Laserfiche WebLink
DocuSign Envelope ID:74F2A1 DE-9D59-41 D9-9C5A-D84C7C2401 D0 <br /> 1461696 <br /> CURRENT LOCATION INFORMATION(including city,state,ZIP)g <br /> Current location:2 q s. 1 .a &k` �[ Co ':C..if)! 1 <br /> 0 Dealer lot Dealer name: Dealer license number: <br /> El 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: I)tn3 3 1),(26-(4)1 er Y'o r ct-OR 1 ?o o a fit''Metra n <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 /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? []Yes i]No <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yes Q 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? 0 Yes 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 0 Yes 0 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 /> Austin James Austin Lisa <br /> Mailing address: Mailing address: <br /> 1 2 <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> Buyer/new owner name(Lost,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 Tide Applkation-10/2019-TitleApp11211 Page 3 • <br /> 004564249-00001 <br />