HomeMy WebLinkAboutRemoval of MFH Statement 1988 VOL 201 PAGE 341
• Removal Statement Of Mobile/Manufactured Home
THIS WILL CERTIFY THAT(Insert Owners name and address)
x
/A
i C/1 S•G'f.l c/` v •
is/are the owne s of following mobile/manufactured home(Jnse,-r name ofthe manufacturer the serial number,
and the model number):
/ v 0,.=4 - -/ v
The above-described mobile/manufactured home has been situated in the following mobile/
manufactured home park or on the following single-family lot:(Insert name and address of the mobile/
manufactured home park and include the lot number within the park, if any,or the address of the single-family lot
and the name and address of the owner of the lot)
_ A S />> c' .3 re, /1/4 �,�� i''X-f
% 7 S/
t'•r5' s r/i.t/,E ccs • Gs'I-
The undersigned hereby intends to move said mobile/manufactured home from said location to
the following location:
Al'euTe_ 3 5 y C'
Said mobile/manufactured home is subject to the following encumbrances:
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Dated at `iA/C4 c d/Ak.r, d
, Connecticut, this 3 day of 3 •, , 19
•
STATE OF CONNECTICUT : /'
: ss: Town of /rnif g, -3 , 19 ,W
COUNTY OF4Zele
been first duly sworn, depose (s) and say(s) that /1- is/are the person(s) who executedving the
foregoing instrument, that has/have read the same and know(s) the contents thereof, and
that the matters stated therein are true to best knowledge and fetid. Subscribed and
sworn to before me this f day of C74,—,_
ELR
No • y Public e410,-10.34?
ENCUMBRANCE HOLDER'S STATEMENT:The undersigned, holder of tlib.af }em rtioned
encumbrance,hereby consents to the removal of the aforementioned home subject to the condition
that the aforementioned encumbrance shall remain in full force and effect thereon.
Signed this day of
, 19
(70
TAX COLLECTOR'S STATEMENT: The undersigned, Tax Collector of the Town of
`J'c\(\ , hereby certifies that all property taxes due and payable with respect
to the aforementioned mobile manufactured home have been paid in full.
Signed this 3 r‘a day ot`� , 19 �0
Received for Pittard j UN — ;i 19B8
at _.l h.1.L� a.m. sad recorded by
• Tow ClarkIr —
Tax Collector
This form authorized and printed by New England Manufactured Housing Association,Inc..
•' P 0. Box 257. Mansfield Center.CT 116250
201 •
VOLPAGE 339.
Conveyance Of Title Of
A Mobile/Manufactured Home
KNOW'ALL MEN BY THESE PRESENTS THAT(Insert Seller's name and address)
!/y0/f s a/A I.F C o •, / /mac C�� � f r �.c.
3 (hereinafter called the "Seller"),
for the consideration of fa#(7y o s•"` /2-- 7-,y/o vs.f
received to full satisfaction of(Insert Purchaser's name andaddress)
e,a 0 Dollars
p i9-u A 114, .I— moi✓is.: L, G✓/.,14.1 of 7 se so,—,, ,e e.--ti
c� hereby g (hereinafter called the "Purchaser"),
do
• bar ain sell transfer and convey unto the said Purchaser the following mobile/
manufactured home(Insert name of the manufacturer, the serial number, and the model number):
•
•
S Gp 35ek. Szo X1/3 Alo1-)6/ t 025e CR fcP 9/Z
(Complete only if applicable) At the time of this conveyance, the mobile/manufactured home is
located in the following mobile/manufactured home park or on the following single-family lot
(Insert name and address of park and lot number within park, (Tarty, or address of the lot on which the home is
•
located and the name and address of the lot owner):
A o r T se P/— l"4- et'o .-..1 . t'/y C/fS v/.4 .c.s- eo
iC a 7` d w Z �,ul 4 A 7,c,e W, 4 4 4.7 a
The mobile/manufactured home is sold subject to the following encumbrances:C c J`' ��r �/'"
- c �srJiat/y
tr
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'
a ` To Have and to Hold the same to the said Purchaser, 4142/�
N`. and assigns, forever to � heirs, successors,
�" ander for, and their proper use and behoof. And the said
V /rsel F, /TS heirs,executors and administrators,covenant and agree with
the said Purchaser to warrant and defend the said property to the said Purchaser, his heirs,
i, `. successors and assigns against all claims and demands, except as hereinbefore before mentioned.
O\ IN WITNESS WHEREOF, the undersigned has hereunto set
ig . seal this r day of '—�_ /acs• hand and
, 198 .
Signed in the presence of:
b
WITNESS: SELLER:
a11 1
Ni A
N • .64
• O
1 w STATE OF CONNECTICUT :
U COUNTY OF ss: Town of /81,,,G;��L I 9 ,a` Personally Appeared �� , 2 2 of,ii*
Signer�,d) of the foregoing Instrument, and acknowledged the s.deed, before me. ' 'e �� • Gt and
N .lie — vQ
' P _ ''
,` --
C. /- Toner of . e Su f
per r u t :".•
BUYER'S ADDRESS:
•
7</e ,<h ,o --1 > v d Les > JUf�-_•J•_
(/e7 �'�S 1//4‘./1-. e �k� .a.K. sad recorded by .
CoC •, . 'U-( 38A Torn clerk
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This form authorized and printed by New England Manufactured Housing Association,Inc.
P.O.Box 257,Mansfield Center,CT 06250