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CURRENT LOCATION INFORMATION (including city, state, ZIP) • <br /> Current location: 33964 OAKVILLE RD SW ALBANY OR 97321 County:LINN <br /> ❑Dealer lot Dealer name:LEISURELAND HOMES INC Dealer license number:MSD 119 <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:25000 TAYLOR PARK RD SE LYONS OREGON 97358 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: LEISURELAND HOMES INC <br /> Are you changing the name of an existing owner? Yes ❑No <br /> Changing from:LEISURELAND HOMES INC to: <br /> Home transfer by inheritance'?. ❑ Yes ❑■ No If yes, attach appropriate Inheritance Affidavit(Foran 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 Q No If yes,attach Abandonment Affidavit(Form 2951) <br /> • If yes, attach Change Affidavit <br /> Home transfer through divorce,trust, or right of survivorship? El Yes ❑� No (Form attar <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 /> GARY ENGLER CAROLYN ENGLER <br /> • <br /> Mailing address: Mailing address: <br /> • 25000 TAYLOR PARK RD SE SAME <br /> LYONS OREGON 97358 • 2 <br /> Phone number: Phone number: <br /> 503-510-9178 SAME <br /> Email address: Email address: <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(7/19/COM) • Page 3 <br />