STATE OF INDIANA

Eric J. Holcomb, Governor Peter L. Lacy, Commissioner

ABANDONED MANUFACTURED HOME

Title Application Checklist
A private landowner who finds a manufactured home (or mobile home) that the person believes to be abandoned on real estate
the person owns or controls, including rental property, may sell or salvage the manufactured home if it was built at least 15
years ago, and has been left without permission on the landowner’s real estate for at least 60 days. The landowner must fulfill the
statutory obligations contained in Indiana Code 9-22-1.5 prior to selling or salvaging the manufactured home.

If a manufactured home has been abandoned in a mobile home community, as defined in Indiana Code 16-41-27-5, the
mobile home community must fulfill the statutory obligations contained in Indiana Code 9-22-1.7 prior to selling or salvaging
the manufactured home.

Upon fulfilling the statutory obligations, the landowner/mobile home community may complete the Affidavit of Sale or
Disposal – Abandoned Manufactured Home – State Form 50635 to assign ownership to a purchaser without a certificate of
title.

Applications for sale or disposal of an abandoned manufactured home are processed by the BMV Central Office. Prior
to submitting each application, verify all required information is included. Contact (888) 692-6841 with any questions.

When submitting paperwork, include the following:

Completed and signed Application for Certificate of Title for a Vehicle – State Form 205

Affidavit of Sale or Disposal – Abandoned Manufactured Home - State Form 50635

Physical Inspection of a Vehicle or Watercraft – State Form 39530. Must be completed by a law enforcement officer. If the
vehicle does not have a vehicle identification number (VIN), you must include the Request for Special Identification
Number – MVIN Application Packet.

Lien release, if necessary. A certified letter to the lien holder may serve as proof of lien release, if applicable.

One proof of address. A driver’s license or identification card may be accepted as proof if the address on the credential is
correct. If the address is not correct, any document from the approved BMV documentation list that is dated within the last
60 days may be used as proof. To view the approved documentation list, click on the link provided or visit myBMV.com.

Submit payment for the following vehicle or watercraft (as applicable) title application fees and taxes. Payable by
MasterCard or Visa, check, electronic check, or money order.
$15 vehicle title application fee.
$25 speed title fee. This optional fee is in addition to the $15 title application fee. Paying the optional speed
title fee ensures that the title is processed in a period of time that is substantially shorter than the normal
processing period.

Manufactured Home color: (List color on line)

For your convenience, the required forms are included with this checklist. The forms are also available at myBMV.com. Mail
the completed packet to:

Indiana Bureau of Motor Vehicles

Central Office Title Processing
100 North Senate Avenue, Room N411
Indianapolis, IN 46204

If the BMV determines that sufficient credible evidence exists to substantiate the applicant’s claim of ownership, a title will be
issued. If all required documents are not submitted or information is incomplete, the entire application will be
returned.

Please include this checklist with your application.

 APPLICATION FOR CERTIFICATE OF TITLE FOR A VEHICLE
State Form 205 (R11 / 3-20)
INDIANA BUREAU OF MOTOR VEHICLES

*This agency is requesting disclosure of your Social Security Number / Federal Identification Number in accordance with IC 4-1-8-1; disclosure is mandatory, and this record cannot be
processed without it.

To be completed by a police officer, BMV official, or BMV certified dealer I swear or affirm that I am authorized to perform this transaction, and I agree
signee for out-of-state titles. I hereby certify that I personally examined the to indemnify and hold harmless the Indiana BMV from any and all liability
following vehicle and find the identification number to be as follows. arising from this transaction.

I swear or affirm that the information that I have entered on this form is
Vehicle Identification Number correct. I understand that making a false statement on this form may
constitute the crime of perjury.

Applicant Signature: _____________________________________________

Year Make Model Type Date (mm/dd/yyyy)
Printed Name: _________________________________________________

Inspector’s Printed Name and Title City Applicant Signature: _____________________________________________

Printed Name: _________________________________________________

Inspector’s Signature Badge, Branch, or Dealer Plate Number
Date (mm/dd/yyyy): ______________________________________________
Transaction Number Branch Number Invoice Number BMV Use Only

Social Security Number / Federal Identification Number * Name of Applicant BMV Use Only

Residence Address (number and street) City State ZIP Code

Vehicle Identification Number Vehicle Year Vehicle Make Vehicle Model Vehicle Type Odometer

Former Title Number Purchase Date (mm/dd/yy) Lien (Y/N) Speed (Y/N) Dealer Number BMV Use Only

Electronic Lien and Title (ELT) identification number Holder of First Lien, Mortgage, or Other Encumbrance / Special Mailing Address

Mailing Address (number and street) City State ZIP Code BMV Use Only

Electronic Lien and Title (ELT) identification number Holder of Second Lien, Mortgage, or Other Encumbrance

Mailing Address (number and street) City State ZIP Code BMV Use Only

License Number License Year Forms Used

Gross Retail and Use Tax Affidavit – I/We hereby certify that sales or use tax on this vehicle was paid as indicated below.
Selling Price Less Trade-In / Discount Amount Subject to Tax Amount of Tax Dealer Branch Exempt Exemption Code

$ $ $ $
 AFFIDAVIT OF SALE OR DISPOSAL – BUREAU OF MOTOR VEHICLES
100 North Senate Avenue, N411
ABANDONED MANUFACTURED HOME Indianapolis, IN 46204
State Form 50635 (R4 / 7-16)
Approved by State Board of Accounts, 2016
INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS: 1. Complete in blue or black ink, or print form.

2. Private landowners must meet the requirements set out in Indiana Code 9-22-1.5 prior to selling or salvaging a manufactured home.
3. The applicant must pay the appropriate fee under Indiana Code 9-17 or Indiana Code 9-22, as applicable, to apply for title or a certificate
of authority.
4. A mobile home community, as defined in Indiana Code 16-41-27-5, must meet the requirements set out in Indiana Code 9-22-1.7 prior to
selling or salvaging a manufactured home.

SECTION 1 – MANUFACTURED HOME INFORMATION

Identification Number Year Make Model Length Color

SECTION 2 – MANUFACTURED HOMEOWNER INFORMATION

Name of Homeowner

Address (number and street) City State ZIP Code

Name of Lienholder or Other Interested Party

Address (number and street) City State ZIP Code

Date of Notices (mm/dd/yyyy) Method Notice was Sent: (check box) Newspaper Name Advertisement Dates (mm/dd/yyyy)

30 day Certified mail 1st

Personal delivery
Electronic service (under IC 9-22-1-19)
10 day Posting of notice 2nd

SECTION 3 – LANDOWNER INFORMATION

Name of Landowner

Mailing Address (number and street) City State ZIP Code

Address Where Manufactured Home was Abandoned (number and street) City State ZIP Code

Landowner is a: (check one)

Private Property Landowner: I am a private property landowner and all requirements set out in Indiana Code 9-22-1.5 have been met.
A Mobile Home Community: I am a representative of a mobile home community defined in Indiana Code 16-41-27-5 and all requirements set
out in Indiana Code 9-22-1.7 have been met.
SECTION 4 – SALE / AUCTION INFORMATION
Select the sale status that applies:

Sold
Auction produced no purchaser – manufactured home will be donated
Auction produced no purchaser – manufactured home will be retained or sold by landowner
Auction produced no purchaser – manufactured home will be disposed of by landowner
Name of Purchaser (If the auction did not produce a purchaser, the landowner or recipient of donation is entered as the purchaser.)

Address (number and street) City State ZIP Code

Amount of Winning Bid (Enter “0” if donated or auction Date of Sale (mm/dd/yyyy) Auctioneer Auctioneer License Number
produced no purchaser.)

SECTION 5 – LANDOWNER’S AFFIDAVIT

I swear and affirm under the penalties for perjury that:

1. I have complied with all the requirements contained in Indiana Code 9--22-1.7-5;
2. The manufactured home was left on the property without permission for days (must be completed);
3. I have incurred expenses, including the expense of the sale, in the amount of $ (must be completed);
4. The name and address of the purchaser, if any, and the amount of the winning bid listed above are accurate to the best of my knowledge.
Signature of Landowner Printed Name Date Signed (mm/dd/yyyy)
 BUREAU OF MOTOR VEHICLES
PHYSICAL INSPECTION OF A VEHICLE OR WATERCRAFT 100 N. Senate Avenue, Room N411
State Form 39530 (R7 / 4-19) Indianapolis, IN 46204
(888) 692-6841
www.bmv.in.gov

INSTRUCTIONS: 1. Approved inspector must complete information in blue or black ink or print form.
2. The vehicle identification number (VIN) or hull identification number (HIN) must be inspected to verify the existence and
condition of the number. An ownership document is not required to be submitted for inspection.
3. Inspections may be performed by an employee of a dealer licensed under IC 9-32, a military policeman assigned to a military
post in Indiana, a police officer, a designated employee of a BMV license branch, or a designated employee of a BMV full or
partial service provider.
4. Police officers completing this form may charge a fee of not more than $5.00 for this inspection under IC 9-17-2-12.
This fee is not collected by the Bureau of Motor Vehicles and should not be submitted with this form. The police officer
completing this form will advise the Owner of the amount of the fee, if any, and the method by which it should be paid.

OWNER INFORMATION
Name (last, first, middle initial or company name)

Address (number and street)

City State ZIP Code

VEHICLE OR WATERCRAFT INFORMATION

Identification Number NONE (Select if no identification number found.)

Watercraft Registration
Year Make Model Type Plate Number / State
Number, if applicable

For assembled vehicles or watercraft include serial numbers for major component parts if present:
Engine / Motor Transmission

Body Chassis Front Assembly

Rear Clip Frame

Other (specify):

*IDACS / NCIC Check (required if form is completed by a police officer)

Date Check Performed (mm/dd/yyyy) Comments

I swear or affirm that the information I have entered on this form is correct. I understand making a false statement may
constitute the crime of perjury.
Signature of Inspector Printed Name Title Date (mm/dd/yyyy)

Badge / Branch / Dealer Number Police Department / Branch / Dealership City ZIP Code

Telephone Number E-mail Address

( )
 COLLECTION OF PAYMENT INFORMATION BUREAU OF MOTOR VEHICLES
State Form 56163 (R2 / 6-19) Central Office Finance
INDIANA BUREAU OF MOTOR VEHICLES 100 N. Senate Avenue, Room N440
Indianapolis, IN 46204
(888) 692-6841

INSTRUCTIONS: 1. Complete in blue or black ink, or print form.

2. Enter the amount to be charged and the payment type information in Section 2. Payment may be made by Visa, MasterCard,
Discover, American Express, or electronic check. If enclosing a check, money order, cashier’s check, or certified check, this
form is not required.
3. Mail this form to the address that is specified on the application being submitted and for which you are making payment.
4. This form will be destroyed immediately after payment has been processed.

SECTION 1 - ACCOUNT HOLDER INFORMATION

Account Holder (first, middle, last name or company name) Driver’s License Number or Federal Identification Number Telephone Number

Billing Address (number and street) City State ZIP Code

SECTION 2 - PAYMENT INFORMATION

Description of the service / application to which the payment is related

Amount to be Charged: $ ___________. ______

CREDIT CARD PAYMENT

Type of Credit Card: ☐ Visa ☐ MasterCard ☐ Discover ☐ American Express

Credit Card Number: ____________ - ____________ - ____________ - ____________ Expiration Date (mm/yy): _____ / _____

ELECTRONIC CHECK PAYMENT

Routing Number

Account Number

SECTION 3 - AFFIRMATION STATEMENT

I hereby authorize the Indiana Bureau of Motor Vehicles to charge the account indicated above.
Signature of Account Holder / Authorized User Printed Name Date Signed (mm/dd/yyyy)