609523 - Laserfiche WebLink

Home Browse Search

MANUFACTURER'S STATEMENT OR CERTIFICATE.OF ORIGIN TO A.MANUFACTURED HOME. . FIRST ASSIGNMENT MANUFACTURER:Palm Harbor Homes For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured home described therein to: ADDRESS: 3737 Palm Harbor Drive, Millersburg,OR 97321 Addcest: and certifies that the home is new and has not been registered in this or any other state;he also warrants Street,City.Slate,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 S. The undersigned MANUFACTURER hereby certifies that the new manufactured home described below, ,Dated the property of said MANUFACTURER,has been transferred txiscode Face i ro-s irie4 Br Transferor(PPJm+Name) Sign ere Position this 15th day of February 2024 on Invoice No 202377206800 Dealer License(Permit)No. Before me personally appeared who by me being To: CASCADE FACTORY HOMES, INC. duly sworn upon oath says that the statements set forth above are true and correct. Subscribed and sworn to before me this day of Distributor,Dealer,Etc. Notary Public for County,State of Notary Seal Whose Address is: PO BOX 2558 SECOND ASSIGNMENT Street For Value Received,the undersigned hereby transfers this Statement of Origin and the manufactured CLACKAMAS,OR 97015 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: 310AF-American Freedom-14562A Model Year: 2024 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: 310AF14562A Body Width Ft: 13'6" at Body Length Ft: 60'0" /Ft: 56'0" Dated By Including Hitch Excbrdmg Hitch Transferor(Firm Name) Sign Here Position Square Feet 756 Date of Manufacture: 02/13/2024 Dealer License(Permit)No. Before me personally appeared who by me being duly sworn upon oath says that the statements set forth above are true and correct. Manufacturer's ID No: PH H3100R23-15853A Weight: 26,196 . Subscribed and sworn to before me this day of Manufacturer's ID No: Weight: Notary Public for County,State of Notary Sealht: 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 Manufacturer's ID Not Weight: home described therein to: Address:iht:. Manufacturer's ID No: Weight: 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. Dated at Palm Harbor By: A/ Corp anon Transferor(Finn Name) Sign Here Position • Dealer License(Permit)No. By. Before me personally appeared who y e b m being " ,;•--- Sign Name Title or Position duly sworn upon oath says that the statements set forth above are true and correct. 3737 Palm Harbor Drive, Millersburg,OR 97321 Subscribed and sworn to before me this day of ' Notary Public for County,State of Office Address ofSignalo,y(City&Stale) .. Notary Seal