HomeMy WebLinkAboutDecember 14, 2006
MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
:~:ECEIVED
INSTRUCTIONS
MOBILE HOME PARK OPERATOR (orowner~f land If mobIle home subject to fee Is located outside of park): Ccmplet9lS~t~r9.A2t11 mobile
home owner. Submit In duplicate to your local Assessor within 5 days of the arrival of each mobile home.
....,,;::::.::.::CR5 OFFICE
ASSESSOR: Complete Section B. Determine the fair market value of the mobile home. (Use PA.117. MOblle~~!111~18RONSIN
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value If Included In that figure. Submit form to local Clerk
for computation ot parking permit fee.
CLERK: Complete Section C.
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBILE
HOME
OWNER
ASSESSOR
CLERK
-"8 (R. OH3)
Qj
COlOR
_SF
~SF
1. Total Fair Market Value $
2. Exempt Furnishings _ $
3. NET FAIR MARKET VALUE $
(Subtract line 2 from line 1) .
4. Net Fair Market Value (from line 3 above)
5. % level of Local Assessment
. (established for preceding Jan. 1 assessment)
. 6. Value for Fee CClmputatlon (multiply line 4 by line 5)
7. Net Tax Rate (after state credits)
(~~tabllshed f()r preceding, JanuarY 1 assesSment)
S~AflrlUal. Fee (ml.llUply 11M 6 by fjn~ 7)
. 9. dross Monthly Fee (divide line,S by 12. months)
10. Lottery Crf)dit (ifappllcable)
11. Net Monthly Fee (subtract line 10 from line 9)
$
The first monthly fee
covers the month of
x
$
(Enter month)
and is due on or before
the 10th day of
x,
$.
$
-$
$
(Enter the following month)
rMmgnthly fee Is due
on or i;lefore the 10th
day ofe8ch month
thereafter.
;~
Wlaconeln ~enl of~....