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• <br /> • <br /> CURRENT LOCATION INFORMATION (including city,,state, ZIP) <br /> Current location: ` 8 + ` • W►odbutn 6. 17071 county:M . 01. <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> „.,IF BEING MOVED, LOCATION CHANGES (including city, tate, ZIP) ' ; <br /> New location: al L7 �, p L L c ®� 76.77( County: <br /> ❑Dealer lot Dealer name: Dealer license number: <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> OWNER <br /> Current owner names: „We V e n b"• ® r <br /> Panne k LB. Mori v1 <br /> Are you changing the name of an existing owner? ❑Yes (t/'N'o <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes [r 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 ®No 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 er box) _ <br /> Buyer/new owner 79,eme (Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> jozil-a 14. <br /> Mailing address: F <br /> 1 Mailing address: <br /> t Fry D� <br /> Phone number:5-2>3-791_0539 Phone number: <br /> Email address:a Email address: <br /> 001-)c d c j 6' - <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> Mailing address: Mailing address: <br /> 34 <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 />