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357265 (2)
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357265 (2)
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Last modified
4/21/2023 10:00:29 PM
Creation date
4/19/2023 2:59:44 PM
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Assessor
Account Number
357265
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
4/18/2023
MTL
072w20bd00200
072W20BD00200
Assessor Section
Manufactured Structures
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• <br /> CURRENT LOCATION 1NFd`RMATION_, includmg city state, ZiP) <br /> Current location:4915 Swegle Rd NE#54 Salem, OR 97301 County: Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> El Park name(if applicable): Sunset Village <br /> Out-of-state/federal or tribal property location: <br /> -: - ;as. .n �nsss-.-r �axYaux•,: --.„K:: <br /> .1F BEING MOVED', LOCATfORCHANGES'_(in0ludmgEcioNiAtate ZIPS: ....:_ <br /> `' New location: I ? G3 brick Rd 5E Ok 973Cl2- County: Ala lanb <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: Deborah Williams <br /> Are you changing the name of an existing owner? n Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? n Yes n No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? n Yes n 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 Q No If yes,attach Change Affidavit <br /> (Form 5221) <br /> BUYERINEVitt KIN R (FO1 MA11ON (.ode name per 6o L} <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Travis Towery Kari Towery <br /> 4111Iailingaddress: :11�Iailiin addressca� <br /> er• -k Rd 5E acgo3 'Br%U( R4 Se <br /> 1 Tut-i 1 e r- 9 73 12_ 2 1-u4Y ne.r OR ►gTaci2.. <br /> Phone number: Phone number: <br /> 503 999 9691 503 999 9691 <br /> Email address: Email address: <br /> Travisandkari@comcast.net Travisandkari@comcast.net <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 _ ;ame as above <br /> Phone number: Phone number: <br /> • <br /> Email address: Email address: _ _ <br /> • <br /> 440-2952(7/19/COM) Page 3 <br />
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