606780 (2) - Laserfiche WebLink

Home Browse Search

MAMWACTURER'S STATEMENT OR CERMiCATE OF ORliiiiN 1 v A IvILHIN ur .‘.1��WA., ,,..•,._.— • . FIRST ASSIGNMENT For Value Received,the unders' ed her by transfers this Statementof Origin and the manufactured MANUFACTURER: Fleetwood Homes,inc. -, home described therein to: G I lam fit' 9?3� ADDRESS: 2655 Progress Way,Woodburn,OR 97071 Address:2.�8 0 �GP�-S . 4 and certifies that the home is new and has not een registered in this or any other state;he also warrants Street,Cu,',Stare 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 at rtAI. -ft ( c� The-undersigned MANUFACTURER hereby certifies that the new manufactured borne Dot (rtijze�e described below, D � T � PO - the property of said MANUFACTURER,has been transferred Sign Here Position this 13th day of February , 2023 on Invoice No 202268181800 Dealer Lic_.,:•;d.k.y t it)No. �M ' rN �a who by me being Before n r+ R°i" dulysaw �dbov e true an correct t.s �n,.p/ To: FACTORY HOMES CLEARANCE CENTER Subscri 1- ,•�+1 +m td V�NO001 fl&3$f t` - State of `!1!' Distribruor,Dealer,Etc. MY COMMISSION-0431 :�.4ISERTEM 44' County, Notary Seal Whose Address is: PO BOX 2176 - SECOND ASSIGNMENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured home described therein to: TUALATIN,OR 97062 City,State,and Zip Address:2023 and certifies that the home is new and has not been registered in this or any other state;he also warrants Trade Name: 210SP-SandpOirite-14441A Model Year: 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 Body Width Ft: 13'8" - ModelNo: 210SP14441A at 0„ Dated Body Length Ft 48'0" /Ft: By Including Hitch Excluding Hitch Transferor(Firm Name) Sign Here Position Dealer License(Permit)No. who by me being Square Feet 601 Date of Manufacture: 02/13/2023 Before me personally appeared 18,540 duly sworn upon oath says that the statements set forth above are true and correct. Manufacturer's ID No: FLE2100R23-23082A WeightSubscribed and sworn to before me this day of County,State of ' Manufacturer's ID No: Weight Notary Public for Notary Seat Manufacturer's ID No: Weight: THIRD ASSIGNMENT Manufacturer's ID No: Weight For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured. Weight: _ home described therein to: Manufacturer's ID No:Manufacturer's ID No: Weight Address:and certifies that the home is new and has not been registered in thus 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. at By. Fleetwood Homes,Inc. Dated Sign Here Position Corporation Transferor(Finn Name) _ Dealer License(Permit)No. who by me being —. Pc (U,inl,1 yy • -df Before me personally appeared . BY: Sign Name Title orPdTttion duly sworn upon oath says that the statements set forth above are true and correct Subscribed and sworn to before me this day of County,State of 2655 Progress Way,Woodburn,OR 97071 Notary Public for - Office Address of Signatory(City&State) Notary Seal ..