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)

2 Fee (Health and Safety Code Section ). 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.

3 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. 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.

4 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. 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.

5 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.)

6 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.

7 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 . 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.

8 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. 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.

9 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. 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.

10 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