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Bill of Sale - Dolin-Palm, Karen_4/14/2004�^jrl.�ASN `�o��ri. Q��'�IIo2Jr'�� � MOBILE HOME PER� ❑ For Moving or Transfe�g Title-�C�I �_� �� State Fortn 7878 (R I 70-01) , �^' Y l'�'(' 1�1 � / PreuriDaL by Ihe Departmenl W Wol Govamment Finance M ��� INSTRUCTIONS: 1. A moWle homa may not be moved /rom one IocaGon to another unless the owner or Ihe occupier o6tains a permd fo rtrove IhB mobAe home liom the counry treasurec (I.C. 67.7-7J0) 2. The Bureau o/ Mofor Vehides may not transler the fitle to a mobile home unless the owner obtains a permit to hans/er fhe fitle (rom the wunry freaswec (I.C. 6-1.1J-70) J. A county treasurar shall issue a permif which is requrred (o either move, or trans/er (he title fo a mobile home iI fhe taxes due on the mobile home have been paid. The pertnit shall sfafe fhe date it is issued. (I.C. 57.7-7-f0J 4. Mobile home can not be moved more than one mon(h after tAe dare o/ issuance o/ this perzniL (I.C. 57.7-7-77J ATTENTION MOVER, HAULER, OR TOWER A person who is engaged to move a mobile home may not provide that service uNess the owner or ocwpier presenLS him vrith a pertnit to rtwve Ihe mobile home and the permit is dated not more than one (1) monN before Ne date of the proposed move. The mover shall retain possession of ihe pertnit while Ihe mobile home is in transit. MOVING PERMIT Name M (Ueck one) (neme) ❑ Owner ❑ pQUpier � AOGress (numGer erM sfreef, city, AGGress bration (dry, fownsNp. rovnry, orw manN INSTRUCTIONS: The owner ol fbe rriobile home who se/ls fhe mobile home fo anofhe� sha/l provide fhe pu¢haser with fhe permif required be/ae the sa/e is consummated. Q.C. 6-f.1-7-70.4) A person who violates (bis commits a Class C inlracfion. (I.C. 6-7.7-7-74J NOTE: Owner Is to preaent a copy of this pertnit to Bureau of Motor Vehicles when applying tor title trsnater. It the moblla home Is lo COUNTY TREASURER'S CER7IFICATION The application to move a Vansfer title (as indica7ed above) of above descnbeA mobile home has been reviewed wiN the recortls in this oKce and I hereby certify that all lazes due on the mobile home have been paid, inGuding any unpaid installment, i( mobiU.Mme is being moved out outside of Counry or State. � � ���; ! �1 r � �+. / 1;..� �� 'J �}� 2��'t pP R 1 G�v���l=�`-� _y���,-,. - - OISTRIBUTION: WF�t�Own�r Gn�n - Counry Trsasurar Ganary • e�reau of Motor VeNCles Pink - Towns�ip Aax�sor GolCanrotl • Movar, Ha�lar, or Tow�r F��G` ���r �`'\ �dt �:. ��S � • a , ; 'a � � , ) , 1 1 � � ; ; � � � �1.' c ( ��1 l��dL �O� � �s�— �Gl� � r �/� 2 / C_ �nn � �^ (�u � l%� � �� �.vR � LOCR'�C a =�l/ , S�'t'e h eKC� c�� �d� Sf��✓ /-� I2- %�3���o a . � � ! � �/��� ��� � � 1 � , »� � if) � � 7 `. � � � .�i���� � �"� N :�- ^� �� '�. < �`'�-._ p J . �' o r �.� •m.� � _ ;<� ��,; �-� �'F }�. \ - ... - -T^� - .rraiw r/xhIIMY � f�i �r e` n, F sei r oan� lavl oal Mn owa W Si i ooum oi nc�w�m�, ioos �///ppp;.`y ��I ' {r, �CIIICLE IDCNTIfICATION . VEAR MAKE MODEL �ODYi.STVLE � 1��1i t�I fi ��PURCHnSE DA E',', ES,S UE'DATEG� �. 10 OME7[E`C F37�� �i a n' �Hy' �� � k� S I � . i}� t v `�.' . � ; , . � �� 7 LEGEND(S�1t! y(�. r� `�. � � �OWNER(S1 NnOME�AND AD , r O3 EXEMPT � � � � :..:� � T M:� `�/ oeizi� �`.'a r � �. , o�ess ., � U,, �43';; '�.� KAREN OOLIN—PAIM' {,, + ' ',-�- '�� ' �` .f' /�+ �iihf �� . } 218 'MAIN 57 I ,�i�5�t�r� j , � + r ' � + � � �, � ' : ( �� �i GRIFFIN IN 4,76'16` � �,e � :,. 'j r �.�� i � I A � �^ J ���. � W� Fi.+ �i ' :� { '� �; °MAILING ADDRESS . , . � � � ." , � � � wtM ��y.., � ' Y 4 .. I .. .�, i . . � P �rti �, "� � �'`Gy�7 l �!�� t��'� ` KAREN DO�IN—PA�M � � ',' q q�'i H.�,�� I.<. 218 M A I N S T �, :.': F L'�� !��W, � s�, � � ¢GR,IFFIN IN 4761b 3 .� , ��,o � �, '�,� ,� � , � � firsl Rolonso by ; ' r 15t ( � � „ �..t`,� LIFN�l � ������ . . � ��- ��. ( � ��� � � � n ���"; i 7 � .. , rlt�a .; ;;,,, (4 �� : 2nd ^ „ .. ...' 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