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r <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Current location:FLEETWOOD HOMES 2655 PROGRESS WAY,WOODBURN,OR 97071 County:MARION <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state,ZIP) <br /> New location:1307 S,WATER ST,#61 SILVERTON,OR 97381 County:MARION <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> rj Park name(if applicable):SILVERTON MOBILE ESTATES <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: CASCADE FACTORY HOMES, INC. <br /> Are you changing the name of an existing owner? ❑Yes Q No <br /> Changing from: to: • <br /> Home transfer by inheritance? ❑ Yes U No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes Q No If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes 0 No If yes, attach Abandonment Affidavit(Form 295 l) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes ❑■ No IfNo52ach Change Affidavit <br /> (FForm 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) • <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> MOSER, SUSAN L. <br /> Mailing address: Mailing address: <br /> 1307 S.WATER ST,#61 <br /> 1 SILVERTON,OR 97381 2 <br /> Phone number: Phone number: <br /> 503-507-2254 <br /> Email address: Email address: <br /> SUEMOSER.ROBINSON@GMAIL.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 /> ❑ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7!17/COM) Page 3 <br />