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CUFtREN'f LOCA'CIONsINFOt2MA'fiIfON (�n�luding city, state, ZIP}� <br /> Current location:400 W Elm Ave, Hermiston, OR 97838 County:Umatilla <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,LQGATION,CHANGES (mc uding city,state, ZIP) .mt <br /> New location:10223 Marion Rd SE,Turner, OR 97392 County:Marion <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> ❑ Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> - r , <br /> Current owner names: <br /> Are you changing the name of an existing owner? ❑Yes 0 No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes 0 No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑ Yes 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> If yes,attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? El Yes 0 No (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 /> Morrow, Cole <br /> Mailing address: Mailing address: <br /> PO Box 39 <br /> 1 Turner, OR 97392 =2. <br /> - Phone number: Phone number: <br /> 503-871-1192 <br /> Email address: Email address: <br /> • <br /> cmorrow320@gmail.com <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 />