HomeMy WebLinkAboutJuly 6, 2007
MOBIL.E HOME STATEMENT
RECE~VED
. INSTRUCTIONS ~fV . ASjS~~S:R: OFfiCE
I OSHKOSr1, WISCONSIN
MOBILE HOME PARK OPERA TOR (or owner aI/and if mobile home subjectto fee cated ,?utside of par*):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 8. Determine the fair market value of the mobile home. (Use PA-117. Mobile Home Valuation
Worksheet). NOTE: Exempt furnishings must be subtracted from the fair market varue if included in that figure. Submit form to local Clerk
for computation of parking permit fee.
CLERK: Complete Section C.
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBilE
HOME
OWNER
TAXATION DISTAICT
City of Oshkosh
NAM E OF P AAK
Edisol'} Estates
COUNlY
Winnebago
UANUFACTl./RER'S NA E
L\Oef
YA OF UANUFACTURE
qC1'~
00 YOU HAVE
o Sill OF SALE
NO. O.F ReOUS
BA THS BDAUS. _
NO. OF MlES
CUES uoallE HOME HAVE
o SKIRTING
o AIR CONDITIONINO
o DISHWASHER
o FIREPLACE
o WASHER
o DRVER
o PORCH
o PATIO
o CARPORT
SF
SF
SF
TOTAL ROOI.IS
1. Total Fair Market Value $
ASSESSOR -$
2. Exempt Furnishings
SIGNA TURE OF ASSESSOR
3. NET FAIR MARKET VALUE $
(Subtract fine 2 from line 1)
4. Net Fair Market Value (from line 3 above) $ The first monthly fee
covers the month of
5. % Level of Local Assessment X
(established for precading Jan. 1 assessment) (Enc&( month)
6. Value for Fee Computatlo~ (multiply line 4 by fine 5) $
CLERK .' and is due on or before
7. Net Tax Rate (atter state credits)' the 10th day of
(established for preceding January 1 assessment) X
8. Annual Fee (multiply liM 6 by line 7) $ (Em8i' the following mOnth)
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
day of each month
11. Net Monthly Fae (subtract line 10 from line 9) $ thereafter.
W1.............I... ~.~,." ,..j s::I~arI'l.