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CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Current location:2445 Pacific Blvd SW,Albany, OR 97321 County:Linn <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,state, ZIP) <br /> New location:15356 Waldo Hills Dr SE, Sublimity, OR 97385 County:Marion <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: <br /> Are you changing the name of an existing owner? ❑Yes ❑� No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes Q No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes 0 No If yes,attach Abandonment Affidavit(Form 2951) <br /> If yes,attach Change Affidavit <br /> Home transfer through divorce,trust,or right of survivorship? El Yes N No (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 /> Roemer, Christian <br /> Mailing address: : Mailing address: <br /> PO Box 313 <br /> 1 Mt Angel, OR 97362 2 <br /> Phone number: - Phone number: <br /> 503-689-7223 <br /> Email address: - 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 /> ❑Same as above I ❑ Same as above <br /> Phone number: .. Phone number: <br /> Email address: - Email address: <br /> ' <br /> 440-2952(7/17/COM) Page 3 <br />