Hcd 475.1 Form - Bill Of Sale Form - State Of California Business, Transportation And Housing Agency

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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
to
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
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
HCD 475.1 (REV 0306

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