Laserfiche WebLink
CURRENT LOCATION INFORMATION (including city, state, ZIP) • <br /> Current location:2445 Pacific Blvd. Albany, Or 97838 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 MOVED, LOCATION`CHANGES (including city, state:,-ZIP) <br /> New location:4730 Auburn Rd. #2 Salem, Or 97301 County:Marion <br /> ❑ Dealer lot Dealer name: • Dealer license number: <br /> ❑ Park name(if applicable): <br /> • <br /> Out-of-state/federal or tribal property location: . <br /> • <br /> OWNER <br /> Current owner names: J & M Homes, LLC <br /> • <br /> Are you changing the name of an existing owner? n Yes No <br /> Changing from:., to: <br /> Home transfer by inheritance? n Yes I®f No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? n Yes No If yes, attach Affidavit of Repossession (Form 3926) <br /> Home transfer through abandonment process? n Yes III No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce, trust, or right of survivorship? I I Yes II No If yes, attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name perbox) <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> Reames, Rose D. Taylor, Brenda E. <br /> Mailing address: Mailing address: <br /> 4730 Auburn Rd. #2 4730 Auburn Rd. #2 <br /> Salem, Or 97301 2 Salem, Or 97301 <br /> Phone number: Phone number: <br /> 660-351-1131 660-351-1131 <br /> Email address: Email address: <br /> rdawn49©gmail.com rdawn49©gmail.com <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Las!,first, middle): <br /> • <br /> Mailing address: Mailing address: <br /> 3 4 <br /> ❑ Same as above <br /> Same as above <br /> • <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) Page 3 <br />