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• <br /> CURRENT LOCATION INFORMATION (including city, state, ZIP) • <br /> Current location:2445 Pacific Blvd SW,Albany, OR 97321 County:Linn <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 . <br /> New location:12765 Monitor McKee Rd NE Woodburn, OR 97071 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 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes 0 No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes ❑i• No If yes,attach Abandonment Affidavit(Form 2951) <br /> If yes,attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? El Yes n 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): I <br /> Schmitt, Ronald Schmitt, Kathryn <br /> Mailing address: Mailing address: <br /> 12765 Monitor McKee Rd NE 12765 Monitor McKee Rd NE <br /> 1 Woodburn, OR 97071 2 Woodburn, OR 97071 <br /> Phone number: Phone number: <br /> 503-784-1682 503-784-1682 <br /> Email address: Email address: <br /> petesmt@alo.com petesmt@alo.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(7/17/COM) Page 3 <br />