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1384858 <br /> CURRENT LOCATION INFORMATIONincltidin ci <br /> ( 9 ty►.state,ZIP) <br /> Current location: 4y37 �' p 7r)( (VLr ( J 1 ' /j`( p q 7 J County: Linn <br /> 1Dealerlot Dealer name: /`' 1 J <br /> Y > r <br /> Dealer license number: <br /> CIr1 . l _ci1�� <br /> / fl 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: t ` COY,51- \\lei- o (it v 4 I County: minor) <br /> E]Dealer lot Dealer name: Dealer license number: <br /> El Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: <br /> Are you changing the name of an existing owner? []Yes, Flo <br /> Changing from: to: <br /> Home transfer by inheritance? El Yes7No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? fl Yes fNo If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes [ago If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through'divorce,trust,or right of survivorship? Yes 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 /> Thurman James Lyle , Thurman Barbara Ann <br /> Mailing address: r IMailing address: <br /> Phone number:�J(t,(h`i(()R- 3&( / Phone n (i- C -umber:3�, f(�� Ii•3p5 / <br /> Email address j) wkL tf97;4�, �J � � Email address Mikr4,�,� / ., <br /> vv �lf d�1a�1DUI <br /> Buyer/new owner.name (Last,first, middle): Buyer/new owner name(Last,first, mid/lle): <br /> Mailing address: : Mailing address: <br /> 3 4 <br /> El Same as above ❑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-TitleApp11211 Page 3 004311786-00003 <br />