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352351 (3)
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352351 (3)
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Last modified
10/2/2021 10:33:56 AM
Creation date
9/13/2019 11:27:11 AM
Metadata
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Template:
Assessor
Account Number
352351
Assessor Doc Type
Trip Permit
Secondary Assessor Doc Type
Jacket
Doc Type Date
9/9/2019
MTL
103W02BA04201
Assessor Section
Manufactured Structures
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.:. aiv1 1aL7 u, wvr71I w1111 11®1.+V!NPWir9 o e,S011 ,u�ae�u6a���.� 6st6 4 10P.6Gli6y <br /> Current location: 0108 ®Lm7' ` E S Ak O fk County: tel, <br /> Y1.lb <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: Nvi pLC `� %"J 1 O k County: hn.kimd <br /> ❑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: RG o - - 1 u1/4„c„, <br /> Are you changing the name of an existing owner? ❑Yes E]No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes j5?1 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? IllYes No dyes,attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name perbox) <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 1 2 <br /> Phone number: Phone number: <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 /> 0 Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br />
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