SBD-10680 Artwork.pdf
PDF 669 KB Posted
- Solicitation number
- DS170332
- Issued by
- Wisconsin
About this file
This document is a proof of the State of Wisconsin Home Owner Certificate of Title for a Manufactured Home (Form SBD-10680) issued by the Department of Safety and Professional Services (DSPS). The printing contract solicitation requests production of 10,000 certificates at 8.5" x 11" size with specific security and durability requirements. The certificates must be printed on 24# recycled, dull white paper with no optical brighteners and fully sensitized front and back to resist chemical and solvent eradication attempts, including acids, bases, bleaches, and petroleum products. The front shall be printed in black, PMS 185 Red, and PMS 287 Blue ink, while the back shall be printed in PMS 403 Gray ink, all using heat-resistant and erasable ink. The security feature includes a hidden word "VOID" in erasable ink that appears when the certificate is machine copied. The vendor must provide pantograph choices, and positioning of the pantograph, state seal, and border will be negotiated with DSPS. The initial contract term runs from May 10, 2017 through May 9, 2018, with two additional automatic one-year renewal options, establishing a maximum potential expiration date of May 9, 2020. The contract will automatically renew unless either party provides written notice 30 calendar days prior to expiration.
Certificates must be shrink-wrapped in packages of 500 with chipboard backing, with cartons labeled with the order number and form number SBD-10680, maintained at uniform size, and weighing no more than 40 pounds each. The vendor should submit bids via email, and the artwork file provided serves as the template for production. No specific pricing terms, set-asides, or funding source information is detailed in the available documentation.
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Other files
| File | Type | Posted |
|---|---|---|
| Additional Information.pdf | ||
| DS160302 Bid Abstract.pdf | ||
| DS170332 Bid Document.pdf |
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Text version
PROOF
STATE OF WISCONSIN
HOME OWNER CERTIFICATE OF TITLE FOR A MANUFACTURED HOME
IDENTIFICATION NUMBER YEAR MAKE HOME WIDTH AND LENGTH*
TITLE NUMBER DATE TITLE ISSUED
REGISTERED OWNERS
The person, fi rm or corporation on this Certifi cate of Title has been duly registered as the lawful owner of the manufactured home described, subject to any Security Interest (liens) shown. The order in which the Security Interests appear on this Certifi cate of Title does not necessarily represent their priority.
SECURED PARTY
BY:
Date:
LIEN RELEASE LIEN RELEASE
Firm Name Firm Name
BY:
Signature of Authorized Agent Signature of Authorized Agent
Date:
Important - Seller must complete the section below at time of sale
ASSIGNMENT OF CERTIFICATE OF TITLE BY REGISTERED OWNER(S) SHOWN ABOVE
SELLER Print Person(s) Name signing as Seller
Print Sellers Address, City, State, Zip if different than shown above
I, the seller, certify that the best to my knowledge the information contained on this document is true and correct. I hereby sell, assign or transfer the manufactured home described on this document and warrant title to Purchaser as shown.
Signature of Seller(s). See “REGISTERED OWNERS” above. If joint ownership with, “or”, only one seller’s signature required; with “and”, all seller’s signatures required.
X Date
X
BRAND DISCLOSURE Check all that apply:
SBD-10680 (R.6/16)
Contact the manufactured homes unit at 608-266-2112 or email at DspsSbManfHomes@wi.gov for questions or forms.
*Length and width of home are approximate
ANY ALTERATION OR ERASURE VOIDS THIS TITLE
Flood Damage Salvage
1A
1B
1C
P ro of
FACE ; SCREENS AT 30%, BACKGROUND SCREEN 17%, VOIDS SCREEN 11%
This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not refl ect paper or ink match. Please review your proof carefully.
VOID
PROOF
TITLE REASSIGNMENTS BY LICENSED DEALER
Dealer: photocopy front and back for your records ̶ Federal Regulation 580.8(a)
Federal and State law requires that seller provide written manufactured home information in connection with transfer of owners.
Failure to disclose required information or providing a false statement may result in fi nes and/or imprisonment and may make you liable for damages to your transferee (buyer).
I, the seller, certify to the best of my knowledge the information contained on this document is true and correct and that I have entered the brand disclosures above my signature in compliance with federal and state law as referenced above.
Print Consigning Auction Dealer or Consigning Salvage Pool (If Applicable) Auction or Salvage Pool Dealer No.
Print Name of Selling Dealer
BRAND DISCLOSURE
Sale Date
Dealer No.
Flood Damage Manufactured Home Manufacturer Buyback Manufactured Home Salvage Manufactured Home
BUYER (Purchaser) Print Name
Print Name of Purchaser Signing Below
Signature of Purchaser X
Print Buyer Address, City, State, Zip
Print Name of Selling Dealer’s Authorized Agent
Date Signature or Selling Dealer’s Authorized Agent Date X
3.
NO ADDITIONAL REASSIGNMENTS PERMITTED
LAST ASSIGNEE MUST OBTAIN TITLE IN THEIR NAME(S)
1.
2.
Print Consigning Auction Dealer or Consigning Salvage Pool (If Applicable) Auction or Salvage Pool Dealer No.
Print Name of Selling Dealer
BRAND DISCLOSURE
Sale Date
Dealer No.
Flood Damage Manufactured Home Manufacturer Buyback Manufactured Home Salvage Manufactured Home
BUYER (Purchaser) Print Name
Print Name of Purchaser Signing Below
Signature of Purchaser X
Print Buyer Address, City, State, Zip
Print Name of Selling Dealer’s Authorized Agent
Date Signature or Selling Dealer’s Authorized Agent Date X
Print Consigning Auction Dealer or Consigning Salvage Pool (If Applicable) Auction or Salvage Pool Dealer No.
Print Name of Selling Dealer
BRAND DISCLOSURE
Sale Date
Dealer No.
Flood Damage Manufactured Home Manufacturer Buyback Manufactured Home Salvage Manufactured Home
BUYER (Purchaser) Print Name
Print Name of Purchaser Signing Below
Signature of Purchaser X
Print Buyer Address, City, State, Zip
Print Name of Selling Dealer’s Authorized Agent
Date Signature or Selling Dealer’s Authorized Agent Date X
REGULAR BACKER
B 1A
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