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- .." • MfANUFACTUREWS STATEMENT OR CERTIFICATE OF'ORIGIN- TO A MANUFACTURED 13O1VIE <br /> - ,FIRST ASSIGNMENT • <br /> , <br /> - MANUFACTURER: Fleetwood Homes:Inc. -` -•.,. of Origin and the• <br /> For.Value Received,the.underii l her transfer this Statement manufactured <br /> ,. .• home described therein to: Id I;. lq.l I 1+ <br /> ADDRESS: 2655 Progress Way,Woodburn,OR 97071' Address- 2(att Qan -[0 a r►'L e; t ' <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, Date S Z , at lift <br /> the property of said MANUFACTURER,has been transferred S • � �� . CM— <br /> Tr <br /> this 13th day of February , 2023 on Invoice No 202268182200 Dealer I i r(Firm Name ign ere Position <br /> ' )yAiJFT pAq� <br /> Before app .?Y! (� F IttPua who by me being <br /> To: FACTORY HOMES CLEARANCE CENTER duly swv sa 1t t sgg f bow are true and correct 2 <br /> Distributor,Dealer,Etc. SubSCrit MIr i .t ' �1`l(! Cz� <br /> County,State of• (VIP,/ <br /> Whose Address is: PO BOX 2176 Notary Seal <br /> 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,Stale,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: 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 <br /> Amt Of Lien Date To Whom Due Address <br /> Model No: 210SP14441A Body Width Ft: 13'8" <br /> Body Length Ft: 48'0" /Ft: 44'0" _ Dated , By: <br /> Including Hitch Excluding Hitch <br /> Transferor(Firm Name) Sign Hem Position <br /> Square Feet: 601 Date of Manufacture: 02/10/2023 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 /> • Manufacturer's ID No: FLE21 OOR23-23077A Weight: 18,540 Subscribed and sworn to before me this day of <br /> Manufacturer's II)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 II)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 1 Amt Of Lien Date To Whom Due Address <br /> ordinary trade and commerce. <br /> Fleetwood Homes,Inc. Dated at <br /> B <br /> r y- <br /> otporation Transferor(Firm Name) Sign Here Position <br /> 1 Dealer License(Permit)No. <br /> By ' ' - r. r u'.!, rl c - Before me personally appeared . .. who by being <br /> S�--c.rr o y <br /> `Sign Name Title or Positionduly sworn upon oath says that the statements set forth above are true and correct <br /> — 2655 Progress Way,Woodburn,OR 97071`- - - Subscribed m day of and swo to before me this <br /> Notary Public for County,State of ' <br /> Office Address of Signatory(City&State) Notary Seal • <br />