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Get CA HCD 476.6 2006-2024

STATE OF CALIFORNIA BUSINESS TRANSPORTATION 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 Mobilehome Decal License No. s Commercial Modular Floating Home Trade Name Truck Camper Serial No. s I/We the undersigned hereby state I/We further agree to indemnify and save harmless the Director of Housing and Community Development State of California and subsequent purchasers of said unit for any loss they may suffer resulting from registration of the above-described unit in California or from issuance of a California certificate of title covering the same. 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. 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. .

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