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I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at Date Signature s City State Printed name s Address HCD 476. STATE OF CALIFORNIA BUSINESS CONSUMER SERVICES AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a Manufactured Home / Mobilehome Decal License No* s Commercial Modular Trade Name Floating Home Truck Camper Serial No* s I/We the...
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