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dT • <br /> CURRENT LOCATION INFORMATION.(including city, state, ZIP) <br /> Current location:33639 N Santiam Hwy Se, Gates OR 97346 County:Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> fl Park name(if applicable): <br /> -Out-of-state/federal or tribal property location.: • <br /> IF BEING MOVED, LOCATION CHANGES (inclu.ding city, state, ZIP) -cfew location:33733 Railroad Ave Gates, OR 97346 � County:Marion <br /> U Dealer lot ea er name: Dealer license number:. <br /> O.Park name(if applicable): <br /> Out-of-state/federal or tribal property location: • <br /> . <br /> OWNER • . - <br /> • <br /> Current owner names: 0.f e ...• cfAu <br /> Lr sf) <br /> • ?p-u-Y\ <br /> Are you changing the name of an existing owner? • Yes ❑'/No Changing from:. �' ' � -Jo I�Lf Okb&iic • <br /> Home transfer by inheritance? n Yes IR.No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Hanle transfer due to foreclosure? [' Yes Q No If yes, attach Affidavit of Repossession(Forrri'3926) <br /> • Home transfer through abandonment process? 7 Yes El No If yes, attach Abandonment Affidavit(Form 2951) <br /> If yes; attach Change Affidavit- <br /> Home transfer through divorce,trust,or right of survivorship? n 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 /> Craig Stevens <br /> Mailing address: Mailing address: . <br /> . 33733 Railroad Ave <br /> • 1 Gates, OR 97346 • 2 <br /> Phone number: Phone number: • <br /> 503428-8979 _ <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 /> • <br /> • 440-2952(7/19/COK Page 3 <br />