Multi-Purpose Transfer Form

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State of California
Department of Housing and Community Development
Division of Codes and Standards
Registration and Titling Program
P.O. Box 2111, Sacramento, CA 95812-2111
(916) 323-9224 / (800) 952-8356
MULTI-PURPOSE TRANSFER FORM
PLEASE COMPLETE ONLY THE SECTIONS THAT APPLY AND SIGN BOTTOM OF FORM
UNIT DESCRIPTION
Decal (License) No.(s):
Serial No.(s):
SMOKE DETECTOR AND CARBON MONOXIDE CERTIFICATION
I/We, the undersigned, hereby state that the manufactured home, mobilehome, or multifamily manufactured home described
above is equipped with a properly working, operable smoke detector in accordance with California Health and Safety Code
Section 18029.6 and a carbon monoxide detector in accordance to California Residential Code Section R315.
YES
NO
PARK PURCHASE FEE EXEMPTION
The registered owner of the above-described manufactured home/mobilehome that is located on private property owned by
the registered owner is exempt from payment of the $5 Park Purchase Fund (PPF) fee (Health and Safety Code Section
18114.1). If you feel you qualify for the exemption, complete the following questions:
Do you (the registered owner) own your manufactured home/mobilehome?
YES
NO
Do you (the registered owner) own the land your manufactured home/mobilehome is located on?
YES
NO
DESIGNATION OF CO-OWNER TERM
We request the Department of Housing and Community Development to register our ownership interest in the unit
described above with the following co-owner term:
(READ CAREFULLY AND CHECK ONE BOX.)
JTRS (Joint Tenants with Right of Survivorship): Upon the death of a joint tenant, the interest of the deceased
party passes to the surviving joint tenant. The signature of each joint tenant is required to transfer or encumber the
title.
TENCOM AND (Tenants in Common with the names joined by the word AND): Each tenant in common may
transfer his or her individual interest without the signature of the other tenant(s) in common. The signature of each
tenant in common is required to transfer full interest in the unit to a new registered owner or to encumber the title.
TENCOM OR (Tenants in Common with the names joined by the word OR): Any one of the tenants in common
may transfer full ownership interest in the unit to a new registered owner without the signature of the other tenant(s)
in common. The signature of each tenant in common is required to encumber the title.
COMPRO (Community Property): A unit may be registered as community property in the names of a husband
and wife. The signature of each spouse is required to transfer full interest in the unit or encumber the title.
COMPRORS (Community Property with Right of Survivorship): A unit may be registered as community
property in the names of a husband and wife. At the death of one spouse, the decedent’s community property
interest passes to the surviving spouse without administration. The signature of each spouse is required to transfer
full interest in the unit or encumber the title.
I/We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community
Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above described
unit in California, or from, issuance of a California Certificate of Title covering the same.
I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
at
Date
City
State
Signature
Signature
Signature
Signature
E-MAIL ADDRESS:
PHONE #:
HCD RT 476.6G Side 1 (Rev. 07/16)

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