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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:CASCADE FACTORY HOMES INC 590 N Pacific Hwy Woodburn OR 97071 County:Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> f _ <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP) <br /> New location:8302 ELKHORN DRIVE SE, LYONS, OR 97358 County: MarlOYl <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: CASCADE FACTORY HOMES INC <br /> Are you changing the name of an existing owner? ❑Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? D 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 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes Q No Ifyes,52ach Change Affidavit <br /> (FF orm 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name(Last,fust, middle): Buyer/new owner name(Last,.first, middle): <br /> WILSON,TIMOTHY WILSON, NANCY <br /> Mailing address: Mailing address: <br /> 5245 ADDISON DR S 5245 ADDISON DR S <br /> SALEM <br /> OR 97 <br /> 302 <br /> 1 SALEM, OR 97302 <br /> Z <br /> Phone number: Phone number: <br /> 503-871-9172 <br /> 503-871-6750 <br /> Email address: Email address: <br /> ADOPTIONMZTNX4@COMCAST.NET ADOPTIONMZTNX4@COMCAST.NET <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: <br /> Email address: <br /> ,440-2952(7/19/COM) <br /> Page 3 <br />