MHD Form 1023: Texas Application for Statement of Ownership

Under Type of Transaction, the home cannot be selected as Personal and Real Property; Coding is For Department Use Only.

Under Personal Property Transaction: New, Used, Lien Assignment, Convert back to Personal Property, Beneficiary Designation/ Revocation and Other.

Under Real Property Transaction: New, Used and Other.

Check One: Process application in the normal 15 working days; a payment of $55 per transaction is required, and the total amount can be combined into one payment (checked October 19, 2026).

Check One: Process application within 5 working days from receipt; an additional $55 service fee must be added to the total payment to have the application processed within 5 working days from receipt (checked October 19, 2026).

Report Size as the outside dimensions (length and width) of the home as measured to the nearest ½ foot at the base of the home, exclusive of the tongue or other towing device.

DOES HOME HAVE A HUD LABEL OR TEXAS SEAL ATTACHED TO THE OUTSIDE OF THE HOME? Check Yes or No. If there is/are no HUD Label(s) or Texas Seal(s) on your home, a Texas Seal will need to be purchased and will be issued to each section at an additional cost of $35.00 per section; indicate which section(s) need(s) Texas Seal (checked October 19, 2026).

Enter the Physical Address (or 911 address) of the home; it cannot be a Rt. or P. O. Box.

Was Home Moved for this sale? Yes No. If yes, include a copy of moving permit. Was Home Installed for this sale? Yes No. If installed, enter the date installed; if yes, provide installer information, if known: Installer Name and address, Installer Phone Number and Installer License Number.

In Block 4(a) for the Seller(s) or Transferor(s) and Block 4(b) for the Purchaser(s), Transferee(s), or Owner(s), enter the Name, License # if Retailer, Mailing Address, City/State/Zip and Daytime Phone Number (include area code).

For 4(c), Is this transaction a sale? Check Yes or No.

Enter the date of sale, transfer or ownership change in 4(d).

If joint owners desire right of survivorship, check the applicable box in Block 5: Married couple will be the only owners and agree that the ownership of the manufactured home described on this form shall, from this day forward, be held jointly and in the event of death, shall pass to the surviving owner.

The other box is for joint owners other than married couple who desire right of survivorship and have attached a completed Affidavit of Fact for Right of Survivorship or other affidavits as necessary to meet the requirements of §1201.213 of the Standards Act.

If Beneficiary Designation is being made or changed (THIS IS ONLY FOR PERSONAL PROPERTY), check the box when All Owners would like to elect a Beneficiary Designation or change a current Beneficiary Designation and have attached a completed Affidavit of Fact Beneficiary Designation, Revocation or Change.

Check one election type: all manufactured housing is titled as Personal Property, unless elected as Real Property.

For Real Property, one box must be checked: own the real property that the home is attached to, have a qualifying long-term lease for the land that the home is attached to, or the applicant or their authorized representative is the holder or servicer of the loan.

With Real Property, the home will not be considered to be real property until a certified copy of the Statement of Ownership has been filed in the real property records of the county in which the home is located AND a copy stamped “Filed” has been submitted to the Department.

If a title company, list your file or GF #.

Inventory is FOR RETAILER USE ONLY; the Retailer license number must be provided in Block 4b if this election is checked.

In Block 8(a), Will there be any liens on the home (other than a tax lien)? Check Yes or No; if yes, complete the lien information.

If a copy of a Statement of Ownership is to be mailed to anyone other than the owner or lienholder of record (such as a closing agent), provide that mailing address here.

Under 10(a), the owner or authorized seller signs; under 10(b), the purchaser/transferee or owner signs.

For Notarization, fill in Sworn and subscribed before me this ____ day of ____________, 20___, with the Signature of Notary and the SEAL.

10(c) For Lien Assignments Only: the authorized representative for the previous lienholder and the authorized representative for the new lender sign.

Filing the application for a Statement of Ownership later than sixty (60) days after the date of a sale to a consumer for residential use may result in a fee of up to one hundred dollars ($100); a late application may be delayed until the fee is paid in full (checked October 19, 2026).