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• <br /> CURRENT LOCATION{INFORMATION-'(including city,.state,ZIP) .. ` <br /> Current location: 197,3g_ 5 7 /2 1 J ky .9 7b 3 8 County:G <br /> 0 Dealer lot Dealer name: 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: 965 peA-7-0-h-- De_,- OR County: r•I <br /> 0 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: -Tr r a1.)1 S rrl E Qi � �G,� �"' AAE'0.o`1 <br /> G or j 1 E meat <br /> Are you changing the name of an existing owner? 0 Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? D Yes 0 No If yes,attach Abandonment Affidavit'(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes Q No If yes,attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NPV OWNER.INFORiiiATIONon` <br /> Buyer/new owner na e(Las,first, middle): Buyer/new owner name(Last,first, middle): <br /> .517@M bt4 <br /> Mailing address: ,r�} (Lc,-PMailing address: <br /> 75aa 2 <br /> Phone number:5-03_q 3 c2-q Phone number: <br /> Email address: Email address: <br /> Pk (.S-t-ert co host)1.Com. <br /> Buyer/new ownermer,'first, middle): Buyer/new owner name(Last,first, middle): <br /> dle): <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) Page 3 <br />