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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: 3788 Starlight Drive NE, Silverton, OR 97381 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: 19371 Pirelli Lane, Hubbard, OR 97032 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 /> . OWNER <br /> Current owner names: Steve Altsuler <br /> 1 T Sandy Alutsuler1 <br /> x4-latter' (4.= erISE, LiV;rle �ilrht- <br /> Are you changing the name of an existing owner? ❑ Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? n Yes ■ No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? n Yes n 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 /> k � <br /> Home transfer through divorce,trust,or right of survivorship? j Yes — <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 /> Bond, Philip A <br /> Mailing address: Mailing address: <br /> PO Box 322 <br /> Donald, OR 97020 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 /> ❑ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) Page 3 <br />