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Dow. <br /> o Sign Envelope ID:7DE93942-E9DB-4605.9331-F1728F900632 <br /> 1426952 <br /> CURRENT LOCATION INFORMATION(including c ',.,state,ZIP <br /> Current location: a 4 It•_. 54.D -L_t e1� 8)wo . <br /> Q Dealer Iot Dealer name: vE.nl? v County. jam ? <br /> 0 Park name(if applicable): Dealer license number: <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED,LOCATION CHANGES :Includin c state,ZIP <br /> New location l l O a ' <br /> Q Dealer lot Dealer name: t5 1101 <br /> ,1 n57`3 Corn ; <br /> Dealer license n <br /> Q Park name(if applicable): umber: <br /> Out-of-state/federal or tribal property location: <br /> Current owner names: OWNER <br /> im.......m......._IIIIIIIIIIIIIIIIIIIIIIIIIIImnmm/Lminmm....__111IIIIIIIIIIIIIIIIIIIIIIINI <br /> Are you changing the name of an existing owner? <br /> ❑ <br /> Changing from: • : ❑No <br /> to: <br /> Home transfer by inheritance? Q <br /> Yes Q No If yes,attach <br /> Home transfer due to foreclosure? appropriate Inheritance Affidavit(Form 2946 or 5177) ' <br /> ❑Yes Q No If yes,attach Affidavit of <br /> Home transfer through abandonment possession(Form 3926) <br /> Process? Q Yes Q No Ifyes,attach A <br /> Home transfer through divorce,trust,or right of Abandonment Affidavit�°�2951) <br /> gh survivorship? Q Yes Q No If yes,attach Change <br /> (Form 5221) l; Affidavit <br /> BUYER/NEW OWNER INFORMATION one name per bo*) <br /> Bayer/riesv owner name first,m <br /> (Last, --iddk- <br /> �---- --_. <br /> Parrish Laura Buyer/nevi/Owner name(L4 first,middle): <br /> Mailing address: <br /> Mailing address: <br /> Phone number: <br /> Phone number: <br /> Email address: <br /> IEmail address: <br /> Bayer/new owner name <br /> (L s4 f1rsi,middle): Buyer/new owner name <br /> aas___4 <br /> (East,first,middle): <br /> Mailing address: <br /> Mailing address: - <br /> 0 Same as above <br /> Phone number: Q Same as above <br /> — c� <br /> 9Phone number: <br /> ail __ <br /> in _addr_ess: <br /> 440-2952(7/19/O0M) <br /> OR Title Application-10/2019-TiaeApp11211 <br /> Page 3 <br /> 0044445092-00001 <br />