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<br /> Current location:2445 S PACIFIC BLVD,ALBANY,OR 97321 County:LINN
<br /> ❑ Dealer lot Dealer name: Dealer license number:
<br /> ❑Park name(if applicable):
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<br /> New location:2994 RAY BELL ROAD,ST. PAUL, OR 97137 County:MARION
<br /> ❑Dealer lot Dealer name: Dealer license number:
<br /> ❑Park name(if applicable):
<br /> Out-of-state/federal or tribal property.location:
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<br /> Current owner names: J&M HOMES
<br /> Are you changing the name of an existing owner? ❑Yes n No
<br /> Changing from: to:
<br /> Home transfer by inheritance? [] Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177)
<br /> Home transfer due to foreclosure? [' Yes ❑t• No If yes,attach Affidavit of Repossession(Form 3926)
<br /> Home transfer through abandonment process? ❑ Yes n No If yes,attach Abandonment Affidavit(Form 2951)
<br /> If yes,attach Change Affidavit
<br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes 0 No (Form 5221)
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