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CURRENT LOCATION INFORMATION (including city,state, ZIP) <br /> Current location:tleetwood Homes County:Marion <br /> ❑Deater lot Dealer name: - • Dealer license number: <br /> Park name(if applicable): /5'5— ,Q e 1,44 it1% M 9 7.e:, <br /> 7/ <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED; LOCATION CHANGES (including city, state, ZIP) <br /> New location:830 N Main St Mt Angel,OR 97362 37 County:Marion <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> 0 Park name(if applicable):Bavarian Village <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names:Bavarian Village <br /> Are you changing the name of an existing owner? ❑Yes El No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑Yes Q No If yes,attach appropriate Iinheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes Q No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes Q.No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust;or right of survivorship?.❑Yes 0 No eyes,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 /> Bavarian Village <br /> Mailing address: Mailing address: <br /> 830 N Main St <br /> 1 Mt Angel, OR_97362 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 /> 0 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 />