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<br /> .."?•.7'1--.:" ',„,''4,'$,..g... CURRENT'LOCATI�ONN INFORMATION_(incI,udiitg,'city,,state,•ZIP) Rif,,k, °'-,its '
<br /> 1 Current location:6625 SW ROBBINS RD -TUALATIN,OR 97062 County:WASHINGTON
<br /> t Dealer name:
<br /> ❑ Dealer to Dealer license number: .
<br /> ❑Park name(if applicable):M2147959 -•2S125AD-301 -
<br /> Out-of-state/federal or tribal property location: '
<br /> wiv,tO'ED ;L O:CATION"CHANGES (�n"c.(uding city;state;••...,-P- ;:t`r:
<br /> 7� I County:MARION
<br /> New location:6.12 N CASCADE DR#,88'= O9DBURN,'OR - _ tY:
<br /> ❑ Dealer lot Dealer name: Dealer license number:
<br /> I �
<br /> rk name(if applicable);; s 60 % `. -- {'<<- -•
<br /> Out-of-state/federal or tribal property location •
<br /> i; •• 71 i r,. a>- >6 'r a k J,.•.`.r.,,jc." .,i. ...-.•L :.w •
<br /> -Ct• :WI 61, i � � rte' � : ••.r� `t _ ��.<.'�
<br /> g . . tNEI� "F:`;,_ • : _ °' ` •.' .. '.�' 1,. ar'4rA, '1
<br /> Current owner names •- •-
<br /> tnlB61-ef A• t i a 'orit'�rf' A L _ . . •..
<br /> 'o 0 1M li;i(/ i . .6 ' ett qv CCtt�l.b�'l11 moo, -Gf oY
<br /> Are you changing the name of an euisling,owner? ❑Ye .. :o
<br /> Changing from: • to:
<br /> Home transfer by inheritance? ❑ Yes/W:No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177)
<br /> Home transfer due to foreclosure? ❑ Yes/ Tlo If yes,attach Affidavit of Repossession(Form 3926) •
<br /> Home transfer through abandonment process? ElYes �No If yes,attach Abandonment Affidavit(Form 2951)
<br /> If yes,attach Change Affidavit .
<br /> Home transfer through divorce,trust,or right of survivorship? ❑ Ye No ,,(Form,5221) •
<br /> EFZ:INIFORMATI.Q.N'('esneiname:pe,l;box),� °,; .: ': L
<br /> BUYERINEIN,O,I1flP1 >,, ,> = ,
<br /> Buyer/C �nwn name(Last,first, middle):nBuyer/new owner name(Last,first, middle):
<br /> Vf C_�,`f.Y,Y\S 2: V ;�Y-d- J/r-c .... " --- - •
<br /> r Mailing address:'
<br /> %06
<br /> 1 C OASr _A 2
<br /> Phone number: : Phone number:
<br /> Email address: i
<br /> Buyer/new owner name(Last,firsi, .. Buyer/new owner name (Last,first, middle):
<br /> Mailing address: Mailing address:
<br /> •
<br /> 3 '4
<br /> ,. ❑ Same as above - 0 Same as above
<br /> Phone number: Phone number:
<br /> Email address: , Email address: •
<br /> • 440-2952(7/17/COM) Page 3
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