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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location:Skyline Manufacture 550 Booth Bend Road, McMinnville, OR 97128 J County:Yamhill <br /> • -- - <br /> Dealer lot Dealer name: Dealer license number: <br /> • - - <br /> El Park name(if applicable): <br /> • <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES-(including city, state, ZIP) <br /> New location:4915 Swegle Road NE Lot#12 Salem, OR 97301 County:Marion <br /> 1] Dealer lot Dealer name: Dealer license number: <br /> El Park name(if applicable):Sunset Village .. <br /> Out-of-state/federal or tribal property location: <br /> • OWNER • <br /> Current owner names:Amber Homes LLC <br /> Are you changing the name of an existing owner? n Yes [ii No <br /> • Changing from: 2 to: <br /> Home transfer by inheritance? [ Yes E No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? I I Yes No If yes, attach Affidavit of Repossession(Form 3926) <br /> Ifome transfer through abandonment process? Yes Ei No If yes,attach Abandonment Affidavit(Form 2951) <br /> If yes.attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? I I Yes I I No <br /> (Form 5221) <br /> - BUYER/NEW OWNER INFORMATION (one name,per box) <br /> Buyer/new owner name(Las),first, middle): - Buyer/new owner name(Lost,lirst, middle): <br /> Mailing address: Mailing address: <br /> 1 2 <br /> Phone number: Phone number: <br /> • <br /> Email address: Email address: <br /> Buyer/new owner name(Las!,"Irv, middle): Buyer/new owner name(Las);first, middle): <br /> Mailing address: Mailing address: <br /> 3 4 <br /> • <br /> Same as above Same as above <br /> Phone number: Phone number: • • <br /> Email address: Email address: <br /> — -- <br /> 140-2952 pi I 7/COM Page 3 <br />