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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:2200 LANCASTER DRIVE SE, SP.#1 E,•SALEM, OR 97317 County:MARION <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> ❑ Park name(if applicable):SUNDIAL MHP <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP) _. - <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 /> FACTORY HOMES CLEARANCE CENTER <br /> Are you changing the name of an existing owner? n Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes ❑■ 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? n Yes n No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust, or right of survivorship? E Yes i No If oes, 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 /> CPI SUNDIAL OWNERS LLC <br /> Mailing address: Mailing address: <br /> 18150 SW BOONES FERRY ROAD <br /> 1 PORTLAND, OR 97224 2 <br /> Phone number: Phone number: <br /> 503-244-2300 <br /> Email address: 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 /> ❑ 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 />