- Homes_ Clayton 12/14/2023 State Form 50055(RI10.13) INDIANA RESIDENTIAL PROPERTY RECORD CARD
Parcel number Ownership
�t^4;rl. 30�/ _ 16(} / - h'1 n Transfer of Ownership _ Card No, of
County b�.n �6' 'I• (/s �Q V/-� Date Grantee Rec.# Sale Price Owner Occupied
Townshipp ��‘ J��Jf?V' \ � °Yes 0 No `
Corporation C`a� S 9
/ "_I Yes 0 No
District (21,60-0 I S . I If -t-� 41772s 0Yes 0 No
Section and Plat `�y I I 1 Qu'v
0 Yes 0 No
Routing number VALUATION RECORD
Neighborhood code Assessment Year 20_ 20_ 20 20' 20 20 20 20
Properly class 5 9 VA la Reason for Change Revaluation
Property address TRUE TAX Res Land /
3',/ I VALUE t F�,' � (� °
0 C. 5( jl Si- Res Imp (� �••\ , d �Qu4'S .3
Pr, u 6 g Shelter Allowance (•) _
Adj.Res.Land
Topography Pub,Utilities Street or Rd. Neighborhood Adj.Res.Imp, (+)
0 Level 0 Water 0 Paved 0 Improving Non-Res Land +)
0 High 0 Sewer 0 Unpaved 0 Static Non-Res Imp (+)
0 Low 0 Gas 0 Proposed 0 Declining Total TTV (3 i LI —?---------------------S--.‘ '
0 Rolling 0 Electricity 0 Sidewalk 0 ASSESSED
0 Swampy 0 All 0 Alley 0 Blighted VALUE Adj.Res Lard
Adj.Res Imp (+)
Property Class Non-Res Land (+)
200 MINERAL Non-Res Imp `'
INDUSTRIAL Total AV 1,
300 Vacant land
310 Food and drink processing facility LAND DATA AND COMPUTATIONS
320 Foundries and heavy manufacturing
330 Medium manufacturing and assembly Land Actual Effective 'Effective Depth Base Rate Adju ed
340 Lgm manufacturing and assembly Type Frontage Frontage Depth Factor RastimatedValue I OuenceFactor Land Value
345 Industrial office
346 Research and development facility
350 Industrial warehouse ' �•, —1 I——%
360 Industrial truck terminals ///
310 Small shops --I I--%
380 Mines or quarry
380 Landfill D / (� --1 I--%
390 Grain elevators `^Y�
399 Other induetnal structures ' ill I--%
COMMERCIAL �' \ =—I I--%
400 Vacant land \\\
401 4-19 family apartments /� —I I——%
402 20.39 family apartments V
403 40 or more family apartments J --1 I--%
410 Motel or tourist cabins -••• -•_• Acreage I Sq.Ft. -••• _-_- .... ...
411 Hotel
412 Nursing home or private hospital I 4 \ —l I——%415 Motile home park —
416 Commercial camp ground —I 1——%
419 Other commercial housing i
420 Small dtached rattail of lees than —I I——%
len thousand(10,000)square feet COMMERCIAL(cent) COMMERCIAL(can't)
421 Supermarket 449 Office building 3 stones or more•elevator 481 Commercial minwarehouee • ——I I——%
422 0acoun1 and tuner depaflrnreunt alone 450 ConvenIence nraqkel with gasoline sates 482 Commercial buck terminal
424 Full line department store 451 Convenience marketlhanchise type restaurant 490 Marine service facility Total Residential Land Value
425 Neighborhood shopping center(strip center) with gasoline sates 495 Marina
426 Community shopping center 452 Service station 499 Other commercial structures Total Non-Residential Land Value
427 Regional shopping center 453 Car wash
428 Convenience market 454 Auto sales and service 5 _RESIDENTIAL Rd Amp ISgFt ,
429 Other retail structures 455 Commercial garage 0 Vacant lot
430 Restaurant,cafeteria,or bar 456 Parking lot or structure I One•lamiydwedng Memorandum LAND TYPE
431 Frenchiee type restaurant 460 Theeter 2 Two-family dweRng
435 Drive•In restaurant 461 Dnve-in theater 3 Three-lamity dwelling F Front Lot 4 Tillable Land 9 Homesite
439 Other food service 462 Golf range or miniture course 4 House bailer(real) R Rear Lot 5 Non-tillable Land 91 Res.Excess Acres
440 Dry clean plant or laundry 483 Golf course or country club S Condominium unit
441 Funeral home 464 Beefing alley 0 Flatted lot 1 Comm./Ind.Land 6 Woodland 92.Ag.Excess Acres
442 Medical clinic or offices 465 Lodge hall 1 Unplatted0.9.99acres 11 Primary 1 Other Farmland
443 Drive uplvalk up bank only 466 Amusement park 2 Unpletted 10.19.99 acres 12 Secondary 8 Ag Support Land Influence Factors
444 Fur service banks 467 Health club 3 Unplatled 20.29.99 acres 13 Undeveloped Usable 81 Legal Ditch 1 Topography 6 Restrctions
445 Sanavege and loans 466 Ice rink 4 Unpfatted30-39.99acres 14 Undeveloped Unusable 82 Public Road 2 Under Improved 1 Traffic Flow
447 Office budding 1 or 2 story 469 Riverboat gaming resod 5 Unpfated 40 4. 2 Classified Land 83 3 Excess Frontage 8 View
448 Office building 3 stones or more•walkup 480 Commercial warehouse 599 Other residential structure Utility Trans. p 4 Shape
3 Undeveloped Land Towers or Size 9 Corner Influence
5 Misimprovement 0 Other
('a ,_ MANUFACTURED (MOBILE) HOME PERMIT
1�`���c. ''I State Form 7878(R9/3-20) C py
Prescribed by the Department of Local Government Finance
lei
'Di I N A CI 01+D n
Type of mobile home permit.
❑Section A-For Moving Section B - Transferring Title (NOTE: Separate permits required if owner intends to both move and transfer title.)
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 treasurer must issue the
permit not later than two(2)business days(excluding weekends and holidays)after the date the treasurer receives a completed 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 at auction under
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))
8. Documentation provided by person requesting this permit(IC 6-1.1-7-10(d)) ❑ State Issued Title ❑ Court Order ❑ BMV Affidavit of Sale or Disposal
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.
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
the permit is dated not more than ninety(90)days before the date of the proposed move.The mover shall visibly display the permit while the mobile home
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
Name of owner's agent,if there is an agent acting on the owner's behalf Agent's telephone number
( )
SECTION A-MOVING PERMIT _!
Name of owner Date of issuance of permit(month,day.year)
Address(number and street,city.state.and ZIP code) Date permit expires(ninety(90)days after issuance)
Make of mobile home Year Dimension Vehicle identification number
I I
* ,__ •�-
,;�'''
Date of Sale t.o.-sn-am,'ati
SECOND RE-ASSIGNMENT BY REGISTERED DEALER ONLY
I/we,as Seller,certify that to the best of my/our (�(� Name of Purchaser
knowledge the Information contained on this document I 11 II j I 11 1 I I Dealer Number
is true and correct and that the odometer now reads
and Is the ACTUAL MILEAGE of the vehicle unless one Address — —
of the following statements is checked.
7-1 The odometer reading stated Is In excess of its ❑ The odometer reading is not actual City .State 'Zip Code
L.:mechanical limits. mileage
WARNING ODOMETER DISCREPANCY. - _- _ _-
Name of Dealership Holder of lien,mortgage or encumbrance(If applicable)
Signature — Address
Printed Name C tv State ;Zip Code —
- - - -- 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(.mni a,,rear,
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 I J I[7 I J I I u�I in
is true and correct and that the odometer now reads ,
and is the ACTUAL MILEAGE of the vehicle unless one Address — —
of the Following statements is checked.
The odometer readingis not actual City The odometer odometer reading stated Ls In excess at its ❑ mileage tY State IZjp Code
-J mechanical limits. g
WARNING ODOMETER DISCREPANCY. ---------- .- _
Name of Dealership Holder of lien,mortgage or encumbrance(if applicable)
Address
Signature —
Printed Name CityState Zip Cade —
-- -- - - - -- -- --.- - I AM AWARE OF 7HE ABOVE ODOMETER CERTIFICATION MADE BY THE SEUER(S)
Position Dealer Number Signature of Purchaser IPrinted Name of Purchaser
Date of Sale( m n,ow,can i
mo
NO ADDITIONAL RE-ASSIGNMENTS PERMITTED /