doc Type
Field Sheet/Notes
Doc Type Date
3/16/2023
MTL
082W06AC02600
Assessor Section
Manufactured Structures
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' MANUFACTURER'S STATEMENT OR CER.l'l.F`1CATE OF OKLC=llN -1v A.1VI_HIN urriN.,..J�.•.,-ILL ---,.•— <br /> FIRST ASSIGNMENT <br /> MANUFACTURER: Fleetwood Homes,Inc. <br /> For Value Received,the unders ed her by transfers this Statement of Origin and the manufactured - <br /> home described therein to: G�I a f a�►t',• <br /> d( ��3� <br /> Address:12_B 0 L.A 4r.0_ S • <br /> ADDRESS: 2655 Progress Way,Woodburn,OR 97071 and certifies that the home is new and has not een registered in this or any other state;he also warrants <br /> Street,City,State and Zip <br /> 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 ,�y�---Address <br /> n�-o^t 2A1i3 a< n a ✓l / — <br /> The""undersigned MANUFACTURER hereby certifies that the new manufactured home described below, ! ' Iwus BY r Q.C/t <br /> the property of said MANUFACTURER,has been transferred f�V r i <) Sign Here Position <br /> this 13th day of February , 2023 on Invoice No 202268181800 DealerLic-:er'!�:- .it)No. OFF j T �� whob me being <br /> Before n:r••• app M N U"} Y <br /> a �~`�s is 'dbov a true an correct <br /> CLEARANCE CENTER dulyswr�,��,��rl fi _ <br /> To: FACTORY HOMES Subscril:.'�«1~ m t h 1 N00;0,1�i $f � <br /> Distributor,Dealer,Etc- MY COMMISSIOiift ]1:;;•::1$F.fbT:EMtsp � County,State of `g`, • <br /> Notary Seal <br /> Whose Address is: PO BOX 2176 SECOND ASSIGNMENT <br /> Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> TUALATIN,OR 97062 home described therein to: <br /> 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 <br /> 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 /> Trade Name: 210SP-Sand Pointe-14441 A Amt Of Lien Date To Whom Due Address <br /> Model No: 210SP14441A Body Width Ft 13'8" <br /> • " Dated at <br /> Body Length Ft 48'0" /Ft: 4'0 By <br /> Including Hitch Excluding Hitch Transferor(Firm Name) Sign Here Position <br /> Square Feet 601 Date of Manufacture: 02/13/2023 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 /> 18,540 Subscribed and sworn to before me this day of <br /> Manufacturer's ID No: FLE2100R23-23082A Weight: Notary Public for County,State of <br /> Manufacturer's ID No: Weight <br /> Notary Seal <br /> Manufacturer's ID No: Weight THIRD ASSIGNMENT <br /> Manufacturer's ID No: Weight For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured. <br /> Weight home described therein to: <br /> Manufacturer's ID No: •Manufacturer'sAddress:ID No: Weight 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 <br /> To Whom Due Address <br /> ordinary trade and commerce. <br /> Dated , at <br /> Fleetwood Homes,Inc. By: <br /> Corporation Transferor(Firm Name) Sign Here Position <br /> /� �, _ Dealer License(Permit)No. who by me being <br /> BY: f-1 C C<„ j,1 r 1�? ,/kr-r Before me personally appeared . . <br /> Sign Name Tale orPoraion 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 County,State of ' <br /> Notary Public for <br /> - Office Address of Signatory(City&State) Notary Seal <br />
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