Fillable Printable Manufactured Home Bill of Sale Form - California

Manufactured Home Bill of Sale Form - California

HCD 475.1 (REV 0306

STATE OF CALIFORNIA

BUSINESS, TRANSPORTATION AND HOUSING AGENCY

DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

DIVISION OF CODES AND STANDARDS

REGISTRATION AND TITLING PROGRAM

BILL OF SALE

SECTION I. DESCRIPTION OF UNIT

This unit is a (check one):

Manufactured Home/Mobilehome Commercial Modular Floating Home Truck Camper

The Decal (License) No.(s) of the unit is:

The Trade Name of the unit is:

The Serial No.(s) of the unit is:

SECTION II. STATEMENT OF FACTS

For the sum of dollars ($ ) and/or other valuable consideration in the

amount of , the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver

Buyer

on the day of , 20 , my/our right title and interest in and to the above-

described unit.

SECTION III. SELLER'S CERTIFICATION

I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we are

the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to the unit

against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and

encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid.

Executed on at

Date City State

Signature of Seller Date

Address

Street Address or P.O. Box City State Zip Code

SECTION IV. LIENHOLDER'S INFORMATION

NOTE: The space below is NOT for liens created by the buyer in this transaction.

*Lienholder

Address

Street Address or P.O. Box City State Zip Code