Fillable Printable Manufactured Home Bill of Sale Form - Oregon

Manufactured Home Bill of Sale Form - Oregon

440-3925 (5/11/COM)

Manufactured Structure

Bill of Sale

HOME INFORMATION

Home ID number (if known):

DMV X-plate number (if known):

Serial number:

STATEMENT OF FACTS

I transfer all rights, ownership, and interest in the above described manufactured structure to:

Buyer name:

Date of purchase:

Purchase price:

Includes land:

I/We certify that any and all security interest holders either acknowledge the sale of or have released their

interest in this home. (Attach Security Interest Change Form, 440-2948, if applicable.)

Printed name of seller (business name if seller is a business):

Date of release:

Signature of seller:

Printed name of seller (business name if seller is a business):

Date of release:

Signature of seller: