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1411327 <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Current location: .2 gets- �ac, (lc d3 I IA 51,E Mtxn t, cg c?. :I County: L r <br /> 17,7 <br /> Q Dealer lot Dealer name: C ma Dealer.license number: <br /> 0 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: 3q cTh i A 111( C; ( County: ' rl'e <br /> 1'+ I"� t ��- 9 7 3c v I � n <br /> 0 Dealer lot j Dealer name: !Dealer license number: <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? 0 Yes fl , o <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yesç ' o If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? U Y�_ ( o If yes attach Affidavit of Repossession(Form 3926) <br /> ^ N <br /> Home transfer through abandonment process? 0 Yes No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust, or right of survivo ship? 0 Yes 7/No If 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 /> Neal Jennie <br /> Mailing address:3410 s m 11'1)-e-1. /,,t i+ 6 k e rL T7360 2 Mailing address: <br /> Phone number: 97 i -DZ 7-aq'-1 c-i 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 /> 0 Same as above 0 Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TitleApp11211 Page 3 <br /> 004396455-00001 <br />