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.1 <br /> 1406783 <br /> CURRENT LOCATION INFORMATION (Including city, state, ZIP) <br /> Current location: --�"' County: LI evi <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: f //?� { r-� /� /' S�34fv County:t�� <br /> ��� . C.�iYt. �""l� f�(1�:. (.> Pica 1 l� r iG—t.'4>^ <br /> 0 Dealer lot Dealer name: l / 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? ❑Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑Yes fl No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes 0 No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 0 Yes 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 /> Gulliford Ray Gulliford Paula <br /> 1 .Mailing address:PC25 ' y/ G, �61S C/r 2 Mailing address f'o/3v cs a 1-17 <br /> b7 3 <br /> Phone number: SC73 7/0 II Phone number: <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 /> 0 Same as above 0 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-TitleAppi 1211 Page 3 004372391-00001 <br />