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• '• MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME .FIRST ASSIGNMENT • ofand the _ MANUFACTURER: Fleetwood Htmes,`Inc:' For• ' :Value Received,rhe.undersi d her y transf this Sta ement Origin manufactured _home.described therein to: ' F L. (��iq _ • , . ADDRESS: 2655 Progress Way„Woodburn;OR 97071l. -Address:72(9O [ ems (0 e m r -z t. .. and certifies that the home is new and has not been registered in this or any other state;he 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, Dated S 2 at r` 63T has been transferred the property of said MANUFACTURER, g �� — this 13th dayof February 2023 on Invoice No 202268182200 Tr•11,, -•r arm Name i .'!gn ere Position Dealer I i , ". t'�•it)blAti T p Before ri, : t p.appotplay Pri OD F, °' who by me being To: FACTORY HOMES CLEARANCE CENTER duly swab , saJMt sil f bovc are true and correct Distributor,Dealer,Etc. Subsorit.1 •'to .tom§Tc faVit ` "�I'l& 2 4 a ..-0, 1 County,State of 2 (VcsiVI 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 TUALATIN,OR 97062 home described therein to: City,Stale,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" _ Died at Including Hitch Excluding Hitch By. . Transferor(Firm Name) Sign Hare Position Square Feet: 601 Date of Manufacture: 02/10/2023 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: FLE210OR23-23077A 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 Datc To Whom Due Address ordinary trade and commerce. .. Fleetwood Homes,Inc. Dated at orporation • Transferor(Firm Name) Sign Here Position' 1. ` Dealer License(Permit)No.. By:, h r u;�^': 'n J y � Before me personally appeared . .. - who byte being Sign Name .. - ..-Title or Position duly sworn upon oath says that the statements set forth above are true and correct. 2655 Progress Way,Woodburn,OR 97071- - Subscribedsworn today of and swo before me this . Notary Public for County,State of - ' Office Address of Signatory(City,&State) Notary Seal