Naas ;k 4, MANUFACTURED (MOBILE) HOME PERMIT
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X• r 'State Form 7878(R8/11-17) •
i Prescribed by the Department of Local Government Finance
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Type of mobile home permit:
Li Section A For Moving L ectian B Transferring Title
NOTE: Separate permits required if ruiner intends tr,both rl.nve:a,1,uar•31-, ',..
INSTRUCTIONS:
1. A mobile home may not be moved from one location to another unless the owner obtains a permit to move the mobile home from the county treasurer.
2. The Bureau of Motor Vehicles may not transfer the title to a mobile home or change names in any manner on the title to a mobile home unless the owner obtains a
permit to transfer the title from the county treasurer.(IC 6-1.1-7-10)
3. A county treasurer shall issue a permit which is required to either move,or transfer the title to a mobile home if the taxes,special assessments,interest,penalties,
judgments.and costs that are due and payable on the mobile home have been paid. The permit shall state the date it is issued. The treasurermust issue the
permit not later than two(2)business days(excluding weekends and holidays)after the date the treasurer receives a cdmpleted permit application. (IC 6-1.1-7-10)
4. A mobile home owner who sells the mobile home to another shall provide the purchaser with the permit required before the sale is consummated. This obligation
does not apply to a mobile home offered for sale at an auction under IC 9-22-1.5 or IC 9-22-1.7. (IC 6-1,1-7-10.4) A person who violates this commits a Class C
infraction.(iC.6-1.1-7-14)
5. A mobile home owner must present a copy of this permit to the Bureau of Motor Vehicles when applying for title transfer. If the mobile home is to be moved.a
separate permit must be requested prior to moving.
6. A Form 1(Notice of Placing of Mobile Home Upon Land or Lot)must be filed with the assessor,within thirty(30)days after the date of placement of the mobile
home(IC 6-1.1-7-3)
7. The requirement to obtain a permit to move or transfer title to a mobile home does not apply to a mobile home that is offered for sale al aL:ctlol iiir.ir
4.
iC 9-22-1.5,iC 9-22-1.7.or IC 6-1.1-23.5 for the transfer resulting from the auction. (IC 6-1.1-7-10(a))
4. Documentation provided by person requesting this permit(IC 6-1.7-7-10(d)) I_.; State issueed Title : Court Order BMV At/irta:rt of Sah:,e;•
NOTE: A permit to move,or transfer title to a mobile home expires ninety(90)days after the date the county treasurer issues it.When the permit
expires- ,it becomes invalid and the owner must obtain a new permit. j
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ATTENTION: MOVER,HAULER,OR TOWER
A person who is engaged to move a mobile home may not provide that service unless the owner presents him with a permit to move the mobile home and
1 the permit is dated not more than ninety(90)days before the date of the proposed move.The mover shall visibly display the permit white the mobile home
l is in transit.The mover must return the permit to the owner of the mobile home when the move is completed. IC 6-1.1-7-11
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Name of o;vner-s agent.4 there is an agent acting on the ov:rer's behalf Agent's tell °Y''
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SECTION A- MOVING PERMIT ;_ ats%+ Y>
i Name o u:.ner —�--Date of issuance of perm:t Fno n r.ir.r-•ar)'. •
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i Address(numoor and street,city:state and ZIP code( 1 Date perrmit exo.res irnn ti ( )-laws after i ,en` t
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Ii,..lake of mobile home I Year j Dimension r Veh cie idoih'r_a:,sn •,..; ,':, 3 2 I
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Address of present location(number and street,city.state,and ZiP code) i Affected parcel number
LT\ddress of new location(number and street,city,state,and ZIP code)
' Contact telephone number
SECTION B -TITLE TRANSFER PERMIT
Name of owner i Previous owner's telephone number
r,; dress„•,wner(number
i j -1of permite !)
d , : . sum.,r ar,. street,c.t.slat.,and ZIP code; Date issuance of (month.day y_ ,
Address Of location of mobile home(number and street,city,state,and ZIP code) l Date permit expires(ninety(90)days alter date of issuance)
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Make of mobile home I Year Dimension Vehicle identification numbe•
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Name of purchaser rti`ected parr.( r;robe-
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Address of purchaser(number and street,city state,gird ZIP code) ( s purchaser moving this mobile Home?
i S �/ - 7 l !J Yes •No
CERTIFICATION OF COUNTY TREASURER
i The application t move or transfer titl s indicated above)of above described mobile home has been reviewed with the records in this office and
I hereby certify that xes due on 19;4-labile b ve be paid.
Signature of County Tie sure County I Date signed(month,day Gyear)
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,Qg-•--,-1,0 STATE OF INDIANA
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:I CERTIFICATE OF TITLE FOR A VEHICLE 4 '+
MAKE MODEL NAME BODY TYPE YEAR VIN
JACKSON UNKNOWN MH 1985 CLA24460TNA ' e
TITLE TYPE FORMER TITLE/STATE PURCHASE DATE ISSUE DATE USAGE TAX PAID
4,1
1 NORMAL 15419130000029/IN 12/10/16 01/04/17
1 OWNER(S) NAME ODOMETER/BRAND BRAND(S)
PHILLIP ADAM HUFF _
A EXEMPT/EXEMPT :x
2612 S OLD STATE ROA :a1
-
1 OWENSVILLE IN 476659176
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} [ MAILING ADDRESS ADDITIONAL OWNER(S)
004123 _
PHILLIP ADAM HUFF
2612 S OLD STATE ROAD 65 ', ,
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j OWENSVILLE IN 476659176
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FIRST HOLDER OF LIEN, MORTGAGE OR ENCUMBRANCE FIRST LIEN, MORTGAGE OR ENCUMBRANCE RELEASED BY: r`
PRINTED NAME: POSITION: _
DATE:
SECOND HOLDER OF LIEN, MORTGAGE OR ENCUMBRANCE SECOND LIEN, MORTGAGE OR ENCUMBRANCE RELEASED BY: g ,l
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PRINTED NAME: POSITION:— —_ fir;:
DATE: '
THIRD HOLDER OF LIEN, MORTGAGE OR ENCUMBRANCE THIRD LIEN, MORTGAGE OR ENCUMBRANCE RELEASED BY: .fir ,,
x .-
....___.......---------- rid
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PRINTED NAME: POSITION: *1
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DATE: Y '
VI
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The Commissioner of the Bureau of Motor Vehicles,pursuant to the laws of the State of Indiana,certifies that the vehicle/watercraft has been duly titled and the £.'
owner of the described vehicle/watercraft is subject to the liens set forth. j
INDIANA BUREAU OF MOTOR VEHICLES t`;�Y
Kent W. Abernathy, Commissioner
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State Form 9697(R9/7-16)
TITLE NUMBER .;
Approved by State Board of Accounts.2016 16419249000025
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PLEASE TYPE'OR PRINT INFORMATION
REQUIREMENTS: Federal and State law requires that you state the-mileage in connection with the transfer of ownership. Failing to complete this form,or providing
any false statements may result in fines and/or imprisonment.
TO SELLER: Seller is responsible for completing this form, If.title Is issued in more than one name,all owners'listed on the title must sign as Seller. Do not
sign as a Seller until all areas of the assignment are'completed. Any person signing on behalf of a company'must state their position.
TO PURCHASER: You must apply for a new certificate of title within forty-five days of the date of purchase,or pay an administrative penalty.All liens,mortgages or
other encumbrances shown on the face of this title must be released before you apply for a new title.
I/we,as Seller,certify that to the best of my/our knowledge the information contained I- -11 i r — 1I 1 No
ntns
on this document is true and correct and that the odometer now reads and is the 1 11 I 1 {
ACTUAL MILEAGE of the vehide unless one of the-following statements is checked. i.,.___�i._._ MILES
Li The odometer reading stated is in excess of Its mechanical limits. The odometer reading is not actual mileage WARNING ODOMETER DISCREPANCY.
For value received,I/we hereby sell,assign and transfer the vehide described on this document and warrant title to Purchaser. — _ --. _---
SELLER INFORMATION PURCHASER INFORMATION
Siunzyke o Position(if applicable) Name of Purehase� !Dealer Number
Signature of •- E �) Position '�
_...__-------._. .. _ City State ZiP Code
Dealer Number(if applicable) p
Printed Name of Seller ` ----y PP ) l t 1 ��.,C 1 � „j„ _ �r_ ' _ ---
I/ ,/-/---1 Holder of lien,mortgage or encumbrance(if applicable)
Ptinted Name of Seller
Address
Date of Sale owe,.av,,, Selling Price !Trade in Price(if any)ITotal Price Paid City {State Zip Code
I AM AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLERS)
Signature of Purchaser !Printed Name of Purchaser
FIRST RE-ASSIGNMENT BY REGISTERED DEALER ONLY
I/we,as Seller,certify that to the best of my/our Name of Purchaser Dealer Number
knowledge the information contained on this document r . { i [ i r
is true and correct and that the odometer now reads ......,a f.__l ...._! - ?.___.l ...)Li Address
and is the.ACTUAL MILEAGE of the vehide unless one •
of the following statements is checked. City State Zip Code
The odometer reading is not actual
The odometer reading stated is in excess of its - mileage '-"'
i__� mechanical limits. WARNING ODOMETER DISCREPANCY.
Holder of lien,mortgage or encumbrance(if applicable)
Name of Dealership
.. -----.. Address
Signature
__.__ ----. _ ___.___-' City ;State Zip Code
Printed Name
I AM AWARE OE THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S)
Position Dealer Number Signature of Purchaser (Printed Name of Purchaser
Date of Sale 0.w,0.au,vent
SECOND RE-ASSIGNMENT_BY REGISTERED DEALER ONLY
I/we,as Seller,certify that to the best of my/our I Name of Purchaser Dealer Number
knowledge the information contained on thiS document I 'I ] E(.
is true and correct and that the odometer now reads -
Address
and is the ACTUAL MILEAGE of the vehicle unless one
of the following statements is checked.
- The odometerge reading is not actual City (State 'Zip Code
{_ The odometer reading stated is ut excess of its milea
i._.. mechanical limits. __._.._._.___._._......-. - ....... ......__._ ........_.-.._--_.-.�--._
WARNING ODOMETER DISCREPANCY. --Holder
of lien,mortgage or encumbrance(if applicable)
Name of Dealership
Address
Signature
•
v._._....-__. ___._....._.._---_. .._."._ __. _.........-___.-- City State .Zip Code
Printed Name
I AM AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S)
Position !Dealer Number Signature of Purchaser 'Printed.Name of Purchaser
Date of Sale(nnah.:lay,veal
THIRD RE-ASSIGNMENT BY REGISTERED DEALER ONLY
I/we,as Seller,certify that to the best of my/our Name of Purchaser Dealer Number
knowledge the information contained on this document '. 1^ ` f 1
is true and correct and that the odometer now reads 1 11 , --�` ' Address
and is the ACTUAL MILEAGE of the vehicle unless one
of the following statements is checked. fit State :Zip Code
The odometer reading is not actual Y
i--, The odometer reading stated is in excess of its I. mileage - ------------ ------`--�'
mechanical limits L - WARNING ODOMETER DISCREPANCY. --_ ------ _ ._.......__ ._-__._..__-.____..
--__ ..._.._,.__. _ __ .._ __. - Holder of lien,mortgage or encumbrance(if applicable)
Name of Dealership
Address
Signature
---- ---- City !State Zip Code
Printed Name �._. -_ —._._.........
_.,:....__.._.-.._._._._:.__..___.-_..., ____ ....__._____._...... -.,.,.....-I AM AWARE OF THE ABOVE ODOMETER CERTIFICATION MADE BY THE SELLER(S)
Position (Dealer Number Signature of Purchaser !Printed Name of Purchaser
Date of Sale tin,..y.:wu)
26-11-30-200-775.309-021 Huff, Phillip 2612 S Old SR 65 598, Residential on Leased Land Montgomery Orange 1/2
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,Ge eral nfortn,do � � ;, OwneF h�` . �..,, _. � t � Tra sfero Otnineis:Ili ':°�* a nl LV'otes
Parcel Number Huff,Phillip Date Owner Doc ID Code Book/Page Adj Sale Price V/I 4/1/2019 20 P 21 RE:: ADDED AC TO MH/ADDED
26-11-30-200-775.309-021 2612 S Old SR 65 04/17/2015 Huff,Phillip WD / $0 I UT SHED `
Local Parcel Number OWENSVILLE,IN 47665 4/26/2017 133 16 P 17:: Gave obs for mh
9/23/2015 16 P 17 RE:: PER TP CARD,ADDED 1/2
BATH
Tax ID: l #„ ,� Legal i 3. r'` CHANGED SIZE OF OFP TO 10 X 12
„ .4 �s
Bldg On Lsd Grd 5/17/2015 15 P 16:: SITS ON 26-11-30-200-
Routing Number SITS ON26-11-30-200-001.046-021 001.046-021
MOVED FROM 26-426-00306-00
Property Class 598
p rtyIIII IRes
Residential on Leased LandI I _
-, . 4F 1/Yrak:104ecords^ ,rk l6 @410g 1 e ' e 'i a yrpd v rMird re;s tbjectio chain ii
Year:2020 2020 Assessment Year 2019 2018 2017 2016 2015
S. ,145e0 iaflnfo matiq WIP Reason For Change AA AA CEQ AA AA
County 10/28/2019 As Of Date 01/01/2019 05/30/2018 01/01/2017 01/01/2016 03/01/2015
Gibson Indiana Cost Mod Valuation Method Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod Indiana Cost Mod
Township 1.0000 Equalization Factor 1.0000 1.0000 1.0000 1.0000 1.0000
MONTGOMERY TOWNSHIP Notice Required . 0 C Q ❑
District 021 (Local 021 ) $0 Land $0 $0 $0 $0 $0
MONTGOMERY TOWNSHIP $0 Land Res(1) $0 $0 $0 $0 $0
School Corp 2765 $0 Land Non Res(2) $0 $0 $0 $0 $0
SOUTH GIBBON $0 Land Non Res(3) $0 $0 $0 $0 $0
$12,800 Improvement $12,300 $11,800 $30,200 $30,200 $27,900
Neighborhood 950031-021 $12,800 Imp Res(1) $12,300 $11,800 $30,200 $30,200 $27,900
Montgomery Orange $0 Imp Non Res(2) $0 $0 $0 $0 $0
Section/Plat $0 Imp Non Res(3) $0 $0 $0 $0 $0
$12,800 Total $12,300 $11,800 $30,200 $30,200 $27,900 ,._, ,
$12,800 Total Res(1) $12,300 $11,800 $30,200 $30,200 $27,900 :° Land Corn'putettons _ ,,1
Location Address(1) $0 Total Non Res(2) $0 $0 $0 $0 $0 Calculated Acreage 0.00
2612 S Old SR 65 $0 Total Non Res(3) $0 $0 $0 $0 $0.. Actual Frontage 0
OWENSVILLE,IN 47665 La%d Data tandaY Det Res,'1 r20G ,20D' Base4LotRe Oe1 Q:',X A.j_ ':1r ,, : :R`: Developer Discount ❑
Land Pricing Soil Act Adj. Ext. a Res Market Value Parcel Acreage 0.00
Zoning Type Method ID Front. Size Factor Rate Rate Value Infl. /o Elig% Factor a g e
81 Legal Drain NV 0.00
82 Public Roads NV 0.00
Subdivision 83 UT Towers NV 0.00
P 9 Homesite 0.00
Lot 0 P.) 91/92 Acres 0.00
Total Acres Farmland 0.00
Market Model N Farmland Value $0
N/A Measured Acreage 0.00
°'1 "'" :" e 1a1C1e t5tiC58 a 4 Avg Farmland Value/Acre 0.0
Topography Flood Hazard Value of Farmland $0
Cl ��R-, (J) Classified Total $0
Public Utilities ERA ��5 -bo
Farm/Classifed Value $0
❑ . Homesite(s)Value $0
Streets or Roads TIF a t -�°
` 91/92 Value $0
❑ Supp.Page Land Value
Neighborhood Life Cycle Stage CAP 1 Value $0
Static CAP 2 Value $0
Printed Monday,October 28,2019 CAP 3 Value $0
Review Group 2019 Data Source N/A Collector Appraiser 03/22/2019 Diane Total Value $0