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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 herby transfers this Statement of Ori�ym and the manufactured home described therein to: ° �(JQ (1-t✓ Address:2?.{�0 Lbw^ew*" K1 r Gift 'Q�"►ti Or `�Z31- y ADDRESS: 2655 Progress Way,Woodbum, OR 97071 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, aced at R the property of said MANUFACTURER,has been transferred CPO- Eoa�G wry BY rim ame TAMP Here Position this 9th day of February 2023 on Invoice No 202268110400 Dealer Li -t)N Before m peffek aK. p. REe.•• R-, oQa who by me being To: FACTORY HOMES CLEARANCE CENTER duly swo a b st ys g a: •vea,e ee,a�ndreorrect �� Subscribe an tobetbr eAhi 9n9sY` c` c-�, �q,, Distributor,Dealer,Etc. MY COMMIS ' County,State of C 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,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 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 , By: Including Hircl, Excluding Hitch Transferor(Firm Name) Sip 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 thc 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. al Homes, Inc. Dated By. Corporation Transferor arm Name) Sign Here Position j Dealer License(Permit)No. • By: / i C ." Before me personally appeared who by me being �-i'Ji ame • Title 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&State) Notary'Sea!