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<br /> .tk ;CURRENT LOPA` IOI*INFORMATION,;(incltiding city, state;ZIP) ,Mig „ ,x 4„
<br /> Current location: County:
<br /> ❑� Dealer lot Dealer name:SKYLINE HOMES-McMinnville, OR factory Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
<br /> �. S ..
<br /> = IF BEING•;MOVED, LOCATION CHANGES,(including city, state,'ZIP),0 ,LL' 4,,, t ;;
<br /> New location:2120 ROBINS LANE SE, SP.#211, SALEM,OR 91306 County:MARION
<br /> ❑ Dealer lot Dealer name: Dealer license number:
<br /> ❑� Park name(if applicable):TERRACE LAKE
<br /> Out-of-state/federal or tribal property location:
<br /> i^. r d •r a �--_ a x r e x
<br /> .
<br /> �;:•A,r.�. ....),fr.3. ,�-.z, .: �.�'....,..:i'+ ....:.5,. „�-.c..:: x_ ,.e. ,,:,...t ,t.,N;, �' r'i,� n, �+..,. i Z �.�,r�,.. ..,x:.°....i'..r.. ..,.1. .. ..,..�, �:.,t'
<br /> Current owner names:
<br /> Are you changing the name of an existing owner? ❑ Yes I 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 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? El Yes ❑No If yes, attach Change Affidavit
<br /> (Form 5221)
<br /> ;` BUYER/NEW OWNER INFORMATION (=one name per box)
<br /> w ._..f....... i.....�!i.t..,.vl�.w� ..... u.. ...:f S.,... ... u.,S..r_.... ,<x.., .f,....a ..,,.,...n. .....<..V. ..r ... ._ ..�.,...v_....�.n.....i.. ,. ,. . .......
<br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle):
<br /> LYONS, CHERRI LYONS, JERRY
<br /> Mailing address: Mailing address:
<br /> 2120 Robins Lane SE, Sp.#211 2120 Robins Lane SE, Sp.#211
<br /> 1 Salem, OR 97306 2 Salem, OR 97306
<br /> Phone number: Phone number:
<br /> 503-931-1935 503-931-1816
<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
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