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CURRENT LOCATION INFORM <br /> A|K]y4 (including city, state, ZIP) <br /> CUrrent location:Skyline Manufacture 550 Booth Bend Road, McMinnville, OR 97128 mhiU ----- <br /> �� Dealer|nr Dealernumc�� ���----' ---' <br /> �� Dealernse number: <br /> — •��� <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property locaon: <br /> IF BEING MOVED, LyJ'CHANGES (inoludingcitv. state, 3]P) <br /> New locainA:4Q15SwngaRoad NELot#73Salem, OR873U1 County:Marion <br /> 0 Dealer lot 1 Dealer name: Dealer license number: <br /> UI Park name(ifapplicable):Sunset Village <br /> • <br /> Oul-of-state/lederal or tribal property location: <br /> ' - <br /> O <br /> |NR <br /> __ -----_ • <br /> Current owner names:Amber Homes LLC <br /> • <br /> • <br /> Are you changing the name oyunexisting owner? PI Yes No --- <br /> Changing from: to: <br /> Home transfer by inheritance? | I Yes | | No (fyes, attach appropriate Inheritance A/fidavit(Form 2946orj|7---� <br /> Home transfer due to foreclosure? 11 Yes ri No lfyes.attach Affidavit of Repossession (Form 3926) -- <br /> Home transfer through abandonment process? [1 Yes Nn |fyes,attach Abandonment Affidavit(Form IV5|) <br /> Home transfer through divorce, trust.orright of survivorship? L hip? yco L. <br /> No |[yes,uuo«h Change Affidavit <br /> _ - �- (Form )22|) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name(Last,lust, middle): Buyer/new owner name(Last, fIrst, middle): <br /> Mailing address: Mailing address: <br /> --- <br /> 2 <br /> Phone numbe -------------------' ------ ------------- - ---- - <br /> r: Phone number: <br /> Email addres : Email addres : <br /> Buyer/new owner numc'Luo,o0 ---� ---'----- --'------ -------- <br /> ./o� middle): Buyer/new owner name(Last, first, middle): <br /> Mailing address: Mailing address: --- <br /> 3 4 <br /> • 0 Same as above Same above <br /> n <br /> Phone numbe ��------- ------- '------ —----�----- <br /> phoncnvmhcr; <br /> Email address: Email address: <br /> | | <br /> �_�'___�-_---___ ___ <br /> 4,1(1.295217//7/row) Page 3 <br />