Laserfiche WebLink
1446933 <br /> CURRENT LOCATION INFORMATION (including city,state,ZIP) <br /> Current location: <br /> o�y S°_ G(ci I.0 2/1/1/ 6 /1,1 ,„/ Qe.97, .County: • tiro <br /> :..:.. <br /> Di Dealer lot Dealer name: ! Dealer license number: <br /> [l Park name(if applicable): • <br /> Out-of-state/federal or tribal property location:, <br /> IF BEING MOVED,LOCATION CHANGES (including ci ,state,ZIP) <br /> New.location: 7/6 6.040„ n,q se &Atm/ b et/ i-i County: <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: <br /> Are you changing the name of an existing owner? EiYe.srf7rNo <br /> Changing from: / to: <br /> Home transfer by inheritance? Li Yes/No If-yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? fl Yes '��No If yes,rattach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? El 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 /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first,middle): <br /> Johnson Joseph Hamilton Sandy <br /> Mailing address: lav C.drdPn orTA e Mailing address: <br /> 1 tr - -- a(2 c rr317 2 <br /> Phone number:SCLC-51 .p (rJ,2 Phone number: <br /> Email address: N/4- 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 /> r]Same as above LI Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TitleApp11211 Page 3 004481455-00001 <br />