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- - -.CURRENT LOCATION <br /> Current location: � tult� <br /> ��� � a,s�eib, ZIP) <br /> ,1 <br /> ❑Dealer Iot , Dealer name: I V. I 111'-i <br /> x 7��,Z County: <br /> oz'l <br /> ❑Park name(if applicable): Dealer license nbe1; <br /> Out-of-state/federal or tubal property location: <br /> New location: 7 �� ciu2ncity, s '�eo <br /> 0 Dealer lot Dealer name: G � M q 7,..,it <br /> County: <br /> me x_11-cwt <br /> Dealer license number <br /> Park name(ifepplicable): <br /> Out-of-state/federal or tribal property location: <br /> 614',,1t4TE <br /> Cun-ent sumer names: <br /> 1 <br /> IAi-e you Chan g the name of an existing owner? <br /> ..hanging from: o Yes [;No <br /> ( tome transfer byto: � <br /> inheritance? ❑ Yes f� No T <br /> Home transfer due to foreclosure? ❑ if yes, attach appropriate Inheritance Affidavit , <br /> ❑ Yes sign(Form <br /> (Farm 29�?6 or 5177) <br /> 926) <br /> Home transfer ❑ No If yes,attach davit of Repossession <br /> through abandonment process? �, <br /> p ? ❑Yes (por_n 3For <br /> -' I to If yes; attach Abandonment <br /> Nome transfer through divorce, trust, or right Air_adavit(Form 2951 <br /> a Of survivorship?OrSIi� � � 1' ) <br /> 'A Yes 0 No <br /> L Yes, attach Chane d I <br /> BUYER/NEW (Poen "1) Affidavit <br /> avit <br /> Buyer/new `'' /itl e ; ¢ft�N lid {x.:111: "":�, g • f <br /> owner name (last. a ,aN Carle name <br /> L� ,.first, middle): per t,fir 1 <br /> -rwne '� Bayer/new owner name (Last,rust, middle): <br /> Mailing address: <br /> c <br /> �2 / y f? Mailing ng address: 1 <br /> t'e_e-' /sc2_ Q 7�0 'a <br /> 2 <br /> ?ftore nnbet.,`-`� , <br /> �''7993 9 <br /> Email number:mail address: L e_1r-a,,,_ <br /> ��lz � :Phone <br /> �nlail acldlresg. <br /> t� <br /> yet/neWowner� nei name(Last,first, �12iddle : I <br /> Beyer/new <br /> ger >'�3,, <br /> t• o <br /> }e PV owner name (Last,first, middle): <br /> Hing address: I <br /> i 3 Ma I <br /> Mailing address: <br /> ' 0 Same as above <br /> Phone number: <br /> 0 Same as above <br /> 'bone number: <br /> Email address: <br /> r mall add eSS: <br /> '440-2952(7/17/COM) j <br /> Page 3 <br /> I! <br /> 'd 66Z L-OOZ-£09 eoi/uag eluoH e�igow s6noa BLP:L L 'OZ 9Z gad <br />