MULTI-PURPOSE TRANSFER FORM PLEASE COMPLETE ONLY …

1 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 ).

2 If y ou f eel y ou qualify for the exemption, COMPLETE the followi ng questions: Do y ou ( the r egis tered ow ner) own your m anufactured hom e/mobilehome?YES NO Do y ou ( the r egis tered ow ner) own the l and your m anufactured home /mobilehome is loc ated on?YES NO DESIGNATION OF CO-OWNER TE RM We request the Department of Hou si ng and Comm uni ty Devel opment to r egis ter our ow nership i nterest in the uni t described above with the followi ng co-owner term : (READ CAREFULLY AND CHECK ONE BOX.) JT RS (Joint Tenant s with Right of Survivorship): Upon the death of a joi nt tenant, the i nterest of the dec eas ed par ty pass es to the survivi ng joi nt tenant. T he si gnature of each joint tenant is r equir ed to transf er or encum ber the titl e. TE NCOM AND (Tenant s in C ommon with the names joined by the word AND): Each tenant in comm on m ay tr ansf er his or her i ndivi dual i nterest without the si gnature of the other tenant(s) in comm on.

3 T he si gnature of eac h tenant in comm on i s requir ed to tr ansf er full i nterest in the unit to a new r egis tered ow ner or to encumber the title. TE NCOM OR (Tenants in C ommon with the names join ed by the word OR): A ny one of the tenants in common may tr ansf er full ownership i nterest in the unit to a new r egis tered ow ner wi thout the signature of the other tenant(s) in co mm on. T he si gnature of each tenant in comm on i s requir ed to encum ber the title. COMPRO (C ommunity Property): A unit may be r egis tered as co mm uni ty pr oper ty in the nam es of a husband and wife. T he si gnature of each spouse is requir ed to tr ansf er full i nterest in the unit or encumber the title. COMPRORS (C ommunity Prop erty with Right of Survivorship): A unit may be r egis tered as co mm uni ty pr oper ty in the nam es of a hus band and wife.

4 At the death of one spous e, the dec edent s co mm uni ty pr oper ty interest passes to the survivi ng s pouse without administration. T he si gnature of each s pouse is requir ed to tr ansf er full i nte rest in the unit or encum ber the title. I/We further agree to inde mnify and save harm les s the Director of the State of California, Department of Housing and Co mmunity Dev elopment, and subsequent purchasers of said unit, for any los s t hey may suffer resulting from registrat ion of the abo ve desc ribed unit i n C alifornia, or from, issuance o f a C alifornia Certifica te o f Title coverin g the same. I/We certify under penalty of perju ry under the laws of t he State of C ali fornia that t he foregoing is tr ue and correct. Executed on at Da te Ci ty Sta te Si gnat ure Si gnat ure Si gnat ure Si gnat ure PHONE #: E- MAIL ADDRESS:HCD RT Side 2 (Rev.)

5 08/20) Decal (License) No.(s): Serial No.(s): DECLARATION OF INSTA LL ATION OF WATER HEATER SEISMIC BRACING 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 and Part 5 of Title 24 of the California Code of Regulations. YES NO Electric water heater is installed per manufacturer s instructions. SIGNATURE ON FRONT S IDE IS CERTIFICATION FO R T HIS SECTION REASON FOR USE TAX AND/OR MOBILEHOME RECOVERY F UND FEE EXE MPTION Check appr opri ate box( es): The above-desc ribed unit was a gi ft. All rights and interes t o f ow nership were transferred without exchange or money or other valuable consideration . The above-desc ribed unit has been acquired from: parents, spouse, grandparent(s), grandchild, child , brot her(s )**NOT E: A sale be tw een brother(s) or sister(s) is subject to us e tax unl ess both are mi nors.

6 If minors, check he re:, sis ter(s)* The name of a is being ADDED DELETED to the record. show relationship The above-desc ribed unit was received as t he result o f an inheritance. TRANSFER o f the above-describe d unit is being made pursuant to a court order. The TRANSFER o f the unit is being made to a rev ocable trust w hic h (1) the selle r has an unrestricted power to r ev oke the trust, (2) the TRANSFER does not result i n any change in t he beneficia l ow nershi p o f the property, (3) the trust provides that upon revocat ion o f th e trust the property will revert wholly to the selle r, and (4) the only consideration for the TRANSFER is the assu mpt ion by the trust o f an ex isting loan for whic h the tangible personal property being transferred is the sole colla teral for the assu med loan. SIGNATURE ON FRONT S IDE IS CERTIFICATION FO R T HIS SECTION DESIGNATION OF TRUST I/We, the undersigned trustee(s), hereby state t hat the unit desc ribed above has been placed into a tr ust.

7 T his D eclaration of Trus t is dated . In compliance wi th Sec tion (b) of the California H eal th and Safety C ode, I/we as trustee(s) hereby request the unit desc ribed above be registered as shown belo w. I/We acknowledge that the Department s perm anent title record and the titling documents for the unit w ill ref lec t the information a s shown belo w. Pr int Name of t he Trust . This is how t he name of t he Trust will appear on title. I/We a s trustee(s) agree(s) to noti fy and m ake application wi th th e D epartment o f H ousing and Co mmunity Development to appropriately amend the perm anent registrat ion and titling record immediately upon any change to the original trust agreement desc ribed herei n by submittin g t his fo rm along with all appropriate documents, fees or any other needed items to t he D epartm ent.

8 I/We as tr ustee(s) further agree(s) to indemnify and save harm les s the Director o f the Departm ent o f Housing and Communi ty Dev elopment, and subsequent purchasers of said unit, for any los s t hey may suffer resulting from registrat ion o f the above desc ribed unit i n C alifornia and from issuance o f a C alifornia Certifica te o f Title coverin g the same. I/We certi fy under penalty o f pe rju ry under the laws o f the State o f California t hat the foregoing is true and correc t. Executed on at Da te Ci ty Sta te Trustee Signature(s): Str eet A ddress or Box Ci ty State