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1417466 <br /> _ • CURRENT LOCATION INFORMATION(including city,state,ZIP)- - <br /> Current location:.aLL4s S V �G �� ��vd. A � O2 ThZl County: �;y <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: ' 3 96 Norv►csk.pr, Qcl. , oz 8730,01 County:Mwriav <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? 0 Yes Q No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑Yes Q No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? Q Yes Q No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? [I Yes Q No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? [J Yes ❑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 /> Tregaskis Gretchen Tregaskis Ron <br /> Mailing address: --f 2© I S r -n �Co©? Mailing address: 44101 13 RZ1!J Loo <br /> 1 \�x� ( .9-7 3©. 256La-M 3'13 c <br /> Phone number: i s _ y- ) - a 5'7 7 Phone number: 7 7 t 1 1 276 , <br /> Email address:C5 K+3150 @ t c_a m Email address: Kok, RE <br /> 6_11.54(IS (*�gig h1G,000rj <br /> Buyer/new owner name(Last,first,middle): Buyer/new owner name(Last,first,middle): <br /> Mailing address: Mailing address: <br /> 3 4 <br /> Ecx Same as above Same as above <br /> Phone number: Phone number: <br /> _— <br /> Email address: — Email address: --- — — <br /> 440-2952(7119/CONI) <br /> OR Title Application-10/2019-TitleApp11211 Page 3 004402474-00001 <br />