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• <br /> vvIV!NLn.r I_vv, J tvtr III -VI\MMMMrwrr tri tVIuuitty La Ly, state, car. . ;. <br /> Current location: County: <br /> ❑ Dealer lot Dealer name: Dealer license number: <br /> El Park name(if applicable): (5.1,f) rct ga,..t.tr--) <br /> Out-of-state/federal or tribal property location: i 10 R i1`C3+- IA 4' 1--011... 0 V't? t tD A-, `f g63 a <br /> IF BEING LMOVED,stat <br /> e/fedCHANGES (including city,`'state, ZIP) M <br /> New location: (��� � a i e Jt'�.,�el-11 0 r•P dY7 5 1 County: 6' l -U-•� <br /> ❑Dealer lot Dealer name: Li Dealer license number: <br /> ❑ Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> I OWNER <br /> Current owner names: . <br /> Are you changing the name of an existing owner? % Yes rit No <br /> Changing from: _ to: <br /> Home transfer by inheritance? ❑ Yes (A No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5 177) <br /> Home transfer due to foreclosure'? ❑Yes° ]No If yes, attach Affidavit of Repossession (Form 3926) • <br /> Home transfer through abandonment process? n Yes gi No lf.yes, attach Abandonment Affidavit(Form 2951) <br /> • <br /> Home transfer through divorce,trust, or right of survivorship? E] •171 Yes No . If yes, attach Change Affidavit <br /> (Form 5221) <br /> BUYER/NEW OWNER INFORMATION'(one naive per'box)` <br /> Buyer/new owner name (Last,frr•st, middle): Buyer/new owner name (Last,first, middle): <br /> a 43/4 .hiAe" 6701 - <br /> Mailing a ress: Mailing address: <br /> ' :SCG 1-orn t D v. s .9130 5 2 <br /> Phone number:- r: r Phone number: <br /> "1 J 9 <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 ❑ Same as above <br /> Phone number: Phone number: <br /> Email address: Email address: <br /> 1 1 <br /> 440-2952(7/17/COM) Page 3 <br /> u `.' tP-ii. i :.-' `?jv°' _-ksS. ,,,, -t-,-,-" tT.?,- .�.z �J <br /> . _ .-, ..;-a5 t.rt`Yftt -e s r*c -*+��* roe-, rr ,nx a.S,i 1 f^'1`..Y° c"�.. ii,u <br />