HomeMy WebLinkAboutMarch 15, 2007
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P.02/03
MOBilE HOME STATEMENT OF MONTHLY PARKING P~F~E
INSTRUCTIONS \4~R \6 ?j)tl7
.,,' '"'?rICE.
MOBILE HOME PARK OPERATOR (or owner of land if mobile home subject to fee is locatedrYu~:;;;PiREj:~~mPlete
Section A with mobile home owner. Submit in duplicate to your local Assessor within5 days ofthef~~rJval of each mobile home. .
ASSESSOR: Complete Section B. Determine the fair market val ue of the mobile home. (Use P A-117. Mobile Home Valuation
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value if included in that figure. Submit form
to local Clerk for c~mputation of parking permit ff'e.
CLERK: Complete Section C.
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBILE
HOME
OWNER
ASSESSOR
CLERK
PA.118 CR. 12-04)
SECTION A
. TAXATIONDISTRlCT $CrIOOLDISTRICT
'i..
NAME OF PARK
,
~
DRESS OF MODllE HOMF .....J.,
''?:>--=t'34 ~\ tl.~""',rQ.. ~
OWNER PERMANENT ADDRE:.s$
~\~
E.sir:bte
ARRIVAL DATE
. r1 \ , \~-:r
PARK AODRESS
MOBILE HOME DESCRIPTION
MODEL OR POl"Ul.AR NAME
SEC;~~\~8~
WHEl<E PURCHASED
TOTAL ROOMS
PURCHASE YEAR~ PURCHASE P'R:iCE PURCHASEfD AS
Qoo~ 0 NEW ~USED
LICENSE NO. (IF APPllCAe~eJ -WIDTH leNGTH' 'WEIGHT
OT1TlE fl. n,
- ----
DOES MOBilE: HOME HAVE
BDRMS _ 0 SKIRTING
o tllR CONDITIONING
o DISHWASHE;:R
SF
SF
SF
DO YOU HAVE
o BILL OF SALE
NO. OF ROOMS
!lATHS
NO. OF AXLES
o FIREPLACE
o WASHER
o DRYER
,
o F'OR.CH
o PATIO
II CARPORT .
PLEASE ..
SIGN HERE r
1. Total Fair Market Value .........". $.
2. Exempt Furnishings .........m... - $
3. NET FAIR MARKET VALUE _.... $
(Subtract line 2 tram line 1)
-
DATE VIEWED OR INSPEC1ED
SIGNATURE OF ASSESSOR
-~
SECTION C -: COMPUTATION OF PARK.ING PERlYIlTFEc
4. Net Fair Market Value (from line 3 above) .....,.....m........ $.._
5_ % Level of Local Assessment ......_................................ X
(established for preceding Jan. 1 assessment) -......
6. Value for Fee Computation (mUltiply line 4 by line 5).... $
7. 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. Lottery Credit (if applicable)......."............................n.. _$~..
11. Net Monthly Fee (subtract line 10 from lIne 9)................ $
The first monthly fee
covers the month of
(Enter month)
and Is due on or
before the 10th day of
(En/er the following mcmlh)
The monthly fee is
due on or before the
10th day of each
month thereafter.
')
VYfsaonsln Depar1ll1et'1f 0' ReWlnu.