Laserfiche WebLink
�t 1 <br /> • <br /> CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> County: L„... h <br /> Current location: (p/0 ' l ')7, o h td 55 04 ' <br /> 0' 7722.11 <br /> Dealer license number: <br /> ❑Dealer lot Dealer name: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES (including city, <br /> state, ZIP) <br /> New location: <br /> (6‘$ 2 L uh Nor r,/VE Ghi/13) 54Aetn4A q7;4i County:/f'lapioh <br /> Dealer license number: <br /> ❑Dealer lot Dealer name: <br /> Park name(if applicable): I-4 r ) j/'r ,"! U i 140 141 <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: . r . • 10 � <br /> Are you changing the name of an existing owner? ❑Yes No <br /> Changing from: . to: <br /> Home transfer by inheritance? ❑ Yes w 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 V]No if yes,attach Abandonment Affidavit(Form 2951) <br /> If yes,attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship" , =`c [}�' iJo (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 /> V 719o /co. t 4q6 ' ! l • .11 L <br /> Mailing address: Mailing addres : <br /> t-($$1 �41C4'51V - �r.�� Unite) 4co% La.nC0.S-4-ex- DR. OE. on g3 <br /> 1 5a/ph, 02 f73°S 2 Sakecn OR- � 1 05 <br /> Phone number: tti _ 5 9- o Z g g Phone number: 5,-1 17 I0 1103 <br /> Email address: r.e.4,1Viah�/i0001,1(.4o4 Email address: +k urple prose2pm4I1, <br /> Com <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 />