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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: 2232 42nd Ave SE,#588, Salem, OR 97317 County: MARION <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> UI Park name(if applicable): SUNDIAL MOBILE HOME PARK <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, state, ZIP) <br /> New location:245 N SANTIAM HWY E., #19, GATES, OR 97346 County:MARION <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑ Park name(if applicable):DEER CREEK HOLLOW SENIOR MOBILE HOME PARK <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: CPI SUNDIAL OWNER LLC <br /> Are you changing the name of an existing owner? ❑ Yes ❑l 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 ❑■ 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? ElYes ❑■ No If yes,attach Change Affidavit <br /> (Form 5221) <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 /> PATRICIA CUNNINGHAM <br /> Mailing address: Mailing address: <br /> 245 N SANTIAM HWY E., #19 <br /> 1 GATES, OR 97346 2 <br /> Phone number: Phone number: <br /> 503-551-1165 <br /> Email address: Email address: <br /> OREGONLADY54@GMAIL.COM <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> JOHN PINARD <br /> Mailing address: Mailing address: <br /> 245 N SANTIAM HWY E., #19, GATES, OR 97346 <br /> 3 4 <br /> ❑■ Same as above ❑ Same as above <br /> Phone number: Phone number: <br /> 503-267-5350 p <br /> Email address: Email address: <br /> 440-2952(7/19/COM) Page 3 <br />