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1325392 <br /> CU tR>~NTLOC I'I`o:N INFOR,I ATlON{inciuding::ctty,a ate,ZIP) 'F <br /> Current location: '` } <br /> ! r' • `2 f C' County: <br /> L Dealer lot Dealer name: <br /> Dealer license number: <br /> Park name(if applicable); <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCAT[ON ,HANGBS(fir cludhngg cifyR,, tate,ZIPS <br /> New location: i,`1(8c? • t� • <br /> ee ta 004 G76-e s :111 i� County. <br /> 0 Dealer lot Dealer name: iDealer license number: <br /> 0 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? D Yes No <br /> Changing from: to: <br /> Home transfer by inheritance? Q Yes ig No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? Yes X11 No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes lyLl No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 0 Yes Et No If yes,attach Change Affidavit <br /> (Form 5221) <br /> • BUYER/NEW OWNER INFORMATION (one name per box) ,. ; 3 <br /> B yer/new owns'name(Last,first, middle): Bu er/1 ew owns name(Last,first, middle): <br /> Mailin address: Mailing address: ,2fl� t;rSO41, <br /> 1 ! . . ► ,. ,, t ., 14f3Z27Cerds19 i X173 2 <br /> Phone number: 503--55 1-34-04 Phone number: 503.- 564_3-751 <br /> Email address: r 3O1la I,tOn1 Email address: Sherr bass Q ythio.Cok11 <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 0 Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/17/COM) <br /> OR Title Application-10/2018-TitleApp1121] Page 3 004151286-00001 <br />