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DoiuSign Enbelope ID:BC82F0C2-F6EE-4EL.. dC38-F05F91E29D16 <br /> 1447112 <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) ®— 1 <br /> Current location:. , County: <br /> Q Dealer lot _1 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) fj/ <br /> New location:3 a� cF 1J for Lit u n 5 O r q-7 �'3 1 County: Alp, e) <br /> 0 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? fl Yes +Io <br /> Changing from: to: <br /> Home transfer by inheritance? ri Yes No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? Q Yes No If y s,attach Affidavit of Repossession(Form 3926) A j <br /> Home transfer through abandonment process? Yes E No If yes,att h 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): l Buyer/new owner name(Last,first, middle): <br /> Johnstone Robert ___i <br /> Mailing address: F Mailing address: {{ <br /> 1 .6 N r-"uc K.1Rto 65 L yd ds t12S7 2 <br /> Phone number: g03-1 10 4,9 q Phone number: <br /> Email address: R,K YYIO Email address: <br /> (r . A r+A L.i iv eco YID i <br /> Buyer/new owner name(Last,first, middle): j Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 3 4 <br /> Same as above Q Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-102019-TitleApp11211 Page 3 004489495-00002 <br />