Use this form as a Bill of Sale For the Sale of a Manufactured Structure in the state of Oregon
Oregon Manufactured Structure Bill of Sale Form
Text version of this Form
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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:
Buyer name:
Buyer name:
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:
440-3925 (5/11/COM)