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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: 33964 OAKVILLE RD SW ALBANY OR 97321 Cou ity: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:280 N BUTTE ST DETROIT OREGON 97342 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? Li Yes n No <br /> Changing from:LEISURELAND HOMES INC to: <br /> Home transfer by inheritance? n Yes ■ 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? n Yes n No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce, trust,or right of survivorship? n Yes n No If yes, attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name (Last,fust, middle): Buyer/new owner name (Last,first, middle): <br /> ROBERT DIXON JUDITH A DIXON <br /> Mailing address: Mailing address: <br /> 831 W KATHY ST STAYTON OREGON 97383 SAME <br /> 1 2 <br /> Phone number: Phone number: <br /> 503-559-6359 SAME <br /> Email address: Email address: <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> DOUGLAS W BRTTON RHONDA R BRITTON <br /> • <br /> Mailing address: Mailing address: <br /> 3 4 <br /> ❑� Same as above 0 Same as above <br /> Phone number: Phone number: <br /> 503-551-4664 sAME <br /> Email address: Email address: <br /> 440-2952(7/19/COM) Page 3 <br />