Laserfiche WebLink
1359902 <br /> CURRENT LOCATION INFORMATION(including city, state,ZIP) <br /> Current location: t2y141 S VQC i44t G ig 1 flet SW //i' , 0 p q 73,2( County: f i fir: <br /> 0 Dealer lot Dealer name: Dealer license number: <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, <br /> ��IlLOCATION CHANGES(including city,state,ZIP) <br /> New location: 760 C d t t(A F( Lefflo 12 c1-13 I County: r`;nii <br /> 0 Dealer lot Dealer name: I Dealer license number: <br /> 0 Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> I - OWNER <br /> Current owner names: ')64_1 .Q(l ; - l5 � (i, ca 5'i/" TC 7- d -5S- <br /> i - <br /> Are you changing the name of an existing owner? ]Yes No <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yes 7o If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes o If yes,attach Affidavit of Repossession(Form 3926) <br /> i <br /> Home transfer through abandonment process'. 0 Yes 'o If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? 0 Yes 'o 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 /> Johnson Joseph Helms johnson Jenniffer nichol <br /> Mailing address: 760 cordon rd 5(46,1412 2 Mailing address: 700 co,dt rc a.4, <br /> I <br /> Phone number: 56 3-'6,9-0!5. Phone number: -it)S-3-en-777 7 <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 0 Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-TrtleApp11211 Page 3 004239555-00001 <br />