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CURRENT LOCATION INFORMATION (including city,state,.ZIP) <br /> Current location:550 Booth Bend Rd., McMinnville, OR. 97128 County:Yamhill <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:923 York Street,Aumsville,Oregon 97325 County:Marion <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> 0 Park name(if applicable):Windemere Meadows, MHC LLC <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? n Yes ❑No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes ❑ No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes n No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes [7 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? E] Yes ElNo 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 /> 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 ❑Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/17/COM) Page 3 <br />