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1 <br /> CURRENT LOCATION INFORMATION (including city, state,.,ZIP) <br /> Current location:33964 OAKVILLE RD SWALBANY OREGON 97321 County:LINN <br /> El Dealer lot Dealer natne:LEISURELAND HOMES INC Dealer license riunber:MSD119 <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:13090BLACKBERRY LANE NE HUBBARD OREGON 97302 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 /> I , OWNER <br /> Current owner names:LE(SURELAND HOMES INC <br /> Are you changing the nanic.of an existing owner? ❑■ Yes ❑No <br /> Changing from:LEISUREL'AND.HOMES INC to: DESERT ROSE•PROPERRTIES LLC <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit ;Foran 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes ❑� No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes ❑■ No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce, trust,or right of survivorship? ElYes ❑� No If yes, attach Change Affidavit <br /> (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 /> DESERT ROSE PROPERTIES LLC <br /> Mailing address: Mailing address: <br /> PO BOX 299 HUBBARD OR97032 <br /> 1 - 2 <br /> Phone number: !; Phone number: <br /> 541-647-0707 <br /> Email address: Email address: <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 />