Laserfiche WebLink
• <br /> CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: \ 0 EJ,L), '5 c e,r I e, t(Z.,• 1 1 b u ny , 0{s °I1 3 2./ County: ae gt <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> 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: 0 s r1 Gu.,f 3Ott N E aiefit O 2 57 3 o,5 County.:Ai,,,,;(4,1 <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: e,t r)O h Gate M Gt i'l r to 7 <br /> TV.e.nn-e_ sy Onsirt.,e M c nn��l <br /> Are you changing the name of an existing owner? ❑Yes D 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 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 /> Home transfer through divorce,trust,or right of survivorship? ❑Yes ❑No If yes,attach Change Affidavit <br /> (Form 5221) • <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name(Last,fust, middle): Buyer/new owner name(Last,fast, middle): <br /> - <br /> Mailing address: J Mailing address: <br /> 105 v4 CAACAh04, Lw NE <br /> .•0Q. 111cS 2 <br /> Phone number: Ld Ob ,a iC3 ,t.�ZZ Phone number: <br /> Email address: Email address: <br /> e-r P/►are'} oifia\ .Co.l <br /> Buyer/new owner name(Last, i st, middle): Buyer/new owner name(Last,first, middle): • <br /> d-ecFnesn\ <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 />