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CURRENT LOCATION'INFORMATION (including,city, state,-ZIP) <br /> Current location: 34020 McFarland Rd, Tangent, OR 97389-9738 County: Linn <br /> ❑Dealer lot Dealer name: . Dealer license number: <br /> Park name(if applicable): <br /> Out-of-stateifederal or tribal property location: <br /> IFBEING MOVED, LOCATION CHANGES'(including city, state-, <br /> New location: 4915 Swegle Rd NE, Salem, OR 97301 -Lot#y1 County:, Marion <br /> 0 Dealer lot Dealer name: Dealer license number: <br /> ❑■ Park name(if applicable): Sunset Village Mobile Park <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br />• <br /> Current owner names: Alyssa Rae Whitney • <br /> Are you changing the name of an existing owner? Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes j-No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 517 7) <br /> Home transfer due to foreclosure? n Yes ❑■ No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? Yes 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 n No (Form 5221) <br /> BUYER/NEW,OWNER:INFORMATION (ore name per.,box), <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Amber Homes LLC <br /> Mailing address: Mailing address: <br /> 221 Main St#2039 <br /> 1. Los Altos, CA 94023 2 <br /> Phone number: • Phone.number: <br /> (919) 800-8164 • <br /> Email address: Email address: <br /> jack.walls@amberhomes.us <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <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;19r1COM) Page 3 <br /> • Doc ID: 98b2cd1de9bac59fded63cd30040986f4686bae4 <br />