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• <br /> CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:33213 Hwy 34 SE,Albany, OR 97322 County:Linn <br /> r] Dealer lot Dealer name:J&M Homes Dealer license number:MSD155 <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:7454 Alexandra Way SE, Salem, OR 97317 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: <br /> Are you changing the name of an existing owner? ❑Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? n Yes n No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? n Yes n No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes n No If yes, attach Abandonment Affidavit(Form 2951) <br /> If yes, attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? ri Yes 0 No (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 /> Saechao, Nai Orn Phan, Fay Choy <br /> Mailing address: Mailing address: <br /> 7454 Alexandra Way SE 7454 Alexandra Way SE <br /> Salem, OR 97317 2 Salem, OR 97317 <br /> Phone number: Phone number: <br /> 971-218-7565 © 971-218-7565 <br /> Email address: Email address: <br /> fphan971@gmall.com <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 3 <br /> 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 />