Laserfiche WebLink
a � <br /> 1325392 <br /> CURRENT LOCATION I1IFO ATION`(including city,date,ZIP). u <br /> Current location: (3445,<314aok_. J014,1ticeg County: <br /> Dealer lot Dealer name: Dealer license number: <br /> El Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF B.EINe; MOVED;LOCATION,tC,HAWGE�(including city, state,ZIP) <br /> New location: lLI j c(ltc 04)4 on g"s - e ' 9� � County: <br /> O Dealer lot Dealer name: Dealer license number: <br /> Q Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> cOWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? Yes EtNo <br /> Changing from: to: <br /> Home transfer by inheritance? U Yes gi No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? J Yes igNo If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? J Yes No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? Q Yes EI No If yes,attach Change Affidavit <br /> (Form 5221) <br /> ;BUYER/NEW OWNER INFORMATION one nameper box = x; <br /> B•p er/new jwnn namme(IAA first, middle): <br /> 2lt Bu er/r ew owner name(Lasl,..first, middle): <br /> t� <br /> Mailing address: , Mailing address: �€,-�`.. , f(, <br /> 1 Pb fey 101,7 , �" -c- .Kson o r �i 1,3�i2 2 14822 :1 -fifer 5�ri 1 boy � i 1735 <br /> - <br /> Phone number: 503 '5 (-3- -5¢ Phone number: 503. 559—315 <br /> Email address: r i f A_h(l,� z.e.- )x9610._'41 .tom Email address: Sherri bags Q yaJt o.Corn <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 U 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-TitleAppl 1211 Page 3 004151286-00001 <br />