Bill of Sale - Becker, Steve_4/22/1992•4� !
?,a-7' '4 MOBILE HOME PERMIT ❑ For Moving
.���:�, State Porm 7878
` Prescribed by t�e State Board of Taz Commissioners
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�Or.Transferrin�y Title � �� �.Y-W'� .
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INSTRUCTIONS: 7. A mobile home may not be moved /rom one location to another unless the owner or the occupiei obtains a permil lo move
the mobile home /rom fhe county treasurei. (LC. 61.7-7-70) - � _
2. The Bureau ol Motor Vehicles may not transler fhe title to a mobile home unless !he owner obfains a permit to transler (he
title Irom the county treasurec (I.Q 67.7�7-70J
3. A county treasure� shall issue a permit which is required to either move, o� Vansle� the fitle to a mobile home i7 fhe taxes
� due on the mobile home have been paid. The permif shall state the date it is issued. (I.C.67.1-7-70)
. 4. Mobile home can not be moved than one month afle� 7he date o/ issuance oI this permiL (I.C. 6-7J-7-71) -
ATTENTION MOVER, HAULER, OR TOWER . �
. A person who is engaged to move a mobile home may not provide that service unless the owner or occupier presents him with a permit to move
� the mobile home and lhe permit is dated not more t�an one (1) month before ihe date of the proposed move. The mover shail retain possession
of the permit while the mobile home is in transit. '
� MOVING PERMIT
Name ot (check one) (Name) ' Date of I5 � V' fter One
Permit t
❑Owner ❑OccuDier
AtlEress (Sbeet, city antl s(ate) - . _
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Make ot Mo�ile Home Year Dimension e I . �+��-
Atltlress oi Present Location ( ity, rownship, counfy antl s7afe) ' . � .
AUDITO�
New location (City, township, county and statel �
INSTRUCTIONS:
NOTE:
The owner o/ a mobile home who sells the mobile home fo another shall provide the Aurchaser with the permit iequired
be/ore the sale is consummated. �I.Q61.7-7-10.4) A persoo-who violates this commits a Class C inlrection. (I.QE1.7-744)
Owner is to present a eopy of ihis permit to Bureau ot Motor Vehicles when applying for title transler. If the mobile home is
to be moved, a second pertnit must be requested by the new owner prior to moving. �
COUNTY TREASURER'S CERTIFICATION �
T�e application lo move or Iransler title (as in0icated above) ot above tlescribetl mobile home has been reviewe0 with Ihe records in t�is oflice and 1 hereby certity Nat all
taxes tlue on Ne mobiie home have been paia, inclutling any unpaiE installment, it mobile �ome is being moved outside of Cqunry or State. -
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DISTRIBUTION: White � Owner Green � County Treesurer Cenary � 8ureau ol Mator Bureau
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Pink � Township Assessor GolOenmd � Mover.. Hauler, or Tower
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