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MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORION TO A MANUFACTURED HOME - .. __ . FIRST ASSIGNMENT . MANUFACTURER: Fleetwood Homes, Inc. For Value Received,the undersi:.ed h y this tatement of On and the manufactured home described therein to:- .C I G�4.j V LLB ADDRESS: 2655 Progress Way,Woodburn, OR 97071 :-Address: L asii.o/ 1)-j- it A' u Qr ?-73€1 and certifies that the home is new and has not been registered in this or any other state;he also warrants Street.Ciry.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, Date �� , at T(t�t t4 t rt j5f the property of said MANUFACTURER,has been transferred rwasl. By this 20th day of February 2023 on Invoice No 202268180900 Dealer p i Here Position Before me who by me being To: FACTORY HOMES CLEARANCE CENTER duly sworn s'ys t17�Yti8'� e e d correct Distributor,Dealer.Etc. Subscribed to befr�tt v �� MY COMMIS$I 4ii' County,State of 6'l2h Whose Address is: PO BOX 2176 Notary Seal l5'P"" SECOND ASSIGNIVIENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured TUALATIN,OR 97062 home described therein to: Ciry,State,andAddress: Zip 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-14441 A 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: 210SP14141A Body Width Ft 13'8" Body Length Ft _ 48'0" /Ft 44'0" Dated at By Including Hitch Excluding Hitch Here Transferor(Firer Name) Sign Position Square Feet 601 Date of Manufacture: 02/17/2023 Dealer License(Permit)No. Before me personally appeared who by me being duly sworn upon oath says that the statements set forth abov e are true and correct Manufacturer's ID No: FLE2100R23-23097A 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. • Fleetwood Homes, Inc. Dated at By: • Corporation Transferor(Finn Name) Sign Here Position Dealer License(Permit)No. BY Y '1� �y � Before me personally appeared who by me being tgn Name Tie or Position duly sworn upon oath says that the statements set forth above are true.and correct 2655 Progress Way,Woodburn,OR 97071 Subscribed and sworn to before me this day of . Notary Public for ' County,State of - Office Address ofSignatory(City.&State) Notary Seal