CERTIFICATION EXEMPTING A MANUFACTURED STRUCTURE FROM TITLE AND REGISTRATION
For new (MCO) or never-titled-in-Oregon structures only.
INSTRUCTIONS:
1)Prepare two duplicate originals;
2)Complete all areas of the form and sign before notary
3)Provide duplicate original certification to the county recorder where located;
4)Surrender the Manufacturer's Certificate of Origin (MCO) or Out-of-State Title to DMV;
5)Mail to: DMV Title Exemption Desk, 1905 Lana Ave., NE, Salem, Oregon 97314; and
6)Furnish a copy to the county tax collector.
(For County Use) After recording return to:
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Legal description of manufactured structure
Year Make Style Vehicle Identification Number (VIN) WidthLength
____ ____ ____ _____________________________ _____ ______
Legal description and street address of real property:
______________________________________
___________________________________________________________
___________________________________________________________
Tax Account Number for Real Property:
_____________________________________
Printed Name of Owner(s) ODL/ID/Customer# Date of Birth Telephone #
________________________ _______________ __________ ( ___ ) _______
Printed Name of Owner(s) ODL/ID/Customer# Date of Birth Telephone#
________________________ _______________ __________ ( ___ ) _______
Residence Address (Street, City, State, Zip Code)
________________________________________________________________________
Mailing Address (Street, City, State, Zip Code)
________________________________________________________________________
Security Interest Holder Name and Address
________________________________________________________________________
Security Interest Holder Name and Address
________________________________________________________________________
CERTIFICATIONS
I certify that in accordance with ORS 820.510:
Signature of Owner
x ____________________________________________________
Signature of Owner
x ____________________________________________________
Subscribed, sworn and acknowledged before me this ______ day of _______, ________,
DayMonthYear
By _______________________________________ in the county of ______________________.
Printed Name of Person Signing AboveCounty
Notary
x _______________________________
Signature of Notary Public
My commission expires ________________________
No guidelines are available for this form at this time.