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• <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Current location:4750 HazelGreen Rd NE Salem, OR. 97305 County:Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): • <br /> Out-of-state/federal or tribal property location: <br /> • IF BEING MOVED, LOCATION CHANGES (including city, state,ZIP) <br /> New location: K� [ j No o E s, t(3, j. KE,1 Z;4 i 0g , County:Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: Bridges RV Storage INC. <br /> Are you changing the name of an existing owner? ❑Yes Q No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes Q No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes Q No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes ❑■ No Ryes,attach Change Affidavit <br /> g (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Alpha Nursery Inc. <br /> Mailing address: Mailing address: <br /> 5050 HazelGreen Rd. NE <br /> 1 Salem, OR. 97305 2 <br /> • Phone number: Phone number: <br /> 503.390.1286 <br /> Email address: Email address: <br /> info @alphanursery.com <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 3 4 <br /> ❑ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) Page 3 <br />