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CURRENT LOCATION INFORMATION (Including city, state,ZIP) - '- <br /> Current location: ��'� J� \/i U I Shen Atcylz 9 r13-U County:—Po K -.. ._ <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: 42_1 S C�OV f�c�4� G fir. �U "n.e.r,picot-rya County: M .13 vi.. <br /> ci 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: <br /> r Le,a)rL. � n� <br /> • <br /> Are you changing the name of an existing owner? ❑Yes [o <br /> Changing from: to: <br /> Home transfer by inheritance? El Yes [o If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes [F'No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? El Yes If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ElYes EtNo 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 /> Ir,ve5-fly►en-i-5 LLC <br /> Mailing address: Mailing address: <br /> goLL5 <br /> X i, 5114-6,1?V ,o 1. q -1 3 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 />