HomeMy WebLinkAboutFebruary 8, 2007
MOBll.E HOME STATEMENT. . '. 0~S,/" RECEIVED
~ ~rt:;~ FEEl 12200
W /~ ~~CTlONS ", 7
. ' ASSESSOF(;: r.-_ ~_
OSHKOSH W "'1'"/"11..::: .
MOBilE HOME PARK OPERA TOR (or owner of land if mobile home subject to fee is/oeated 9ut~ide of parlc):,Complete Sa'ct~~~'mobiIe'
home owner. Submit in duplicate,to your local Assessor within 5 days of the arrival of each mobile home.
ASSESSOR: Complete Section B. Determine the fair market value of the mobile home. (Use PA-l17, Mobile Home Valuation
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value if included in that figure. Submit form 10 local Clerk
for computation of parking permit fee.
CLERK: Complete Section C.
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBILE
HOME
OWNER
ASSESSOR
Oshkosh
NAMe OF PARK
Edison Es'tates
COUNTY
Winnebago
sERIAl. NUMBER 0"'") I
NDlOlo.?-
WHERE PUR~Eq.. Ad 0
yf'lVu:=t'-
COLOR NO. OF AXLES
SF
_____ SF
SF
1. Total Fair Market Value $
2. Exempt Furnishings - $
3. NET FAIR MARKET VALUE $
(Subtract fine 2 from line 1)
SIGNATURE OF ASSESSOR
4. Net Fair Market Value (from I~~e 3 above) $ . The first monthly fee
covers the month 01
5. % level of Local Assessment I X
(established for pre~ding Jan,1 assessment) (EntEl( monll1)
6. Value for Fee computatJo~ (mttti~IY line 4 by line 5)., S
CLERK and is due on or bafore
7. Net Tax Rate (attei' state cred~) ......" . . the 10th day of
(established for precadlng Jaliary (assessment) X
S',Annua! Fee (multiply line 6 by]in~7) $ (EntEl(!he to}lowino month)
Gross Monthly Fee (divide line Sby12 months) '$ .
9. . . Ths monthly fee is due
.' .
. -
10. Lottery Credit (if applicable) -$ on or before the 101M
day of each month
11. N~t Monthly Fee (subtract line 10 from lina 9) $ tharGaftGr.
-II' (R.~!l21
"
W1~1In ~nl d R~t<lu.