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CURRENT LOCATIONINFORMATION 2'.(including pity,,state;:ZIP) <br /> Current location:4720 Turner Rd SE Salem,OR 97317 County:Marlon <br /> fl Dealer lot Dealer name: Dealer license number: <br /> 1=1 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> ':!:::.::: •! :•:::.:;;q:; . :i;•::::.:1F. :3g1t1P'AilOVEDt0CATION:CHANGES•(including <br /> New location:1530 Tamarack St#12 Sweet Home OR 97386 County:Linn <br /> Dealer lot Dealer name: Dealer license number: <br /> Park name(if applicable):Tamarack Ridge Holdings <br /> Out-of-state/federal or tribal property location: <br /> Current owner names: <br /> Factory Homes Clearance Center Inc <br /> Are you changing the name of an existing owner? ['Yes No <br /> Changing from:ractory Homes Clearance Center ir to:Tamarack Ridge Holdings <br /> Home transfer by inheritance? ['Yes [i]No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? Yes El 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 /> BUYERJNEW OWNER <br /> INFORMATION •: <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Tamarack Ridge Holdings <br /> Mailing address: Mailing address: <br /> 18150 SW Boones Ferry Rd <br /> Portland,OR 97224 <br /> 1 . 2 <br /> Phone number: Phone number: <br /> .603-244-2300 <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 /> D Same as above D Same as above.. <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440.9.952(7/19/COM) . <br /> Page 3 <br /> • <br />