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603627
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Last modified
10/4/2022 11:24:23 AM
Creation date
10/4/2022 11:24:22 AM
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Assessor
Account Number
603627
Assessor Doc Type
Trip Permit
Doc Type Date
2/9/2022
MTL
092E23CC01100
Assessor Section
Manufactured Structures
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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:400 W Elm Ave, Hermiston, OR 97838 County:Umatilla <br /> • <br /> ❑Dealer lot Dealer name: Dealer license number: <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:26032 Sitkum St SE, Lyons, OR 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: <br /> Are you changing the name of an existing owner? ❑Yes IINo <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? ❑Yes ❑■ No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes 0 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 /> Thomas, Rick Thomas,Ute <br /> Mailing address: Mailing address: <br /> 26032 Sitkum St SE 26032 Sitkum St SE <br /> 1 Lyons, OR 97358 2 Lyons, OR 97358 <br /> Phone number: • Phone number: <br /> 503-508-4309 <br /> Email address: Email address: <br /> rickt6523@yahoo.com <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(7/19/COM) Page 3 <br />
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