HomeMy WebLinkAboutMarch 7, 2007
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MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
INSTRUCTIONS
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MOBILE HOME PARK OPERATOR (Of owner of land if mobile homs subject to fee Is located outside of park): Complete
Section A with mobile 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-117. Mobile H.oOOfl. ~\'i~ip'n
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value If InclUded in that figurci~o6mit ~m,
to local Clerk for computation of parklng permit fee.
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MAR - 8 2007
CLERK: Complete Section C.
ASSESSORS OFFICE
OSHKOSH SIN
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TAXATION DISTRICT SCHOOL DISTRICT COUNTY
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TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBILE
HOME
OWNER
DRESS OF MOBILE HOMS
3."\\.0 \en\lie.w
OWNER PERMANENT ADDRESS
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MOBILE HOME DESCRIPTION
MANUFACTURER'S NAMe: MODEL OR POPULAR NAME
SERIAL NUMBER
DOVOU HAVE
o BILL OF SALE
NO, OF ROOMS
BATHS_ BDRMS_
UCENSE NO. (IF APPUCAel.E) WIDTH
PURCHASED AS WHERE PURCHASED
o NEW 0 USED
LENGTH WEIGHT COLOR
NO. OF AXLES
YR Of MANUfACTURE PURCHASE YEAR PURCHASE: PRICE
DTlTLE
n,
fT.
TOTAL ROOMS
Does MOBILE HOME HAve
o SKIRTING
o AIR CONDITIONING
o DISHWASHER
o FIREPLACE
o WASHER
o DRYER
,
o PORCH
o PATIO
o CARPORT
SF
SF
sF
DAlE 3\
~ECTION B ~ VALUATION,
DATE VIEWED OR INspeCTED
ASSESSOR
1. Total Fair Market Value ............ $
2. Exempt Furnishings ............... - $
3. NET FAIR MARKET VAlUE..... $
(Subtract line 2 ,from line 1)
SIGNATURE OF ASSESSOR
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" ": .., $ECTI,ON C.:. CONU',UTATION QF PARKiNC;; PE~I!/IIT:Fel; , ',,'
The fir3t monthly fee
. covers the month of
4.. Net Fair Market Value (from line 3 above) ...................... $
CLERK
$. % Level of Local Assessment ....................................... X
(established for preceding Jan. 1 assessment)
e. Value for Fee Computation (multiply line 4 by line 5) _'n $
7. Net Tax Rate (a1ter state tax credit)
(established for preceding January 1 assessment) ......... X
8. Annual Fee (multIply line 6 by line 7) .............................. $
9. Gross Monthly Fee (divide line 8 by 12 months) ............ $
1 D. lottery Credit (if applicable) ......._._.._............................ - $
11. Net Monthly Fee (subtract line 10 from line 9)................ $
(Enter month)
and Is due on or
before the 10th day of.
(Enter lit. following Monfh)
The monthly fee Is
due 01'1 or before the
10th day of each
month thereafter.
Pl\ol1 e (R. 12-(4)
WiJecnlin Dejlattlllenl tJI Re....nue
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