Laserfiche WebLink
1394229 <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Stdt <br /> Current location:711,1] {�ctc 41.6,5 <br /> County: <br /> utr', l 7f1,�1 <br /> 0 Dealer lot Dealer name: Dealer license number: <br /> 0 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: st t znti AviNtE5ca ncl ct scs County: <br /> 0 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? El Yes ZNo <br /> Changing from: to: <br /> Home transfer by inheritance? 0 Yes No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 YesNo If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes E_No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer throughh;divorce,trust,or right of survivorship? 0 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 /> Leja David Thomas Sparks Jacqueline Ann <br /> Mailing address: V-0- of , G <br /> � � � (�f S Of Mailing address: 454 . <br /> 1 �r.��e yL 2 CriCWJ <br /> Phone number: S63-So -ct 5 7 Phone number: • 3'1' —1))Q I <br /> Email address: kit Lot) e,-IckLoos Email address: Z .r13'65e } <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 /> t: <br /> 440-2952(7/19/COM) <br /> OR Title Application-10/2019-T,itleApp11211 Page 3 004344167-00001 <br />