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• <br /> 1504858 <br /> CURRENT LOCATION INFORMATION (including city,state,ZIP) <br /> Current location: .13 <br /> QI County: <br /> Dealer lot Dealer name: r� t Dealer license number;Ot<1 f7bt1� { <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:45 I li e. be.II b,r. S E S�ig�f o Q CI 710.2 County:.444r;�. <br /> [I 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 No <br /> Changing from: to: <br /> Home transfer by inheritance? 0 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? 0 Yes No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 0 Yes No If yes,attach Change Affidavit <br /> (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 /> Machado Sylvia <br /> Mailing address:wS114 te.11 br. Mailing address: <br /> 1 Salew► , 02 dI1to 2 <br /> Phone number: q7) G 1 ®1 4$ .Phone number: <br /> Email address: 1 et. y Oft Cs 41,wdo g,S rv►a: I:C°" Email address: <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 3 4 <br /> 11 Same as above ❑Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TitleApp 11211 Page 3 004663098-00003- <br /> J30L1 <br />