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MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME <br /> FIRST ASSIGNMENT <br /> MANUFACTURER:Fleetwood Homes - For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> home described therein to: <br /> ADDRESS: 2655 Progress Way,Woodbum,OR 97071 Address: <br /> and certifies that the home is new and has not been registered in this or any other state;he also warrants <br /> Street,City,Stare,and Zip the title of said home at time of deliver <br /> y,subject to the liens and encumbrances,if any,as set out below <br /> Amt.Of Lien Date To Whom Due Address <br /> The undersigned MANUFACTURER hereby certifies that the new manufactured home described below, Dated , at <br /> the property of said MANUFACTURER,has been transferred By: <br /> this 20th day of April , 2023 on Invoice No 202372173900 Transferor(First Name) Sign Here Position <br /> Dealer License(Permit)No. <br /> Before me personally appeared who by me being <br /> To: JO PROPERTY GROUP LLC duly sworn upon oath says that the statements set forth above are true and correct. <br /> Distributor,Dealer,Etc. Subscribed and sworn to before me this day of , <br /> Notary Public for County,State of <br /> Whose Address is: 1700 ADAMS AVENUE SUITE 212 Notary Seal <br /> SECOND ASSIGNMENT <br /> Street <br /> For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> COSTA MESA,CA 92626 home described therein to: <br /> City,Stale,and Zip Address: <br /> and certifies that the home is new and has not been registered in this or any other state;he also warrants <br /> Trade Name: 210SP-Sandpointe-14522A Model Year: 2023 the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below <br /> Amt.Of Lien Date To Whom Due Address <br /> Model No: 210SP14522A Body Width Ft: 13'8" I <br /> Body Length Ft: 56'0" /Ft: 52'0" Dated , at <br /> By: <br /> Including Hitch Excluding Hitch <br /> Transferor(Firm Name) Sign Here Position <br /> Square Feet: 710 Date of Manufacture: 04/10/2023 Dealer License(Permit)No. <br /> Before me personally appeared who by me being <br /> Manufacturer's ID No: FLE2100R23-23226A Weight: 20,460 duly sworn upon oath says that the statements set forth above are true and correct. <br /> Subscribed and sworn to before me this day of _, <br /> Manufacturer's ID No: Weight: _ Notary Public for County,State of <br /> Manufacturer's ID No: Weight: Notary Seal <br /> THIRD ASSIGNMENT <br /> Manufacturer's ID No: Weight: • For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured <br /> Manufacturer's ID No: Weight: home described therein to: <br /> Manufacturer's ID No: . Weight: Address: <br /> g and certifies that the home is new and has not been registered in this or any other state;he also warrants <br /> . • the title of said home at time of delivery,subject to the liens and encumbrances,if any,as set out below <br /> The CORPORATION further Certifies that this was the first transfer of such new manufactured home in Amt.Of Lien Date To Whom Due Address <br /> ordinary trade and commerce. <br /> Fleetwood Homes Dated at <br /> By: <br /> Corporation, Transferor Name) Sign Here <br /> (FirmPosition <br /> BY C C J v(`� /\ S e�``^ Dealer License(Permit)No. <br /> L--- ,_ _ Before me personally appeared • who by me being <br /> Sign Nance Me or Position duly sworn upon oath says that the statements set forth above are true and connect <br /> -2655 Progress Way,Woodbum,OR 97071 Subscribed and sworn to before me this day of , <br /> Notary Public for County,State of <br /> Office Address of Signatory(City&Stale) Notary Seal <br /> t <br />