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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 CH-ANGES,(including city, state, ZIP). <br /> New location:7668 Champoeg Rd NE. St. Paul, OR 97137 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: J & M Homes, LLC <br /> Are you changing the name of an existing owner? n Yes n No <br /> Changing from: to: <br /> Home transfer by inheritance? n Yes n No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure?. ❑ Yes ❑1 No If yes, attach Affidavit. of Repossession(Form 3926) <br /> Home transfer through abandonment process? ❑Yes ❑■ No If yes, attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce,trust,or right of survivorship? ❑ Yes n No If yes,attach Change Affidavit <br /> (Foam 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 /> Turpen, Rick Turpen, Lynne <br /> Mailing address: Mailing address: <br /> 3405 Raybell Rd NE 3405 Raybell Rd. NE <br /> 1 St Paul, OR 97137 2 St. Paul, OR 97137 <br /> Phone number: Phone number: <br /> 503-550-1025 503-550-1025 <br /> Email address: Email address: <br /> pana434@aol.com <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name (Last,first, middle): <br /> • <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 /> 440-2952(7/i7/COM) Page 3 <br />