PNWUMH Seller Consignment Questionnaire (Sell in Place)-pnwumh.com

(Form revised 11/13/24)

TO FILL OUT THIS FORM ON ANY MOBILE DEVICE, TURN IT SIDEWAYS.

Thank you for allowing PNW USED MOBILE HOMES (PNWUMH) the opportunity to assist you in selling your mobile home in Washington. Our team understands the market and whether the home is staying in place or needs to be moved off the property, we are ready to help.

Services to sellers are compensated as a "net listing", meaning the seller agrees to receive a set price for the home when it sells, and PNWUMH's fee is the difference between the set price and the final sale price. There are no hidden charges and no surprises! If this sounds like the right solution for you, complete and submit this form and a member of our team will contact you.

You may view our Privacy Policy by copying and pasting the following web address into your browser: https://www.pnwumh.com/privacy-policy

Where did you hear about PNW UMH?

If you answered "Recommended by a Friend" or "Other" to the previous question, enter details here, including Name and contact info of person who referred you.

What is the name of the PNWUMH agent you spoke with?

Ben

Julie

Deb

I have not yet spoken with an agent

1.A. First name of homeowner #1?

1.B. Last name of homeowner #1?

1.C. Current mailing address of homeowner #1?

1.C.1 Will homeowner #1 mailing address remain the same after the home is sold?

Yes

No

1.D. Current street address of homeowner #1? This is needed for title transfer documents.

1.E. Email of homeowner #1? (if homeowner does not have an email, list email of friend, family member, etc.)

1.F. Phone number of homeowner #1?

1.F.1 Can homeowner #1 receive texts at this number?

Yes

No

1.G. First and last name of homeowner #2?

1.H. Current mailing address of homeowner #2?

1.H.1 Will homeowner #2 mailing address remain the same after the home is sold?

Yes

No

N/A

1.I. Current street address of homeowner #2?

1.J. Email and phone of homeowner #2? (if homeowner does not have an email, list email of friend, family member, etc.)

1.K. Can homeowner #2 receive texts at the phone number?

Yes

No

N/A

2.A. What is the physical address (street) of the home you are selling?

2.B. What is the county and state where the home is located?

2.C. What is the year, make and model of the home?

2.D. What size is the home? (Triple/Double/Single/Park Model)

2.E. What are the dimensions of the home? Width and Length.

2.E.1 Are the walls 2" x 4" or 2" x 6"? To get measurement, open a door and measure the door jam for inside and outside doors.

2" x 4"

2" x 6"

2.F. Are there any tip/slide outs? A tip out or slide out is a room extension built at the factory. Tip outs are hinged at the floor and slide outs are like a drawer that slide along the floor on tracks onto outside supports.

Yes

No

2.F.1 If the previous answer is "Yes", list which rooms have tip/slide outs and the size of each. If the answer is "No", type "None".

2.G. Number of bedrooms?

2.H. Number of bathrooms?

2.I. List any add-on rooms that are not factory. Be specific and include dimensions (# ft wide x # ft long). If there are none, type "None"

2.J. Is there a garage, shed, or porch/deck with stairs that will be sold with the home?

2.J.1 For items listed in 2.J., provide details about each item and if it requires repairs.

Each mobile home has identifying numbers. Serial and VIN numbers are usually found on your title and the HUD Data Plate. Tags such as WA L&I and HUD Label (Tag) are usually found attached to the outside of the home. If your home was manufactured after June 1976 and you do not find the HUD Data Plate and HUD Label (Tag) number, we will order them for you. The costs will be deducted from the Consignment "Agreed Payout Amount" when the home sale closes.

3.A. Serial number (found on the title, ownership documents or HUD Data Plate)?

3.B. VIN number (found on the title, ownership documents, and may also be on the HUD Data Plate)?

3.C. What is the Title Number (WA)/Ownership ID (OR) (found on the title/ownership document)?

3.D. What is the L&I Plate number (found on the outside of home - 2"x4" metal plate on either end of the home)?

3.E. Link to info about where to look for the HUD Data Plate / HUD Data Label (Tag). Copy and paste these links into your browser.

Data Label: https://www.hud.gov/sites/documents/HUDTAG.PDF

Data Plate: https://www.hud.gov/sites/dfiles/Housing/documents/DataPlateExample.pdf

3.E.1. HUD Data Plate (letter-sized paper label inside the home in a kitchen cabinet, near an electrical panel, water heater, or bedroom closet). Select the correct option below:

I found the HUD Data Plate and will send a photo of it.

I cannot find the HUD Data Plate and understand one will be ordered for me at my cost.

E2. HUD Label/Tag (2" x 4" metal plate attached to the outside of a manufactured home by rivets, screws, etc. and usually at either end of the home). Select the correct option below:

I found the HUD Label/Tag and will send a photo of it.

I cannot find the HUD Label/Tag and understand one will be ordered for me at my cost.

Photos are needed to help us assess the home's consignment and market values. Use a good camera or cell phone to take photos that show inside rooms and include any personal property being sold with the home; plus photos. Also take photos of the home on the outside from various angles showing any add-ons and outbuildings that are part of the sale. A photo showing access to the home from the street/driveway can be helpful especially if your home is not close to the street or there are other buildings on the property.

You may upload 6 photos (documents or home) with this Questionnaire. Please send any other photos by email to info@pnwumh.com, or as a downloadable link to a photo site such as Google Photo, Dropbox, etc. If sending a link to photos on a shared site, please remember to share them with info@pnwumh.com and send the shared link.

I agree to send the requested photos by attaching here or by email.

It is very important to list all of the items of personal property that will be included in a sale. Personal property is anything that was not built at the factory. Examples of personal property are:

cooling - air conditioner, HVAC
couch
chairs
dishwasher
dryer
heating - baseboard, fireplace, furnace, heat pump, HVAC, wood stove
hot tub
porch/decking with stairs
refrigerator
shed
stove
tables
washer
water heater

List all personal property included in this sale. If nothing is included, write "None".

Home Inspection

As the Seller, you have the option to order a Home Inspection Report and provide a copy to PNWUMH once the home has been listed on the website. The cost for the inspection and report are paid by the Seller first then reimbursed to the Seller by the Buyer as part of the Home sale closing. The cost for this report is between $300 - $400. PNWUMH will assist the Seller to schedule the inspection if needed.

6.A. Do you wish to order and pay for a Home Inspection Report and be reimbursed by the Buyer?

Yes

No

6.B. Is the home in livable condition without major repairs?

Yes

No

6.C. What type of roof does the home have? Select one:

6.C.1.A Does the roof leak or need other repairs? 6.C.1.B When was the roof last replaced or repaired?

6.D. Are there soft spots in the floors of any of the following? Select all that apply. If none, select "No soft spots"

6.E. Is there mold in any room of the home?

6.F. Does the home require cleaning?

6.G. Is there ANYTHING inside or on the outside of the home (except roof) that requires repair?

6.H. What type of siding does the home have? Examples: T-111, James Hardie, wood, etc.

7.A. If the home is occupied, who lives there?

7.A.1. If occupied, when will the occupants move out?

7.A.2. If occupied, will it be available for viewing before occupants move?

8.A. Are you the registered owner shown on your title or ownership document?

Yes

No

8.A.1. If the previous answer is "No", list name(s) of registered owner(s). If it is "Yes", type N/A

8.B. Do you have documents showing you own the home? (Example: Title/Ownership Document/Bill of Sale)

I have Title/Ownership Document and will email or text a copy.

I do not have Title/Ownership Document but I have a Bill of Sale and will email or text a copy.

I do not have the Title/Ownership Document.

9.A. Is the home in a Mobile Home Park/Community OR on Private Land?

Mobile Home Park/Community

Private Land (either owned by you or someone else)

9.B. Mobile Home Park/Community.

If the home is in a Mobile Home Park/Community, provide the following. If it is on Private Land, skip to Section 9.C.

9.B.1 Park/Community Name, Address, Manager's Name, email & phone number?

9.B.2 Lot rent and utilities. What utilities are included, if any? If utilities are not included, write "no utilities".

I agree to notify the Park/Community Manager that I am selling the home and copy PNWUMH on the notice. I also agree to provide a copy of the Park Rules and Regulations.

9.C. Private Land - If you completed Section 9.B, OR IF YOU OWN THE LAND, SKIP TO SECTION 10.0.

If the home is on Private Land, AND YOU DO NOT OWN THE LAND, complete 9.C.1 below.

9.C.1 Landowner Name, Address, Email & Phone Number?

9.C.2 Lot rent and utilities. What utilities are included, if any? If utilities are not included, write "no utilities".

IF YOU DO NOT OWN THE LAND: I agree to notify the Landowner that I am selling the home and copy PNWUMH on the notice.

10.A. Select the Tour option(s) you prefer (#1, #2, or #3.

#1: Use a coded lockbox to store a key and provide the code to PNWUMH (loaner boxes available).

#2: Hide a key, prospective buyers will let themselves in and lock up afterward, re-hiding the key.

#3: Unlock the home at the beginning of the tour time block and lock it at the end.

I wish to discuss this before making a selection.

11.A. What is your requested timeline for the home to be sold? Please include the reason for the timeline.

12.A. Are there liens, mortgages, loans or any other encumbrances (debts) against the home? If yes, include details below. If no, type "None"

12.B. How much are you asking for the home? Must be at least $1.00. This amount is subject to negotiation by PNWUMH. The final agreed amount will be the Consignment "Agreed Payout Amount".

12.C. Payment of the Consignment "Agreed Payout Amount" will be made via bank wire after the home sale closes. PNWUMH costs will be deducted from the payout.

I understand that payment will be via bank transfer (wire) and outstanding costs will be deducted

13.A. Tell us anything not already covered that you think we should know about the home or circumstances surrounding the sale.

Upload photos of requested documents or the home here

You have successfully completed the Questionnaire. Please read the Affirmation and select today's date, then click on "Submit Questionnaire". Your responses will be reviewed by a member of our Admin team and you will be contacted to discuss those responses. Once reviewed, you will receive a copy via email.

This form was completed by:

Seller

PNWUMH Team Member during phone calls and/or texts with Seller

AFFIRMATION: By submitting this form personally or with assistance from PNWUMH, I affirm that I am authorized and intend to sell the home described above, and the information provided is correct as of this date.

PNWUMH Seller Consignment Questionnaire (Sell in Place)

1. CONTACT INFORMATION:

2. HOME INFORMATION:

3. HOME ID NUMBERS:

4. IMAGES OF DOCUMENTS AND PHOTOS:

5. PERSONAL PROPERTY INCLUDED:

6. CONDITION OF HOME:

7. OCCUPANCY STATUS:

8. HOME STATUS / OWNERSHIP:

9. HOME LOCATION INFORMATION:

10. HOME TOURS:

11. TIMELINE / CONSIGNMENT PRICE:

12. ENCUMBRANCES (DEBTS) / CONSIGNMENT PRICE / PAYMENT:

13. ADDITIONAL INFORMATION:

UPLOAD IMAGES OF DOCUMENTS AND/OR PHOTOS HERE