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CURRENT LOCATION INFORMATION:(inclpding.city, state,;ZIP) <br /> Current location:550 Booth Bend Rd., McMinnville, OR. 97128 County:Yarrihill <br /> ❑Dealer lot Dealer name: Dealer license number: • <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribalproperty location: <br /> . IF BEING MOVED, LOCATION CHANGES (including city,state,ZIP) <br /> New location:908 York.Street SE,Aumsville, Oregon 97325 County:Marion <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> Ej Park name(if applicable):Windemere Meadows, MHC LLC <br /> Out-of-state/federal or'tribal property location: <br /> Current owner names: <br /> Are you changing the name of an existing owner? ❑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 ❑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 /> h <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes ❑No If yes,'5221) Change Affidavit(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 />