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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: �� V�tU 5-e►-ck ail CDR 370 County:'POt <br /> ❑Dealer lot Dealer name: Dealer license number: _ <br /> ❑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: 4215 C(ov-e rd ct t >r. SE mum tx.Dip,pti. 2 county: M to y1.- <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: • <br /> OWNER <br /> Current owner names: Loirj-I,t D. i Le ma_ 'rD�un <br /> Are you changing the name of an existing owner? ❑Yeso <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes Ei" o If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes [110 If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes ENo 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 /> Ec.130- ih vesf l en-4-5 LL& <br /> Mailing address: Mailing address: <br /> LMM 5 IC-Edb it-M. �o S <br /> X I .5A4 1e4- g13ctr. 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 ❑ Same as above <br /> Phone number: Phone number: . <br /> Email address: Email address: <br /> 440-2952(7/17/COM) :. - Page 3 <br />