Laserfiche WebLink
a. <br /> Oct 18 19,,03:24p Dougs Mobile Home Service 503-200-1299 p•3 <br /> CURRENT LOCATION INFORMATION (including city, state,ZIP) <br /> Current location: 30e/ S-it) /"f, toe_0341 f _ J,,`1 7707a 1 County: C f w y <br /> D Dealer lot ' Dealer name: t� (e i Dealer license number; <br /> U]Park name(if applicable): <br /> Out-of-state/federal or tribal property location: <br /> IF`BEING MOVED, LOCATION CHANGES (includlog-city,.state, ZIP) <br /> New location: ..q.17 N. � 1) /--�c,.bY EB <br /> ' Ca-�c c F J-rvt p�1'Z©7( i County:-�je,_�0�� <br /> I 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: L > � j b � 'V ‘VA - ctiA <br /> 1.11 <br /> IVO <br /> Are you changing the name of an existing owner? [J Yes ❑No <br /> 1 Changing from: to: <br /> Home transfer by inheritance? Q Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? 0 Yes Q No If yes,attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes Q No If yes,attach Abandonment Affidavit(Form 2951) <br /> Home transfer through divorce, trust,or right of survivorship? 0 Yes Q Noes, <br /> (FYes, attach Change Affidavit <br /> orm 5221) <br /> : • BUYER/NEW OWNER INFORMATION (one name per box) - <br /> 1 Buyer/new owner name(Last,fast, middle): Buyer/new owner name(Last,first, middle):W&I - a� <br /> e-ge 14 <br /> Mailing address: <br /> 1 Mailing address: <br /> Cul' : '' �2 <br /> 1 �,r'-c 67/e g76r)a_ 2 <br /> Phone number: .-7C�'c/, -3 qPhone number: <br /> Email address:OL,, t-t-D� �a Email address: <br /> Buyer/new owner name (Last,first, middle): Buyer/new owner name Last, <br /> Y ( fast, middle): <br /> Mailing address: Mailing address: <br /> 3. 4 <br /> ❑ Same as above <br /> Q Same as above <br /> Phone number: Phone number: <br /> I Email address; 1 Email address: <br /> 1 <br /> =0-2952(7/17/COM) <br /> Page 3 <br />