608581 - Laserfiche WebLink

Home Browse Search

MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME . FIRST ASSIGNMENT • • MANUFACTURER:Fleetwood Homes For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured home described therein to: ADDRESS: 2655 Progress Way,Woodburn,OR 97071 Address: 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 , at the property of said MANUFACTURER,has been transferred By. this 20th da' of April 2023 on Invoice No 202372197500 Transferor(Firm Name) Sign Here Position Y Dealer License(Permit)No. Before me personally appeared who by me being To: JO PROPERTY GROUP LLC - duly sworn upon oath says that the statements set forth above are true and correct. Distributor,Dealer,Etc. Subscribed and sworn to before me this day of , Notary Public for County,State of Whose Address is: 1700 ADAMS AVENUE SUITE 212 Notary Seal SECOND ASSIGNMENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured COSTA MESA,CA 92626 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-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: 210SP14441A Body Width Ft: 13'8" • Body Length Ft: 48'0" /Ft: 44'0" Dated at Including Hitch Excluding Hitch - ---- - By: Transferor(Firm Name) Sign Here Position Square Feet: 601 Date of Manufacture: 04/19/2023 Dealer License(Pennit)No. Before me personally appeared who by me being Manufacturer's ID No: FLE2100R23-23247A Weight: 18,540 duly sworn upon oath says that the statements set forth above are true and correct. • 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 Manufacturer's ID No: Weight: THIRD ASSIGNMENT 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 Dated , at . By: Corporation Transferor(Firm Name) Sign Here Position • {[�� C �^ Dealer License(Permit)No. BY: 1 r CC c 1 i l r\ ,le c_ .io�G�1 Before me personally appeared who by me being Sign Name Tillebr 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 of Signatory(City&Stale) Notary Seal 1