Form 440-2952 "Manufactured Home Ownership Document Application for New and Used Homes" - Oregon

What Is Form 440-2952?

This is a legal form that was released by the Oregon Department of Consumer and Business Services - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Oregon Department of Consumer and Business Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 440-2952 by clicking the link below or browse more documents and templates provided by the Oregon Department of Consumer and Business Services.

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Download Form 440-2952 "Manufactured Home Ownership Document Application for New and Used Homes" - Oregon

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Manufactured Home Ownership Document Application for New
and Used Homes
Department of Consumer and Business Services
Building Codes Division
1535 Edgewater St. NW, Salem, Oregon • Phone: 503-378-4530 • Fax: 503-378-4101
Web: oregon.gov/bcd
Email: mhods.bcd@oregon.gov
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 http://mhods.oregon.gov fulfills the filing requirement. If filing online, you must
upload:
This completed application with all required signatures
A valid tax certification from the county tax assessor
Any additional documents as required by ORS 446 and OAR 918 and posted at www.oregon.gov/bcd
A valid county tax certification 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 certification. To ensure the requested changes
are completed before the certification 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.
STATE APPLICATION SUBMISSION OPTIONS
1. Online: http://mhods.oregon.gov
2. Mailing address: P.O. Box 14470, Salem, OR 97309
3. In
Salem
Pendleton
Coos Bay
person
Oregon Building Codes Division
Oregon Building Codes Division
Oregon Building Codes Division
at:
1535 Edgewater St. NW
800 SE Emigrant Ave., Suite 360
1155 S. 5
St.
th
Salem, OR 97304
Pendleton, OR 97801
Coos Bay, OR 97420
503-378-4530
541-276-7814
541-266-1098
Home ID number:
Amount:
$
Ownership document change
$55.00 (70511/1202)
$
Trip permit (per section)
$5.00 (70511/1195)
TOTAL
$
Make check or money order payable to Department of Consumer and
Business Services. If paying by credit card, applicant must sign credit card
information box. Do not send cash.
Secure fax: 503-947-2333
Visa
MasterCard
Discover
Phone:
-
-
Department use only
$
Cardholder signature
Amount
Name of cardholder as shown on credit card
/
Expiration
Credit card number
Page 1
440-2952 (719/COM)
Manufactured Home Ownership Document Application for New
and Used Homes
Department of Consumer and Business Services
Building Codes Division
1535 Edgewater St. NW, Salem, Oregon • Phone: 503-378-4530 • Fax: 503-378-4101
Web: oregon.gov/bcd
Email: mhods.bcd@oregon.gov
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 http://mhods.oregon.gov fulfills the filing requirement. If filing online, you must
upload:
This completed application with all required signatures
A valid tax certification from the county tax assessor
Any additional documents as required by ORS 446 and OAR 918 and posted at www.oregon.gov/bcd
A valid county tax certification 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 certification. To ensure the requested changes
are completed before the certification 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.
STATE APPLICATION SUBMISSION OPTIONS
1. Online: http://mhods.oregon.gov
2. Mailing address: P.O. Box 14470, Salem, OR 97309
3. In
Salem
Pendleton
Coos Bay
person
Oregon Building Codes Division
Oregon Building Codes Division
Oregon Building Codes Division
at:
1535 Edgewater St. NW
800 SE Emigrant Ave., Suite 360
1155 S. 5
St.
th
Salem, OR 97304
Pendleton, OR 97801
Coos Bay, OR 97420
503-378-4530
541-276-7814
541-266-1098
Home ID number:
Amount:
$
Ownership document change
$55.00 (70511/1202)
$
Trip permit (per section)
$5.00 (70511/1195)
TOTAL
$
Make check or money order payable to Department of Consumer and
Business Services. If paying by credit card, applicant must sign credit card
information box. Do not send cash.
Secure fax: 503-947-2333
Visa
MasterCard
Discover
Phone:
-
-
Department use only
$
Cardholder signature
Amount
Name of cardholder as shown on credit card
/
Expiration
Credit card number
Page 1
440-2952 (719/COM)
NATURE OF FILING (check all that applies)
Change security interest
Change ownership
Demolition
Date of demolition:
Recording as real property
Removing from real property status
Trip permit
Converted to storage
Other:
APPLICANT INFORMATION
Dealer/seller
Lender
Escrow/title agent
Owner/buyer
Legal representative
Name:
Address (including city, state, and ZIP):
Phone:
Email:
HOME INFORMATION (*required)
Home ID number (if known):
DMV X-plate number (if known):
Moving in from another state
Has no home ID or X-plate because:
Coming out of county deed records
Other:
Manufacturer:
Model:
Year:
Manufacturer serial number
HUD number
*Number of sections:
*Square footage:
*Number of bedrooms:
*Number of bathrooms:
*Type of roofing:
*Heating:
*Cooling:
*Type of siding:
*Date of sale:
*Sales price:
*Includes land:
Yes
No
DEALER INFORMATION (if no dealer, leave blank)
Dealer name:
Dealer license number:
Dealer address and phone:
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:
TRANSPORTER INFORMATION (if not moving, leave blank)
Transporter name:
Transporter address and phone:
440-2952 (7/19/COM)
Page 2
CURRENT LOCATION INFORMATION (including city, state, ZIP)
Current location:
County:
Dealer lot
Dealer name:
Dealer license number:
Park name (if applicable):
Out-of-state/federal or tribal property location:
IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP)
New location:
County:
Dealer lot
Dealer name:
Dealer license number:
Park name (if applicable):
Out-of-state/federal or tribal property location:
OWNER
Current owner names:
Are you changing the name of an existing owner?
Yes
No
Changing from:
to:
If yes, attach appropriate Inheritance Affidavit (Form 2946 or 5177)
Home transfer by inheritance?
Yes
No
Home transfer due to foreclosure?
Yes
No
If yes, attach Affidavit of Repossession (Form 3926)
No If yes, attach Abandonment Affidavit (Form 2951)
Home transfer through abandonment process?
Yes
If yes, attach Change Affidavit
Home transfer through divorce, trust, or right of survivorship?
Yes
No
(Form 5221)
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:
1
2
Phone number:
Phone number:
Email address:
Email address:
Buyer/new owner name (Last, first, middle):
Buyer/new owner name (Last, first, middle):
Mailing address:
Mailing address:
3
4
Same as above
Same as above
Phone number:
Phone number:
Email address:
Email address:
440-2952 (7/19/COM)
Page 3
NEW SECURITY-INTEREST HOLDERS
Security-interest holder name:
Mailing address:
Security-interest holder name:
Mailing address:
Buyer/new owner acknowledgement of sale/change of ownership
I affirm that the information provided herein accurately reflects the ownership of the structure at the completion of the
sale/change of ownership.
I understand that the home cannot be relocated without first completing this form and purchasing a trip permit from the
State of Oregon, Building Codes Division or one of its county agents.
I understand that the seller/owner is responsible for submitting this Ownership Document Application to the State of
Oregon, Building Codes Division or one of its county agents within 30 days after closing of the sale, and that all
buyers and sellers will be notified by mail when the application is completed. I understand that, should the seller/owner
fail to file this Ownership Document Application within 30 days, I may complete the filing [ORS 446.641(1)]. I further
understand that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and security-interest holder must
be listed on this notice, or, if none are listed, the manufactured structure must be free and clear of all mortgages, deeds
of trust, security interests, and liens.
Buyer/new owner name (print):
Right of survivorship
Buyer/new owner signature:
Date:
Buyer/new owner name (print):
Right of survivorship
Buyer/new owner signature:
Date:
Buyer/new owner name (print):
Right of survivorship
Buyer/new owner signature:
Date:
Buyer/new owner name (print):
Right of survivorship
Buyer/new owner signature:
Date:
Seller/current owner acknowledgement of sale/change of ownership
Application must be accompanied by the appropriate valid County Manufactured Home Notification form.
All owners must release their interest or acknowledge this sale/change of ownership in the structure in order to
complete this application. All current owners, including security-interest holders, must acknowledge the sale/change of
ownership by signing the ownership document or DMV title or completing the section below. Security-interest holders
may elect to acknowledge the sale/change of ownership, but maintain their security interest until such time as they no
longer have an interest in the home.
Seller/current owner affidavit
I affirm that I am the current owner of this structure and acknowledge that the seller is responsible for submitting notice
of sale/change of ownership to the State of Oregon Building Codes Division or one of its county agents within 30 days of
the closing of the sale [ORS 446.641(1)].
440-2952 (7/19/COM)
Page 4
I further certify that each lessor, mortgagee, trust-deed beneficiary, lien holder of record, and security-interest
holder has been listed on this notice, or if none are listed, that this structure is free and clear of all mortgages,
deeds of trust, security interests, and liens and that I have the legal right to sell this manufactured structure.
Seller/current owner name
Seller/current owner signature:
Date:
(print):
I release my interest in this structure.
I acknowledge this sale/change of ownership,
Phone:
but do not release my interest in the structure.
Email:
Seller/current owner name
Seller/current owner signature:
Date:
(print):
I release my interest in this structure.
I acknowledge this sale/change of ownership,
Phone:
but do not release my interest in the structure.
Email:
Seller/current owner name
Seller/current owner signature:
Date:
(print):
I release my interest in this structure.
I acknowledge this sale/change of ownership,
Phone:
but do not release my interest in the structure.
Email:
Seller:/current owner name
Seller/current owner signature:
Date:
(print):
I release my interest in this structure.
I acknowledge this sale/change of ownership,
Phone:
but do not release my interest in the structure.
Email:
SECURITY-INTEREST HOLDER ALREADY ON RECORD (if applicable)
Security holder’s signature:
Date:
I release my interest in this structure.
Security holder’s name
(print):
I acknowledge this sale/change of ownership,
but do not release my interest in the structure.
Security holder’s signature:
Date:
I release my interest in this structure.
Security holder’s name
(print):
I acknowledge this sale/change of ownership,
but do not release my interest in the structure.
PRIOR TO SUBMITTING, CHECK THE FOLLOWING:
Signatures from all applicable parties must be complete (current owners/sellers, new owners/buyers, and security
interest holders).
A valid tax certification from the county tax assessor. The tax certification form will be provided by the county
office and must be signed by a county official.
Any additional documents needed to establish your authority to buy/sell this home as required by ORS 446
and OAR 918 and posted at www.oregon.gov/bcd.
If the home is being moved to a different county, a valid tax certification form is needed from both:
(A) the county the home is moving from and
(B) the county the home will be moved to
If recording in or removing from county deed records, you must also submit a copy of the recorded
application (Form 5176 or 5175 found at www.oregon.gov/bcd).
If signing by Power of Attorney, submit a Change Affidavit (Form 5221).
If this application is being submitted by the seller, you must also submit a bill of sale.
440-2952 (7/19/COM)
Page 5