Laserfiche WebLink
1406783 <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP). <br /> Current location: j11 -0 County <br /> 9 Dealer lot Dealer name: Dealer license number: <br /> 9 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: .1. - a .,County <br /> 9 Dealer lot Dealer name: f 1 Dealer license number: <br /> 9 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? 9 Yes 9 No <br /> Changing from: to: <br /> Home transfer by inheritance? 9 Yes 9 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 9 Yes 9 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 9 Yes 9 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 9 Yes 9 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 /> Gulliford Ray Gulliford Paula <br /> .Mailingaddress: -�'`C( <br /> 1 fax' a il/ 6,4 fes Dy Mailing address o,� XL/ <br /> 3 . <br /> Phone number: s-03 7l O Phone number: <br /> Email address: ,Pian, 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 /> 9 Same as above 9 Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TitleApp11211 Page 3 004372391-00001 <br />