Use this form as a Bill of Sale of in the state of California
Text version of this Form
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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