Manufactured Home Bill Of Sale/change

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Manufactured Home Bill
of Sale/Change Application
Web: oregon.gov/bcd
INSTRUCTIONS
The seller must file this form and all supporting documents within 30 days of the sale. If the seller fails to file this form
within 30 days, the buyer may complete the filing requirement.
Completing an online application at fulfills the filing requirement. If filing online, you must
upload:
This completed application with all required signatures
A valid County Manufactured Home Notification for New Homes (if this is a new home)
A valid County Manufactured Home Notification and Tax Certification Form for Used Homes (if this is a used
home)
Any additional documents as required by ORS 446 and OAR 918 and posted at
A valid County Manufactured Home Notification is one that has been certified by the county in which the home is located
AND is submitted before the expiration date entered by the county official on the notification. To ensure the requested
changes are completed before the notification expiration, submit all documents to the State of Oregon Building Codes
Division or one of its county agents immediately upon certification by the county official.
HOME INFORMATION
Home ID number (if known):
DMV X-plate number (if known):
Manufacturer:
Manufacturer serial number
HUD number
Includes land:
Yes
No
Date of sale:
Sales price:
DEALER INFORMATION
Dealer name:
Dealer license number:
Dealer address and phone:
Dealer holds interest
This manufactured structure is free and clear of all mortgages, deeds of trust, security interests, and liens. I have the
legal right to sell this manufactured structure.
I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is
made for use as evidence in court and is subject to penalty for perjury.
Dealer name (print):
Dealer signature:
Date:
BUYER/NEW OWNER INFORMATION (one name per box)
Buyer/new owner name (Last, first, middle):
Buyer/new owner name (Last, first, middle):
Mailing address
Mailing address
Page 1
440-2952 (2/17/COM)

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