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<br /> Current location:2555 Progress Way,Woodburn,OR. 97071 County:Marion
<br /> E1 Dealer lot I Dealer name:Factory Expo Homes f Dealer license number:MSD 448
<br /> ❑Park name(if applicable):
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<br /> New location: 5359 St. Paul Hwy. St. Paul, OR. 97137 County:Marion
<br /> ❑Dealer lot f Dealer name: 1 Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
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<br /> Current owner names:Alta Cima Corp.
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<br /> Are you changing the name of an existing owner? 0 Yes ❑No
<br /> Changing from:Dealer to:Owner
<br /> Home transfer by inheritance? Q 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 Q No If yes,attach Abandonment Affidavit(Form 2951)
<br /> Home transfer through divorce,trust,or right of survivorship? n Yes 0 No If yes,attach Change Affidavit
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<br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first,middle):
<br /> Gooding Nicholas Paul
<br /> • Mailing address: • Mailing address:
<br /> • 5357 St. Paul Hwy. NW
<br /> St. Paul, OR. 97137 2
<br /> • Phone number: Phone number:
<br /> 503-580-2037
<br /> Email address: Email address:
<br /> goodingnick327 a©gmail.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
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