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608582
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Last modified
1/19/2024 11:00:48 PM
Creation date
1/19/2024 2:19:44 PM
Metadata
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Assessor
Account Number
608582
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
1/18/2024
MTL
072W06BA00800
Assessor Section
Manufactured Structures
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• <br /> MANUFACTURER'S STATEMENT OR CERTIFICATE OF ORIGIN TO A MANUFACTURED'HOME <br /> FIRST ASSIGNMENT <br /> MANUFACTURER:Fleetwood Homes For Value.Received,ilie•undersigned hereby transfers this Statement of Origin and the manufactured <br /> home described therein to: <br /> ADDR t-> -2• p a odburn 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 /> :and,City,State,:and Zip the'title of said home at time of delivery,subject to the liens and encumbrances;if any,as set outbelow <br /> Amt.OCLicn 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 27th day of April , 2023 on Invoice No 202372198000 7)an feror(ii7r•+n Name) Sign Here Position <br /> Dealer License(Permit)No: <br /> Before MC 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 /> D!s[riL,umr,Dealer,Etc. Subscribed arid sworn.to before me this day of <br /> Notary Public for County,State of - <br /> Whose•Addressis: 1700 ADAMS AVENUE SUITE 212 Notary Seal <br /> Street SECOND ASSIGNMENT <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,State,and Zip Address: <br /> lad certifies that the home is new and has not bccn,registered'in this or any other state;he also warrants <br /> Trade Name: 210SP-Sandpointe-14441A Mode]Ye. ''+) . „-. re title of said home at.time of deliver <br /> y,subject to the liens and encumbrances,if any,as set out below <br /> • <br /> #`. Amt.Of Lien Date To Whom Due. Address <br /> Model No: 210SP14441A -Body.Width Pt _ �1.8 ; ; , i <br /> Body Length Ft: • 48'0" IFt: 44'0" Dated , at <br /> By. <br /> /mil/ink Hitch ExcludingHilch, <br /> Transferor(Film Brame) Sign.here Position. <br /> Square Feet: 601 Date of Manufacture: 04/24/2023 Dealer License(Penal°No. <br /> Before me personally'appeared who by me being <br /> duly sworn uponoath says.that the statements set forth above are true:arid correct: <br /> Manufacturer's ID No: FLE210OR23 23251A Weight: 18.540 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: <br /> For Value Received;the undersigned_hereby transfersthis Statement of Origin and the manufactured <br /> Manufacturer's ID No: Weight home described therein to: <br /> Manufacturer's ID No:- • Weight: Address: <br /> and certifies that the is•new and has not been registered in this or any other state;he also warrants <br /> the titleof 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 its . . Amt.Of Lien Date: To,Whom Due Address <br /> ordinary trade and cominerce. <br /> Fleetwood Homes•• Dated at <br /> By .. <br /> CorpoYotiblr • Transferor(Phut Nomc) ` '' ���� <br /> t`�'.i Position <br /> Dealer License Permit No. <br /> By: 4�`-) �� 5Before me personally appeared who b me <br /> • Sign Name Y being <br /> 8 Title o osrrurn duly sworn upon oath.says that the statements set forth above arc true and correct. <br /> 2655 Progress Way,Woodbum,OR 97071 Subscribed and sworn.to:before me this day of <br /> Notary Public-for County,State of <br /> OfficeAddress ofSigiatory(City&State) Notary Seal <br />
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