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r ,CURRENT LOCATION INFORMATION (inci.uding,city,state, ZIP) <br /> Current location: 5474 DENVER ST SE, TURNER, OR 97392 County:MARION <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> Q Park name.(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING.MOVEDs.LOCATION CHANGES,(including city, state, Z(P). <br /> New location: County: <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 /> HOMES DIRECT OF OREGON <br /> Are you changing the name of an existing owner? ❑ Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes ❑■ No If yes, attach appropriate Inheritance Affidavit(Form,2946 or 5.177) _ <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? ❑Yes N No If yes, attach Change Affidavit <br /> (Form 5221) <br /> BUYERINEW OWNER INFORMATION(one name per box) <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 1 2 . . _ <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> • <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 />