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CURRENT LOCATION INFORMATION (including city, state,ZIP) . . <br /> Current location:590 N. PACIFIC HWY,WOODBURN,OR 97071 County:MARION <br /> ji Dealer lot Dealer name:CASCADE FACTORY HOMES, INC. Dealer license number:MSD-41 <br /> ❑Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF BEING MOVED, LOCATION CHANGES(inclUding city,state,.ZIP) i <br /> New location:13 HEMLOCK CIRCLE,WOODBURN, OR 97071 County:MARION <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> 0 Park name (if applicable):WOODBURN WEST MHP <br /> Out-of-state/federal or tribal property location: <br /> OWNER . <br /> Current owner names: CASCADE FACTORY HOMES, INC. <br /> • <br /> Are you changing the name of an existing owner? Q Yes ❑No <br /> Changing from:CASCADE FACTORY HOMES, I11�( to:GAYLE GILMOUR <br /> Home transfer by inheritance? ❑ Yes Q No If yes, attach appropriate Inheritance Affidavit(Form 2946:o 5177) <br /> Home transfer duc to foreclosure? ❑Yes ❑No If yes,attach Affidavit of Repossession (Form 3926) <br /> Home transfer through abandonment process? ❑Yes U]No If yes,attach Abandonment Affidavit(Form 295 <br /> Home transfer through divorce,trust,or right of survivorship? ❑ Yes ❑• No If(Form yes,attach5221) Change Affidavit <br /> BUYERINEW OWNS R.INFORMATION (one,name_per box) • <br /> Buyer/new owner name(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> GILMOUR, GAYLE <br /> Mailing address: Mailing address: <br /> 1340 PARK AVE,NE <br /> 1 SALEM, OR 97301 2 <br /> Phone number: Phone number: • <br /> 503-409-2966' <br /> Email address: Email address: <br /> GILMOUR1040@GMAIL.COM <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 /> • <br /> Email address: Email address: <br /> 440-2952(7i17iCOM) Page 3 <br />