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MANUFACTURER'S STA'TE1,4ENr OR CERTIFICATE OF ORIGIN TO A MANUFACTURED HOME
<br /> r
<br /> FIRST ASSIGNMENT
<br /> MANUFACTURER:Fleetwood Homes For Value Received,the undersigned hereby transfers-this Statement of Origin and thelnanufacturcd ,
<br /> home described therein to:
<br /> ADDRESS: :, 5 P;; - M fir • •urn, OR 97071 Address:
<br /> and certifies that.the borne is new and has not been registered in this or any other state;he also.warrants
<br /> .fi a4 City,State,and.Zip
<br /> ,� t 3 ® � the title of said home at time of delivery,subject.to'the liens and encumbrances,if any,as set out below
<br /> i ;'1 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'
<br /> 13y:
<br /> this 20th day of April 2023 on Invoice No 202372173400 Transferor(Finn Nanrc) 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 /> Subscribed and sworn to before Inc this day of ,
<br /> Distributor,Liealer,61e Notary'Public for.. County;Stale of
<br /> Whose Address is` 1700 ADAMS AVENUE SUITE 212C �; Notary seal
<br /> t SECOND ASSIGNMENT
<br /> Street
<br /> f i' , For Value Receiv the.undersi ned herebytransfers this Statement of Origin ed, g and the manufactured
<br /> COSTA MESA,CA.926260 Lane described therein to: .
<br /> City.State,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 /> Anti.Of Lien Date To Whore Due Address,
<br /> Model No:,.210SP14522A Body Width Ft: 13''.8"
<br /> Body Length Ft: 56'0" /Ft: -52'0" Dated , at
<br /> Inc-hiding Hitdi &chiding Hitch By:
<br /> Transferor(Finn Name) Sign Herd Position
<br /> Square Feet: 710. Date of-Manufacture: 04/06/2023 Dealer License(Permit)No.
<br /> Before me personally appeared- who by me being.
<br /> duly sworn upon oath says that the statements set forth above are true and correct_
<br /> Manufacturer's ID No: .FLE2100R23-23221A Weight. 20,460
<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 /> Mattufacturet's ID No: Weight: For Value Received,the undersigned hereb transfers this Statement of Origin and the manufactured
<br /> Manufacturer's ID No: Weight: home described therein to: - , •-K
<br /> Address ` s
<br /> 1VIazmfacturet's ID No: Weight , l ,
<br /> and certifies that the home is new and no b,+ .y i iltis try other state;he also warrants
<br /> the title of said home at lime of delivt` r i i.;t and encu 'lances,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
<br /> 7ina..sferar(Firm$ ` ` Deafer License(Permit)No:
<br /> s�Here Posu,on
<br /> Signi
<br /> y 'C C�L.3, ':!L S T�,Cr Bcforemepersonall appeared'
<br /> y who byme:being
<br /> Sig„Name Title or position duly swum upon oath says-that-the statements set,foNtabovc arc true and correct
<br /> :2655 Progress Way,Woodburn,OR 97071 Subscribed and sworn to before:me this day of ,
<br /> Office Address ofSig,atory(City&State) -
<br /> Notary Public for County,State of
<br /> Notary.Seal
<br />
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