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• <br /> CURRENT LOCATION INFORMATION (Including city, state,ZIP) <br /> Current location:FLEETWOOD HOMES,2655 PROGRESS WAY,WOODBURN, OR 97071 County:MARION <br /> 0 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:9110 55TH AVE; SE-TURNER, OR 97392 County:MARION <br /> ❑Dealer lot I Dealer name: I Dealer license number: <br /> ❑Park name(if applicable): <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 I1 No <br /> • <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes •No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> H +. 4 a t f 1 `) n V .s n No If n attach Affidavit of P.epossessinn (Fern, 3926) <br /> Vile LLw1J1V/ 4U' to.foreclosure? ( J eJ \V 1 yes,K MN.l4, \V,/VJUVJ.t%JAA(Fenn✓i4..v) <br /> Home transfer through abandonment process? ❑Yes 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑Yes 0 No If yes,attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> IBuyer/new owner name(Last,first, middle): I I Buyer/new owner name (Last,first, middle): <br /> OLSO N,JAMES <br /> Mailing address: Mailing address: <br /> P.O. BOX 839 <br /> 1 TURNER, OR 97392 2 <br /> Phone number: Phone number: <br /> 503-949-9380 <br /> Email addrecv F.mail ,ddres: <br /> SHOP@TREELINETRAN.COM <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> A <br /> 7 <br /> 0 Same as above : ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> • <br /> 440-2952(7/17/COM) Page 3 <br />