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603611
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Last modified
3/31/2022 2:58:57 PM
Creation date
3/31/2022 2:58:57 PM
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Assessor
Account Number
603611
Assessor Doc Type
Trip Permit
Doc Type Date
3/25/2022
MTL
105E01CB09900
Assessor Section
Manufactured Structures
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• <br /> . CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:2445 Pacific Blvd SW,Albany, Or 97321 County:Linn <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑ 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:250 Detroit Rd S Detroit, Or 97342 County:Marion <br /> ❑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: J & M Homes, LLC <br /> Are you changing the name of an existing owner? ❑Yes ❑■ No <br /> Changing from: to: ! <br /> Home transfer by inheritance? n Yes ❑■ No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑ Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes 0 No If yes, attach Abandonment Affidavit(Form 2951) • <br /> Home transfer through divorce,trust, or right of survivorship? ElYes 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 /> Lemons, Roger <br /> Mailing address: Mailing address: <br /> 250 Detroit Rd S • <br /> 1 Detroit, Or 97342 2 <br /> Phone number: Phone number: <br /> 503-913-1656 <br /> Email address: Email address: <br /> roger@mechprosolutions.com <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> • <br /> Mailing address: Mailing address: <br /> 3 4 <br /> ❑ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7119/COM) Page 3 <br />
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