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-CURRENT:LOCATION..INFORMATION.•(including:city state;.ZIP) <br /> Current location-3838 PALM HARBOR DR NE, MILLERSBURG, OR 97321 County:LINN <br /> ❑l Dealer lot Dealer name:HOMES DIRECT OF OREGON Dealer license number:MSD523 <br /> ❑ Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF:BEING MOVED;'LOCATION.CHANGES:(includ ng'.city,stete,ZIP) <br /> New location:16541 GREEN BRIDGE RD SE,JEFFERSON, OR 97352 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 /> Current owner names: <br /> • <br /> Are you changing the name of an existing owner? ❑ Yes ❑■ No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes El No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes 0 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes Q No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust, or right of survivorship? ❑Yes I No If yes,attach Change Affidavit <br /> (Foran 5221) <br /> .. : ..; . .. •. BUY<=R/NEWOWNER:INFORMA710N ,•• <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name('Last,firs!, middle): <br /> WIMER, CHRIS WIMER, BRANDY <br /> Mailing address: Mailing address: <br /> 16541 GREENS BRIDGE RD SE SAME <br /> 1 JEFFERSON, OR 97352 2 <br /> Phone number: Phone number: <br /> 360-560-6746 <br /> Email address: Email address: <br /> wimer0914@comcast•net <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/I7/COM) Page 3 <br />