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• <br /> CURREN <br /> a T LOCATION INFORMATION;(including city, state, ZIP) <br /> Current location:48203 SW KINGWOOD AVE, MILL CITY, OR 97360 County:LINN <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IFBEING,MOUED, LOCATION CHANGES (including city.state :ZIP) <br /> New location: 630 N SANTIAM HWY, GATES, OR 97346 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 /> OWNER <br /> Current owner names: <br /> ZSR <br /> Are you changing the name of an existing owner? ❑Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes ❑l 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 ❑■ No If yes,attach Abandonment Affidavit(Form 2951) <br /> If <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes Q No 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 /> Mailing address: Mailing address: <br /> 1 2 <br /> Phone number: Phone number: <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 />