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Aug 1420,03:29p Dougs Mobile Home Service 503-200-1299 p.3 <br /> CURRENT LOCATION INFORMATION (including city, state; ZIP) <br /> Current location: i %3 C le.te. ._ _,1-- r�1 f 5e O Coun :$'4 ��_. <br /> 16 Lvv�. �-!� h'- 'l r- <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IFABEING MOVED,LOCATION CHANGES (including city, state,ZIP) <br /> New location: a/ f 7 fl pGt d :,_ y [;R. [jr�,r--`, ��I I County: $ <br /> ❑Dealer lot Dealer name: f Dealer license number: <br /> 0 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 ®No <br /> Changing from: to: <br /> Home transfer by inheritance? ® Yes tja No If.yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ®Yes VINo If yes,attach Affidavit of Repossession (Form 3926) <br /> Home transfer through abandonment process? ®Yes KNo 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 /> BUYERINEW OWNER INFORMATION (one name per box) <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> mbrlc_ ---CcJ <br /> Mailing address: /Ct n_ Mailing address: <br /> �a_ 1-6'6(a_ ,w <br /> i. P7E 2 <br /> Phone number::2j3,79 -cy, 39, Phone number: <br /> Email address:O.c� �(, b,.-&De 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 . ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br />