Laserfiche WebLink
1308543 <br /> CURRENT LOCATION INFORMATION(including city,state,ZIP) <br /> Current location: 214 Li - aC, ANA 166k.va,\ <br /> Ct132-1 County: N <br /> _Dealer lot 1 Dealer name: Dealer license number: <br /> n 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: -� - ( �(Z3p County. (, !A- <br /> n Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? 0 Yes 7 No ry <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yes J7No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> I Home transfer due to foreclosure? L Yes OrNo If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? n Yes f No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust, or right of survivorship? 0 Yes [2' 10 If yes,attach Change Affidavit <br /> (Form 522I) <br /> BUYER/NEW OWNER INFORMATION(one name per box) <br /> B er/new owner came(Tact_fact. middle): Buyer/new owner megast,.fi t.middle); <br /> Mailing address: / J a Mailing address: JA AA <br /> Phone num • <br /> � . ul.l ., 97 ;5- <br /> : Phone nu'� e er070 76,q-577( <br /> Email address: Email address: <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) <br /> OR Title Application- 10/2018-TitleAppl 1211 Page 3 004107883-00001 <br />