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1 N°(ipcluciI g titj(s OtatTh' <br /> Current location:2200 LANCASTER DRIVE SE, SP.#2G, 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 /> EING bVED, 4TIt CHANG I i R l idL g ciky ,: tat :ZII ,s. <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 /> fi m r t Xr a" 1r t r Ka, q�(=r .y..}�. t - h 1 ' <br /> 6d1�'k rt <br /> Current owner names: <br /> COMMONWEALTH HOMEOWNER SERVICES INC. <br /> Are you changing the name of an existing owner? Yes ET No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes n 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? ❑Yes No If yes, attach Change Affidavit <br /> (Form 5221) <br /> BU'YER!NEf O NER;INFORMATION (unto name per <br /> h„a <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 />