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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 undersigned hegby transfers this Statement of Onim and the manufactured . home described therein to: �' L1-+✓ • • ADDRESS: 2655 Progress Way,Woodbum,OR 97071 Address:2?9f) LU-r%-Ca-' r L. Or 'I 3L and certifies that the home is new and has not been registered in this or any other state;be also warrants • 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 Amt.Of Lien Date To Whom Due Address The undersigned MANUFACTURER hereby certifies that the new manufactured home described below, algid the property of said MANUFACTURER,has been transferred By this 9th day of February , 2023 on Invoice No 202268110400 Dealer t N Me,( w STAMP Here Position Deal Li Before m plvl7iJ Q rc a who by me being duly swo it`a ys e eiiigve e e and correct To: FACTORY HOMES CLEARANCE CENTER eye. z02j Distributor,Dealer,Etc. Subscribe an to be or ehi� MY COMMI ' County,State of Or Whose Address is: PO BOX 2176 Notary Seal SECOND ASSIGNMENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured TUALATI N,OR 97062 home described therein to: City,Stare,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: 210SP-Sandpointe-14441A Model Year: 2023 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: 210SP14441A Body Width Ft: 13'8" Body Length Ft: 48'0" /Ft: 44'0" Dated , at By Including Hitch Ercluding Hitch Transferor(Firm Name) Sign Here Position Square Feet: 601 Date of Manufacture: 02/08/2023 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: FLE2100R23-23071A Weight: 18,540 Subscribed and sworn to before me this day of , Manufacturer's ID No: Weight: 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. - Dated at Fleetwood Homes, Inc. �—� By • Corporation Transferor arm Name) Sign Here Position �--- _ • �u t �� Dealer License(Permit)No.By: ( ,�� ['�C T �`ti Before me personally appeared . . who by me being Sign Name • Tide• or-Position duly sworn upon oath says that the statements set forth above are true and correct , , . 2655 Progress Way,Woodbum,OR 97071 • Subscribed and sworn to before me this day of - ` . . Notary Public for County.State of Office Address of Signatory(City d State) ' "Notary Seal ' '. . 1 - .