HomeMy WebLinkAboutMarch 7, 2007
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MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
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INSTRUCTIONS
MOBilE HOME PARK OPERATOR (or owner of land if mobile home subjeot 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 P A-117, Mobile HOr1R~e_! 0
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value if included in that figure. SucmiO'orm
to local Clerk for computation of parking permit fee. MAR - 8 2007
CLERK: Complete Section C.
ASSeSSORS C~I: .:e
OSHKOSH, WISCO~S!~
lOBE
COMPLETED
BY
PARK
OPERATOR
AND
MOBilE
HOME
OWNER
ASSESSOR
CLERK
PA.118 (R. 12.04)
,... : ' ::: : .' ::,' ,::: $:ii;e."~t4 A, ,
COUNTY NAME OF MOBll.E HOME OWNER
.
DRESS Of' MOElILE HOME
3T~d. (h\eN.;,e.W
OWNER PERMANENT AODRES$
*-\$
MOBIL.E HOME DESCRIPTION .
MANUFACTURER~NAMe MODEL OR POPULAR NAME
f=('1~'~
VR OF MANUFACTURE PURCHASE VEAR PURCHASE PRIce
\q~t dco-:r
DO YOU HAVE
o B/L1.0F$ALE DTlTl.E
NO. OF ROOMS
SATHS_ BDRMS_
SERIAL NUMBER
rn~ ~%"~<O08"
WHERE PURCHASED
NO- OF AXLES
"
:.\
"
.; ~
rOTALROOMS
DOES MOilLE HOME HAVE
o SI<IRTINC
o A1~CONOITIONING
o DISHWASHER
o FIREP\.ACe
o wASHER
o DRYeR.
o PORCH
o PATIO
o CARPORT
sF
SF
SF
DATE '0\ l
'l- O"'"-l
PLEASE ~ SIGNATI(RE OF Moo/1...E HOMe OWNER
SICN HERE ,..
.' , SECTION B,~,VALUATION
DATE VIEWED OR INSPECTeD
1. Total Fair Market Value ........-... $
2. Exempt Furnishings .........-..... ~ $
3. NET FAIR MARKET VALUE..... $
(Subtract line 2 from line 1)
SIGNATURe OF ASSESSOR
~
SEct(O~.C ...COM~UTATIO~ QF PARKiN~ PERMIT.F'El!;.
The first monthly fee
covers the month of
4.. Net Fair Market Value (from line 3 above) ...................... $
5. % Level of Local Assessment ....................................... X
(established for preceding Jan. 1 assessment)
G, Value for Fee Computation (multiply line 4 by line 5) .... $
1. Net Tax Rate (after 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) ............ $
10. loUery 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
(EnttlT the foJlowlng month)
The monthly fee is
due on or before the
10th day of eaoh
month thereafter.
, Wlsconm DCllllll1mtllt 0' Reven...