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<br /> Current location:2445 Pacific Blvd SW,Albany OR 97321 County:Linn
<br /> ❑Dealer lot Dealer name: Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
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<br /> ,...._::.,,-,.:.__ ,.....:.�__,t�.,-... .,_. EING.,:MOVED LO TION.. � .i�g -...Y,:,::.. _.....:.,:....,�P:),....,..._.--. .....-...:...•
<br /> ..
<br /> New location:11577 Grouse Lane,Aurora OR 97002 County:Marion
<br /> ❑ Dealer lot Dealer name: Dealer license number:
<br /> ❑ Park name(if applicable): .
<br /> Out-of-state/federal or tribal property location:
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<br /> Current owner names: J &M Homes, LLC •
<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 111No If yes,attach Abandonment Affidavit(Form 2951)
<br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes Q No If yes,attach Change Affidavit
<br /> (Form 5771)
<br /> - ,AE l r0one= a e: e
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<br /> Buyer/new owner name(Lastfirst, middle):
<br /> Buyer/new owner name(Last,fast,middle):
<br /> A-Team Services ;41,
<br /> to
<br /> Mailing address: 4'7 Mailing address:
<br /> • 92637 S2690 Progress way
<br /> I
<br /> WoodBurn, OR l2'
<br /> Phone number: W. Phone number:
<br /> •
<br /> ". 503-341-0940 •
<br /> Email address: 1 il Email address:
<br /> Vit=
<br /> apowell@gmail.com dpowell@gmail.com
<br /> .�1
<br /> Buyer/new owner name(Last,first, middle): 474
<br /> „ , Buyer/new owner name(Last,first, middle)
<br /> :
<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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