MULTI-PURPOSE TRANSFER FORM PLEASE COMPLETE ONLY …

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HCD RT Side 1 (Rev. 08/20) State of Ca liforn ia Depar tm en t of Housing and Co mmunity D evel opm ent Division of Codes and St andards Registr atio n and Titling Program Box 277820, Sacramento, CA 95827-7820 (800) .ca. govMULTI-P URPOSE TR ANSFER FO RM PLEASE COMPLETE O NLY THE SECTIONS THAT A PPLY A ND SIGN BOTTOM OF FORM UNIT DESCRI PTION Decal (License) No.(s): Serial No.(s): SMO KE DETECTOR AND CARBON MONOXIDE CERTIFICATION I/We, the undersigned, hereby state that the manufactured home , mobilehome, or multifamily manufactured home described above is equipped with a properly working, operable smoke detector in accordance with California Health and Safety Code Section and a carbon monoxide detector in accordance to California Residential Code Section NO PA RK P URCHASE FEE EXEMPTION The r egis tered ow ner of the above-described manufactured hom e/mobilehome that i s loc ated on pr ivate pr operty ow ned by the r egis tered ow ner i s e xem pt fr om paym ent of the $5 Park Purchase Fund ( PPF) fee (Health and Safety Code Section ).

I/We the undersigned hereby state that all fuel gas-burning water heater appliances in the manufactured home, mobilehome, or multifamily manufactured housing described above are seismically braced, anchored, or strapped in accordance with Health and Safety Code Section 18031.7 and Part 5 of Title 24 of the California Code of Regulations.

  Home, Manufactured, Manufactured homes