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• <br /> CURRENT LOCATION INFORMATION (including city,state, ZIP) <br /> Current location:2245 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 CHANGES (including city, state, ZIP) <br /> New location:15094 Waldo Hills Dr SE, Sublimity, OR 97385 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: <br /> Are you changing the nar'ne of an existing owner? ❑Yes I No <br /> Changing from: to: <br /> Home transfer by inheritance? ❑ Yes 0 No If yes,attach appropriate Inheritance Affidavit(Form 2946 or 5177) <br /> Home transfer due to foreclosure? ❑Yes ❑■ 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 ❑■ No If yes,attach Change Affidavit <br /> (Form 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 /> Liskey, James Liskey, Patricia <br /> Mailing address: Mailing address: <br /> 15096 Waldo Hills Dr 15096 Waldo Hills Dr <br /> 1 Sublimity, OR 97385 2 Sublimity, OR 97385 <br /> Phone number: Phone number: . <br /> 503-873-2207 <br /> Email address: Email address: <br /> pnjliskey@aol.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 /> ❑ 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 />