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<br /> Current location: County:MARION
<br /> %Dealer lot Dealer name:CASCADE FACTORY HOMES,INC. Dealer license number:MSD-41
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property location:
<br /> '._ L... Sf V4
<br /> New location:28 JUNIPER CIRCLE,WOODBURN, OR 97071 County:MARION
<br /> ❑ Dealer lot Dealer name: Dealer license number:
<br /> ❑■ Park name(if applicable):WOODBURN WEST MOBILE HOME PARK
<br /> Out-of-state/federal or tribal property location:
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<br /> Current owner names: CASCADE FACTORY HOMES,INC.
<br /> Arc you changing the name of an existing owner? •Yes ❑No
<br /> Changing from:CASCADE FACTORY HOMES, to:MARY ANN BELL
<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 0 No If yes,attach Abandonment Affidavit(Form 2951)
<br /> If
<br /> Home transfer through divorce,trust,or right of survivorship? 1:1 Yes 0 No Yes, attach Change Affidavit
<br /> (Form 5221)
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<br /> iii
<br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle):
<br /> BELL, MARY ANN
<br /> Mailing address: Mailing address:
<br /> 27 JUNIPER CIRCLE
<br /> 1 WOODBURN, OR 97071 2
<br /> Phone number: Phone number:
<br /> 503-421-8030
<br /> Email address: Email address:
<br /> MANYABELL@YAHOO.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 /> 0 Same as above ❑ Same as above
<br /> Phone number: Phone number:
<br /> Email address: Email address:
<br /> 440-2952(747:C0M) Page 3
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