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Manufactured Home Purchase Order and Federal Disclosure Statement Form

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MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT

Purchaser:    Date:

Address:    Phone:

City:    State:    ZIP:    Salesperson:

Subject to the terms and conditions stated on both pages of this agreement Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL. Home:

Make:    Model:    BDRM.:

Home is Location:

L. W.:    Serial #:    Approx Del Date:

HUD #:    Dt. of Mfg:

Sq. Ft Living Area:    Date MFD. Ord.:    Escrow Open:    STK #/Other:

MFD. Home Price:

ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS)

DESCRIPTION OF TRADE-IN

Make:    Model:    BDRMS.:

License #:    Serial #:    Color:

Payoff Account #:

Lienholder / Address / Phone:

Ventilation Improvement - New Only: I have received ventilation improvement information for this MFD/MBL home.

THE MANUFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS (NEW ONLY)

Roof Thickness:    R Factor:

Exterior Walls Thickness:    R Factor:

Floor Thickness:    R Factor:

THE DEALER CERTIFIES THAT THE INSTALLATION CONTRACTOR IS:

Name:

License #:

Bus. Address:

City:    State, ZIP:

INSURANCE NOTICE

Warning — Unless a charge is included in this Agreement for Public Liability or Property Damage Insurance, payment for such coverage is not provided by this agreement.

Notice: No person is required as a condition precedent to financing the purchase of a manufactured home to purchase insurance through a particular insurance agent or broker.

Total Accessories (Outside Home):

Total Mfg. Home and Accessories:

Sales Tax:

Transfer Fees:

Insurance Premium:

Escrow Fees:

Appraisal Fees:

Other Fees:

Loan Fees:

1. TOTAL CASH PRICE

Allowance on Trade-In:

Less Bal. Due Above:

Net Allowance:

Paid Herewith:

2. LESS BUYERS DOWN PAYMENT

3. UNPAID BAL. ON CASH SALES PRICE

4. FINANCE CHARGE

5. ANNUAL PERCENTAGE RATE

6. TOTAL PAYMENT AMOUNT (3 + 4)

7. TOTAL DEFERRED PAYMENT PRICE (2 + 6)

PAYABLE AS FOLLOWS:

In the event the manufactured home cannot be delivered and/or inspection completed within the agreed delivered time due to nonperformance by the buyer, buyer agrees to one of the following at the option of seller:

Option 1: Pay in charge per day until manufactured home installation acceptance or certification of occupancy is obtained in additional to all other consideration owing.

Option 2: Pay the sum of in lieu of total consideration.

NOTICE TO BUYER

(A) Do not sign the purchase agreement before you read it or if it contains any blank spaces to be filled in.

(B) You are entitled to a completed filled-in copy of that agreement and, if purchasing a manufactured/mobile home covered by a warranty, a copy of the warranty.

The manufactured home that I am purchasing will be used as a residence. I certify that I understand that if subject manufactured home is used for any purpose other than a residence, I may be liable to the State or Board of Equalization for the tax measured by the amount exceeded pursuant to this certificate.

Purchaser Date:

RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY THE PURCHASER

The purchase order is subject to credit approval and is not binding unless signed by an authorized representative of seller.

Purchaser certifies that he is of legal age, and agrees to sign a security agreement according to the terms herein in the event payment figures on a trade-in toward the purchase of a manufactured or mobile home are more than quoted by the purchaser.

The purchaser hereby agrees to pay this excess on demand.

ALL TERMS AND CONDITIONS SET FORTH ON THE OTHER PAGE OF THIS AGREEMENT ARE INCORPORATED HEREIN AND ARE FULLY APPLICABLE AS THOSE SET FORTH ON THE FIRST PAGE OF THIS AGREEMENT.

Seller:

Date:

Purchaser:

Date:

Seller:

Date:

Purchaser:

Date:


Additional Terms and Conditions

The order on the first page hereof is subject to the following terms and conditions, all of which have been mutually agreed upon.

1. Purchaser assumes all responsibility for the proper preparation of his property to both receive and locate the said manufactured home by ...

2. Parties understand that seller shall retain title to the manufactured home until payment in full of the entire purchase price whether or not possession of the manufactured home has been transferred to buyer.

3. In the event of default by purchaser upon any of the terms of this agreement and without notice to buyer, seller may declare the entire unpaid balance of this agreement immediately due and payable.

4. Should the security represented by the manufactured home, in fact, be impaired, seller may sue buyer for the entire unpaid balance owing from buyer to seller on the contract.

5. Should there be substantial damage to the manufactured home upon repossession, buyer will be obligated for the difference between the amount owing to the seller and amount obtained from any repossession sale.

6. The manufactured home herein shall remain personal property and will not be placed on a foundation system, becoming affixed to or become any part of any real property without express written consent of seller until payment of the entire balance as set forth in this agreement.

7. With regard to any trade-ins buyer represents that he has fully disclosed the owner and all lien holders together with the amount of any lien upon said trade-in item.

8. In the event of delay in delivery of the manufactured home due to fire, strikes, acts of God or any other delay not occasioned by an action of seller, such delay shall not result in either buyer being able to avoid completion of his contract or buyer being able to obtain damages against seller.

9. The parties understand that it may be necessary to obtain permits to move the manufactured home on the public highways and both parties shall take all actions necessary to effectuate same.

10. Any movement of the manufactured home by buyer from its designated location shall constitute a breach of this agreement, giving rise to all of the remedies made available to seller herein above set forth.

11. Buyer understands that the taxation of the manufactured home may be in-lieu or local property taxation.

12. The parties understand and agree that seller may transport and/or deliver and/or set up the manufactured home or, buyer may directly deliver and set-up same or designate and supervise the delivery and set-up of same as more particularly set forth on the first page hereof.

13. All liens, including secondary lien holders, shall be designated on the first page hereof.

14. Time is specifically declared to be the essence in this agreement.

15. Acceptance of partial or late payment called for herein does not waive the right to receive all other payments on time and in full. No changes in any of the terms of this agreement will be valid unless made in writing and signed by both parties.

16. In the event a court of competent jurisdiction declares one or more of the provisions of this agreement to be invalid, the remaining terms of this agreement shall continue to be in full force and effect.

17. This agreement shall be binding upon and shall enure to the benefit of the parties hereto, their heirs, assigns and successors in interest.

18. In the event of breach of any of the terms of this agreement, or shall it become necessary for either party to seek legal redress against the other to enforce any of the terms of this agreement, the party not in default shall be awarded reasonable attorney's fees and court costs as well as any other damages to which it may be entitled.

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What this Manufactured Home Purchase Order and Federal Disclosure Statement Form is

The Manufactured Home Purchase Order and Federal Disclosure Statement Form documents the sale of a manufactured (mobile) home by recording buyer and seller information, unit identification, purchase price, financing terms, and federally required disclosures. It combines a purchase order with consumer-facing federal disclosures required for certain financing and safety topics, creating a single record that supports title, lien, and tax reporting. Proper completion helps ensure clear transfer of ownership, establishes payment obligations and reduces downstream disputes about condition, delivery, or lender requirements.

Why accurate execution matters for buyers, sellers, and lenders

A correctly completed Manufactured Home Purchase Order and Federal Disclosure Statement Form clarifies obligations, supports title transfer and lien perfection, and satisfies consumer-disclosure duties under federal e-signature law. Proper form completion reduces financing delays and legal exposure and is admissible under the ESIGN Act (15 U.S.C. ch. 96) and state UETA laws when electronic consent and retention requirements are met.

Why accurate execution matters for buyers, sellers, and lenders

Primary parties who complete or rely on this form

Each party relies on the same signed record for title transfer, lien filing, and any consumer-rights or financing timelines that follow execution.

  • Manufactured home dealers and sellers responsible for accurate equipment and sale details.
  • Buyers reviewing condition, delivery, financing, and consumer disclosure items before signing.
  • Lenders, servicers, and title agents who need precise identifiers and signed authorization.

Core sections to include in a professional form

A complete form separates identification, price/consideration, financing terms, federal disclosures, delivery details, and signature blocks to make obligations and rights clear for all parties.

Unit Identification

Serial/VIN, make/model, year, HUD tag or manufacturer plate data, and permanent location if affixed; these identifiers are used for title and lien filing and should match the certificate of origin.

Purchase Terms

Total purchase price, itemized fees, trade-in credits, and down payment schedule; specify currency and whether amounts include tax, transportation, or installation.

Financing Details

Lender name, loan amount, APR if required, payment schedule, balloon or deferred terms, and any security interest description; disclose whether financing is provided by seller or third party.

Federal Disclosures

Consumer-facing statements required by federal law or agency rule (credit-related disclosures, safety notices, and e-sign consent where applicable) presented clearly and conspicuously.

Delivery & Installation

Expected delivery window, installation responsibilities, inspection/acceptance procedure, and remedy for delays or defects; include who bears installation cost and permitting responsibilities.

Signature Blocks

Designated signature lines for buyer, seller, lender acknowledgement, date fields, and optional notary or witness lines when required by state law or lender policy.

Step-by-step: completing the form from start to finish

Follow these sequential actions to prepare, execute, and distribute a compliant purchase order and disclosure package.

  • 01
    Gather Documents: Collect ID, title/certificate of origin, HUD plate info, and financing paperwork before starting.
  • 02
    Enter Unit Details: Record VIN/serial, model, year, and location; double-check character accuracy.
  • 03
    Populate Terms: Complete price, trade-in credits, down payment, and payment schedule fields precisely.
  • 04
    Sign and Distribute: Obtain signatures, notarization if required, then provide copies to buyer, lender, and title agent.

How to configure an online workflow for this form

Set up fields and authentication to match your compliance and lender requirements before sending for signature.

Field Configuration
Signature Authentication Email + SMS code or knowledge-based authentication when lender requires stronger verification.
Conditional Fields Show financing or trade-in sections only when 'financed' or 'trade-in' options are selected.
Template Locking Prevent edits after final signature to maintain an auditable, tamper-evident record.
Document Retention Save final PDF/A and audit trail in a secure repository for the retention period.

Typical processing flow from draft to title filing

This linear overview describes the document lifecycle for signing, verification, and record distribution.

  • Prepare: Complete all data fields, attach supporting docs, and check identifiers.
  • Authenticate: Confirm signer identity using the chosen method (email, SMS, KBA).
  • Execute: Obtain signatures; include notarization or witness if state or lender requires it.
  • File & Share: Send copies to buyer, lender, and title office; file UCC or title documents as required.

Technical and platform requirements for digital completion

Platforms that record an immutable audit trail, preserve the signed PDF/A file, and allow role-based access help meet ESIGN/UETA and lender expectations without sacrificing security.

  • File Formats: PDF, PDF/A, and DOCX support preserves layout for filing and archival.
  • Authentication: Email+SMS or stronger methods ensure admissible signer attribution.
  • Integrations: Connectors to title services, CRM, and cloud storage streamline distribution.

eSignature vendor pricing and capability snapshot for this document

Compare leading eSignature providers on starting price, trial availability, bulk send, audit trail, HIPAA support, and envelope or session limits. signNow appears first as the baseline.

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Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Common preparation pitfalls to avoid

  • Mismatched names between buyer ID and the form that delay title issuance and lender acceptance if not corrected promptly.
  • Incomplete or incorrect VIN/HUD plate entries that cause title rejections and require amended filings with the manufacturer or DMV.
  • Omitted federal disclosures or missing e-sign consent that can create regulatory noncompliance for financed transactions.
  • Failure to capture required authentication or audit trail details when signing electronically, reducing admissibility in disputes.

Consequences of incomplete or incorrect completion

Title delays: Additional filings and fees
Loan rejection: Financing may be denied
Regulatory exposure: Consumer disclosure violations
Tax reporting issues: Backup withholding triggers
Lien priority risk: Security interest may be impaired
Rescission risk: Right to rescind in some credit transactions

Security and compliance checkpoints for electronic execution

Encryption: AES-256 at rest; TLS 1.2/1.3 in transit
Access Controls: Role-based permissions and SSO
Audit Trail: Timestamp, IP, and action log
HIPAA BAA: Available when PHI is involved
ESIGN / UETA: Meets ESIGN and UETA evidentiary tests
File Formats: PDF/A for long-term preservation

Frequently asked questions about completing and accepting the form

Answers to common legal, technical, and procedural questions encountered when preparing or accepting a manufactured home purchase order with federal disclosures.


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