Aff - Rainey, Mike_6/11/1992r
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� STATE OF INDIANA
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VEMICLEIOENTIFIGilONNO. YEAR 'MRKE M.ODEI
551210335E 66 HMT SCOT
TITLEAUN.BER PURCHAScDATE ODOMRER ISSUEDATE
90118Z15005 1G/29/90 ° 11/20/9�
OWNER'SNAhiEANDADDRE55 '
BET7Y J E REX ATw00D
P 0 801C 94
GRI�FI�� IN 47616
r�AILWG ADDRE55
3ETTY J L REX A7NOOD
? 7 BOX 94
SRIFFIH [N 47516
FIRST LIENHOLDER NAME AND ADDRE55
LEGEND(5)
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FOP a VEXICLE
BODYSTVLE
NH
�FULL F.IGHTS TO
SURVIVORSH:P
ScCOhDLIENHOLDERNAMEANDADDRE55
RELEASE OF LIEN
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r•fi�'�• MOBILE HOME f�M1T ❑ For Moving
;. '- � ',• State Form 7878 "
�` Preuribetl 6y [ha State 8oartl ot Tax Commissioners
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INSTRUCTlONS: 7. A mobile home may not be moved lrom one ��cation to another unless the owner o� the occupier obtains a peimit to move
the mobile homelrom the county treasurer. (I.C. S1.h7�70)
2. The Bureau o7 Motor Vehicles may not transle� �he 7ifle to a mobile home unless the owner obtains a permit to transler fhe
title l�om the counry treasurer. (I.C. 67.7-7-70)
3. A county treasurer shall issue a permit which is �equired to either move, or transler the title to a mobile home il the taxes
due on the mobile home have been paid. The permit shall state the dafe it is issued. (I.C.67.1•7�70)
4. Mo6ile home can not be moved fhan one month alter the date ol issuance ol fhis permit. (I.C. E7.1•7�71)
ATTENTION MOVER, HAULER, OR TOWER -
� A person who is engaqed to move a mobiie home may not provide that service unless the owner or occupier presents him with a permit to move
the mobile home and the Dermit is dated not more than one (1) month before the date of the proposed move. The mover shalFietain possession
of the permit while the mobile home is in transit. - �
MOVING PERMIT '
❑Owner ❑
:�I
Permit
INSTpUCTIONS: The owner ol a mob�ile home who sells the mobile home to anofher shall provide the purchaser with the permit reQuired
belore the sale is consummated. (I•C.67.1�7-10.4J A person who violates this commits a Class C iniraction. (I.C.67.7�7�74)
NOTE Owner is to present a copy ol this permit to Bureau of Motor Vehicles when applying lor title transfer. If the mobile home Is
to be moved, a second permlt must be requested by the new owner prior to moving.
COUNTY TREASURER'S CERTIFICATION �
The ap0���ation to move or [ransfer title (as indicatetl above) of aDOVe de5cribe0 moCile Oome has been reviewed witO l�e recoras in t�is oflice anC I �ere�y certity tbat all
ta�ces Cue on t�e mo6ile �ome �ave �een pai0. including any unDaid installment, if mo0ile �ome is being moveE outsl�e of County or State.
�
OISTRIBUTION: While � Owner Green � County Treasurar Canary � Bureau ol Mo1or Bureau Pink � Township Assessor GoldenroC � Mover, Heuler. or Tower