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CURRENT LOCATION INFORMATION (including city, state, ZIP) <br /> Current location: '"� i 2 7 ���-, 5t c�r 9-7 59-2, County:Mk;i? <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 CHANGES (including city, state, ZIP) <br /> New location: Sq 0 , C� �� 49i2, County:u, <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: D M: I� R6LA <br /> Are you changing the name of an existing owner? ❑Yes No <br /> Changing from: to: <br /> Home transfer by inheritance? Q Yes i No If yes, attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes ElNo If yes, attach Affidavit of Repossession(Form 3926) <br /> Home transfer through abandonment process? 0 Yes a No If yes,attach Abandonment Affidavit(Form 2951) <br /> �i If yes, attach Change Affidavit <br /> Home transfer through divorce,trust, or right of survivorship? ❑Yes No (Form 5221) <br /> BUYER/NEW OWNER INFORMATION (one name per box) <br /> 1 u er/new owner na e(Last,first, middle): Buyer/new owner name(Last,first, middle): <br /> X1951- <br /> Al.,: •i�g address:,DsMailing address: <br /> 1 3 ci- ame_ z 773e-06 2 <br /> Phone number: <br /> 5 9y. c/07-3/13 Phone number:: <br /> Email ress: Email address: <br /> h, <br /> wiiIses-10 4/3 `ckcool <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 /> 440-2952(7/17/COM) Page 3 <br />