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1496272 <br /> CURRENT LOCATION INFORMATION(including city,state,ZIP) <br /> Current location: ( TT,i ` I County: <br /> Dealer lot l Dealer name: ° Dealer license number: <br /> [l Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION'.CHANGES(including city, state,ZIP) <br /> New location: 1111 J� R' c, c Ite\ �� C (_� � ,t 1. County: yv‘a.t tt <br /> Dealer lot I Dealer name: ' <br /> Dealer license number: <br /> El Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? 0 Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yes 111 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? []Yes No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? Yes 0 No If yes,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 /> Moberg Jered Murphy Jessica <br /> Mailing address: Mailing address: <br /> 1 2 <br /> Phone number: . Phone number: <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 9 Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TitleApp 11211 Page 3 <br /> g 004664330-00004 <br />