No       No          No

                                                                                                                                                               20______
                                                                                                                Yes      Yes         Yes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  - Ag Support Land                                                                                                                                                              Homesite
                                                                              Owner Occupied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              8                                     81 Legal Ditch          82 Public Road                                     83 Utility Trans.                          Towers            9 -                              91 Res. Excess                                           Acres                                                         92. Ag. Excess                                      Acres
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               d
                                                                                                                                                               20______                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               [ + ]                                 [ + ]
                                                                              Sale Price
                                          Card Number _______ of _______                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        LAND TYPE Undeveloped Land                  Tillable Land                      Non-Tillable Lan        Woodland                                              Other Farmland
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          3 -                               4 -                                5 -                     6 -                                                   7 -                                             71 - Farm Buildings         72 - Water                        73 - Wetlands

                                                                         Record                          Number                                                20______

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Comm./Ind. Land                    Classified Land
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Parcel Acreage                                                                                          81 Legal Drain NV          [ - ]                                  82 Public Roads NV       [ - ] 83 UT Towers NV           [ - ]   9 Homesite(s)               [ - ] 92 Ag. Excess Acres       [ - ] TOTAL ACRES FARMLAND Farmland Value Measured Acreage Average Farmland Value/Acre VALUE OF FARMLAND Classified Land Total Total Farmland / Classified Land Value                   Homesite(s) Value                     92 Ag. Excess Acres                - Front LotF                      - Rear LotR                       1 -                               2 -                                                         21 - Classified Forest       22 - Wildlife Habitat       23 - Riparian Land                                  24 - Windbreak                              25 - Filter Strip
                                                                                                                                                               20______
                                                                                        Grantee

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Land Value
                                                                                                                                                               20______
                                                                         Date 
                                                                                               (mm/dd/yy)
                     Transfer of Ownership

                                                                                                                                                               20______
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Influence Factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Supplemental Card                                                                      LAND VALUE
                                                                                                                                              VALUATION RECORD

                                                                                                                                                               20______
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Extended Value

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Rate
                                                                                                                                                               20______                Revaluation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Adjusted

                                                                                                                                                                                                                                                                (-)                                             (+)                            (+)                            (+)                                                                                                                                                   (+)                           (+)                                                    (+)                                                                                                                                                            LAND DATA AND COMPUTATIONS                                                     Base Rate
                                                                                                                                                                                                         )                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          INDIANA AGRICULTURAL PROPERTY RECORD CARD

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Factor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Productivity
                                                                                                                                                                                                         Homesite

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Measured                                                                  Acerage
                                                                                                                                                                                                         Res Land (                   Res Imp                   Shelter Allowance Adj. Res. Land                Adj. Res. Imp.                 Ag. Excess Land                Non-Res Imp                Farm / Classified Land (+)                                 Total TTV                       Adj. Res Land                   Adj. Res Imp                  Ag. Excess Land                                        Non-Res Imp                                                   Farm / Classified Land   (+)                            Total AV

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Soil I.D.
Ownership                                                                                                                                                              Assessment Year Reason for Change TRUE TAX               VALUE                                                                                                                                                                                                                                                               ASSESSED                   VALUE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Land                                                                            Type                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Supplemental Card                                                                                Measured Acreage

                                                                                                                                                                                                                                                                                                                                                               Neighborhood                    Improving      Static                                                     Declining      ________                       Blighted

                                                                                                                                                                                                                                                                                                                                                               Street or Rd.                   Paved          Unpaved                             Proposed                              Sidewalk                       Alley                                                                     106 Vetetable Farms                                    107 Tobacco Farms                                           108 Nurseries              109 Greenhouses     110 Hog Farms        111 Beef Farms                                 120 Timber                                                                       199 Other Agricultural                                         Use            200 MINERAL

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Memorandum
                                                                                                                                                                                                                                                                                                                                                               Pub. Utilities                  Water          Sewer                      Gas                                            Electricity                    All                                                         Property Class

                                          Parcel number                                 County                  Township Corporation District Section and Plat         Routing number  Neighborhood code         Property class       Property address                                                                                                         Topography                      Level          High                       Low                                            Rolling                        Swampy                                                                    100 Vacant Land                                        101 Cash Grain/                                                    General Farm        102 Livestock other        than Dairy or        Poultry                                 103 Dairy Farms                                                                  104 Poultry Farms                                       105 Fruit and Nut            Farms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       State Form 50057 (R / 2-17)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Value                                                                                                                                                                                                                                                                                                                                                                                                                             Value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Improvement                                                                                                                                                                                                                                                                                                                                                                                                              Improvement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Nhbd                             Factor                                                                                                                                                                                                                                                                                                                                                                                  Nhbd                                    Factor
                                                                                                            Agricultural                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     %                                Comp
                                                                                                                                                                                                    BARNS                  T / S / L / P / E / I / D / Q            Open Side                              CONFINEMENT                                  T / P / E / C / I   Slatted Floors   Pits                          CORN CRIB               T           Frame/Wire                            Free-standing Drive-thru   No Roof               Floor GRANARIES        L               Storage Bins     Pole Type                     GRAIN BINS - STEEL     Diameter & Height or   Bushel Capacity                    QUONSET BUILDINGS    E / I / H     Floor: Asphalt/Concrete   SLURRY TANKS                            Inground/above ground     Round/Rectangle      Plank Cover/No Cover SILO                          Concrete:    Conc. Stave/Reinf'd     Masonry:       Tile/Conc. Blk./Brick     Steel:    Unlined/Glass Lined             No Roof                 TRENCH & BUNKER                  SILOS   Depth                                        Width                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Abnorm                                        Obs.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Value                                                                                                                                                                                                                                                                                                                                                                                                                             Value
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Remainder                                                                                                                                                                                                                                                                                                                                                                                                                Remainder
                                                IMPROVEMENT FEATURES                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Total                                Depr.                                                                                                                                                                                                                                                                                                                                                                               Normal                                        Depr.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Residential
                                                                                                                                                                                                                                                                                                                                                                                                                                                   Stalls                     Type of Construction
                                                                                                            Major Items                                         Concrete Floor                      Dirt Floor                         Electric Lights                                               Grade                              Heating         Insulation        Loft                                    Plumbing       Living Quarters   S                          T                                                                                        BOAT HOUSE     T / G / D / Q           Open Side           CAR SHED                       T / G / D                Open/Enclosed     Back-to-back                          Stall Walls DETACHED GARAGE             T / G / D / L / Q GREENHOUSE                                    G                   Free Standing             Attached at End   Lean-to             STABLES                  T / D / G / L SWIMMING POOL              T          Underwater Lighting    Tile: Ceramic/Plastic   Filter                      Heater                 Non-rectangular Shape                        Concrete Apron   Enclosure Type TENNIS COURT                                                     Clay/Sod/Asphalt UTILITY SHED    T / G                                                                                                                                                                                                                                                                                                                                                                                          Total Residential Improvement Value
                                                                                                                                                                C                                   D                                  E                                                             G                                  H               I                 L                                       P             Q
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Cost                                                                                                                                                                                                                                                                                                                                                                                                                                  Cost
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Replacement                                                                                                                                                                                                                                                                                                                                                                                                                         Replacement                                                                                                                                                                                                                                                                                                                                          Total Non-Residential Improvement Value

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Supplemental Card Residential Improvement Total
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Size or Area                                                                                                                                                                                                                                                                                                                                                                                                                Size or Area                                                                                                                                                                                                                                        Supplemental Card Non-Residential Improvement Total

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rate                                                                                                                                                                                                                                                                                                                                                                                                                                            Rate
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Adj.usted                                                                                                                                                                                                                                                                                                                                                                                                                           Adj usted

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              L / M                                                                                                                                                                                                                                                                                                                                                                                                                      L / M

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Features                                                                                                                                                                                                                                                                                                                                                                                                                    Features                                                                                                                                                                                                                 (mm/dd/yy)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Base Rate                                                                                                                                                                                                                                                                                                                                                                                                                   Base Rate

          IMPROVEMENT DATA AND COMPUTATIONS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   SUMMARY OF RESIDENTIAL IMPROVEMENTS                                Cond.                                                                                                                                                                                                                                                                                                                                                                                                                       Cond.                                                                                                                                                                                                                    Appraiser / Date 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Eff.                             Age                                                                                                                                                                                                                                                                                                                                             SUMMARY OF NON-RESIDENTIAL IMPROVEMENTS Eff.                                    Age

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Year                             Const.                                                                                                                                                                                                                                                                                                                                                                                  Year                                    Const.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Grade                                                                                                                                                                                                                                                                                                                                                                                                                       Grade
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Const.                           Type                                                                                                                                                                                                                                                                                                                                                                                    Const.                                  Type

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Story                            Height                                                                                                                                                                                                                                                                                                                                                                                  Story                                   Height                                                                                                                                                                                                  (mm/dd/yy)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Use                                                                                                                                                                                                                                                                                                                                                                                                                     Use
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Dwelling

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 ID                                                         01                  02                03                         04                  05                  06                                      07                                                                                                                                                                                                           ID                                                       01                              02               03                           04                05                                06                               Data Collector / Date 
                                             0                           1                                                          2                                                      3                                              4                                                                                                                                                                                                                                                                                                                                                                                                                                                               %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                %                                                                                                                                                                          F
                                                                                                                                                                                                                                                                                                                                          Value                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       #T
Bsmt Crawl                                   0    None                   1     1/4                                       2     1/2                                              3     3/4                                                 4     Full                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        TOTAL
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            [ - ]                                           [ + ]                                                       [ + ]                         [ + ]                                        [ + ]                                       [ - ]                                                [ + ]                                          [ - ]                                                  [ + ]                                                                                          [ - ]                [ + ]                                                                                                                                                      [ - ]               [ + ]              [ + ]                       [ + ]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            No Plumbing
                                                                                                                                                                                                                                                                                                                                                        Area                                                                                                                                                                                                                                                --                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                00                         8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Plumbing                     Full Bath        Half Baths                   Kitchen Sink      Water Heater                      Extra Fixtures 
     Attic
                                                                                                                                                                                                                                                                                                                        Finished Living                                                                                                                                                                                                                                                                                                                                                                                                                       SUB-TOTAL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    SUB-TOTAL
                                                 0    None                        1    Unfinished                                             2    1/2 Finsihed                                      3    3/4 Finished                              4    Finished                                                                                                                                                                                                                                                                                                      t
                                                                                                                                                                                                                                                                                                                                                                                           .                                                     .                                                .
                                                                                                                                                                                                                                                                                                                                          Floor                                                                                                                                                                                          Attic                                                              Crawl                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            SUB-TOTAL, ONE UNIT                              SUB-TOTAL, ____ UNITS                                      Integral            Attached Garage    Attached Carport            Basement                                                                                                                                                                          (             )                                                                                                                                                                                                                                                                                                                                                                       Conversion #                                                             Designed #
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Basemen                                                                                                                                                                                                                              Unfinished Interior                             Extra Living Units                                          Rec. Room                     Loft                                         Fireplace                                   No Heating                                           Air Conditioning                               No Electrical Service
                                                                                                                                                                2  Bi-level                                                3  Tri-level
Story Height                                                                     ---- ---- [    ] ---- ----                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    TOTAL BASE                                 Row-type Adjustment                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Plumbing                            TF: ______ -5 = ________ x                                   No Plumbing        Specialty Plumbing                                                                                                                        Garages                                                                                                            Exterior Features                                                                       Grade and Design Factor                                                    ADJUSTED SUB-TOTAL                                 Location Multiplier                              Replacement Cost    Heating and Air Conditioning Central Warm Air Hot Water or Steam           Heat Pump         No Heat      (Gravity/Wall/Space)                Central Air Cond.                                                                               Extra Living                  Unit
                                                                                                                                                                                                                                                                                                                                          Base Area

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         --                            --                                 --
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        B     1     2                                                                                                                                                                                                                                                                                                                                                                                                                                                            B     1     2

Occupancy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Type              Area                                Stacks                                                                                                       Openings
                                                                                                                                                                                                                                                                                                                                          Construction

                                                 1        Single Family           2        Duplex                                             3        Triplex                                       4        4-6 Family                                  5        M. Home    0        ____ Row-type                                                                                       1    Frame or Aluminum   2    Stucco                    3    Tile   4    Concrete Block                                            5    Metal 6    Concrete      7    Brick            8    Stone              9    Frame w/Masonry                                 Roofing                                    Asphalt Shingles                                    Slate or Tile                                                                                 Metal                                                       Floors                                         Earth                                    Slab                            Sub and Joists                                                                                                          Wood                              Parquet                                                                           Tile                       Carpet                                     Unfinished                                  Interior Finish                       Plaster or Dry Wall         Paneling          Fiberboard                                     Unfinished          No Electrical Service                   Accomodations          Total Number of Rooms                                                  Bedrooms                                           Family Room                             Formal Dining Room                                                                                                                               Loft Area              Rec          Room                                     Fireplace                                                                                           Masonry              Metal