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03-11-'21 13:18 FROM- Ni Infrastructure 5037607577 T-060 P0001/0001 F-267
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<br /> Dealer lot Dealer name: .3 d, ( Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
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<br /> New location: )3 5 3 1 1u h i t mP Li j A tek . -county:fl rri "
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<br /> Out-of-state/federal or tribal property location:
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<br /> Current owner names:
<br /> Are you changing the name of an existing owner?ner? n Yes l'%,} No
<br /> Changing from: to;
<br /> Home transfer by inheritance? [] Yes IVil No If yes,attach appropriate Inheritance Affidavit(Form 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? ❑Yes p]No If yes,attach Change Affidavit
<br /> (Form 5220
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<br /> Buyer/new owner name (Last,first,middle): Buyer/new owner name(Last,first, middle):
<br /> Lynne Properties,LLC
<br /> Mailing address: Mailing address:
<br /> 1 2
<br /> Phone number: `Phone number:
<br /> Email address: Email address:
<br /> Buyer/n'Buyer/new ownerEuyer/new owner name (Last,first, middle):
<br /> Mailing address: Mailing address:
<br /> 3 4
<br /> 0 Same as above El Same as above
<br /> Phone number: Phone number:
<br /> Email address: Email address:
<br /> 440-2952(7/17ICOM) Page 3
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