HomeMy WebLinkAboutMarch 20, 2007
MOBilE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
, .
INSTRUCTIONS
MOBILE HOME PARK OPERA TOR (or owner 0; land H mobile home subject to fee is located outside of park): Co plete 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 Sootlon B. Determine the fair market value of the mobile home. (Use PA.117. Mobil Home Valuation
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market value if included in that fig e. Submit form to local Clerk
for computation of parking permit fee. ;';1, E C E IVE D
CLERK: Complete Section C.
TO BE
COMPLETED
BY
FARK
OPERATOR
AND
MOBILE
HOME
OWNER
ASSESSOR
:-:-.,
TAXATION DISTRICT
City of Oshkosh
NAME OF PARK
Patrician Villa e
COUNTY
t.lANUFACTUREtl'S NAME
Wick
VR OF MANUFACTURE
1993
DO YOU HAVE
o GIll OF SALE 0 tm..E
NO. OF ROOMS
BATHS .::7t 8ORMS.21-
TOTAL ROOMS
DOES M~Bll.E HOME HAVE
'~iaRnHO
"fJ-AJR CONOInONING
o DISHYtASHER
RE OF MOBiLE HOME lOR
_SF
_SF
SF
1. Total Fair Market Value $
2." Exempt Furnishings - $
3. NET FAIR MARKET VAlUE $
(Subtract line 2 from line 1)
SIGNATURE OF ASSESSOR '
4. Net Fair Market V~lue (from line:3 above) $ The first monthly fee
covers the month of
5. % level of local Assessment X
(estahfished for preceding Jan. 1 assessment) (Enter month)
6. Value for Fee ~omputation (multiply line 4 by line 5) $ and Is due on or before
CLERK
7. Net Tax Rate (after state credits) the 10th day of
(established for preceding January '1 assessment) X
8. Annual Fee (multiply line 6 by, line 7) $ (Enter the following monlh)
9. Gross Monthly Fee (divide line 8 by 12 months) $ The monthly fee Is due
10. Lottery Credit (if applicable) -$ on or before the 10th
11. Net Monthly Fee (subtract line 10 from line 9) $ day of each month
thereafter.
P~"'? Iq. 09-921
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