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CURRENT LOCATION INFORMATION (Including city;state,:ZIP}. , <br /> Current location: 2200 LANCASTER DRIVE SE, SPC. 5A, SALEM, OR 97317 County: MARION <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> ❑■ Park name(if applicable): SUNDIAL MOBILE HOME PARK <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP} <br /> New location: County: <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: <br /> FCP HOME SALES, LLC <br /> Are you changing the name of an existing owner? ❑ Yes ❑■ No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes ❑■ No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes Q 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? 111Yes Q No If yes,attach Change Affidavit <br /> (Form 5221) <br /> BIJYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name (Last,fust, middle): Buyer/new owner name (Last,first, middle): <br /> CPI SUNDIAL OWNER, LLC <br /> Mailing address: Mailing address: <br /> 19515 NORTH CREEK PKWY, STE. 300 <br /> BOTHELL,WA 98011-8200 2 <br /> Phone number: Phone number: <br /> 206-459-3797 <br /> Email address: Email address: <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> • <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 />