HomeMy WebLinkAboutSeptember 14, 2007
RECEIVED
SEP 1.82007
INSTRUCTIONS 6, ~ ~ - s
' ~;z ::SORS OFFICE .
OSHKOSH
MOBILE HOME PARK OPERA TOR (or owner of land if mobile home subject to fee is located outside of park): Complet~~Jctl~Wwith mobile
home owner. Submit in duplicate to your local Assessor within 5 days of the arrival of each mobile home.
MOBilE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
ASSESSOR: Complete Section B. Determine the fair market value 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 computation of parking permit fee.
CLERK: Complete Section C.
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBilE
HOME
OWNER
ASSESSOR
David and Bonnie Schneider
ADDRESS OF PARK
Vir inian Street
AOORESS OF MOBILE HOME
Patrician
COUNTY
Winneba 0
ARRIVAL DATE
10/01/07 1105 Ma olia Avenue
MOBilE HOME DESCRIPTION
MODEl. OR POPUlAR NAME
\
MmUFACTURER.S NAME
Wick
VR OF MANUFACTURE
1991
DO YOU HAVE
o BIll OF SALE 0 lTTl..E
NO. OF ROOMS
BATHS BORUS-___
Inc.
NO. OF AXlES
14 FT. 70 FT.
o FIREPLAce
o WASHER
o DRYER ~
_SF
_SF
SF
TOTAL ROOMS
DATE VIEWED OR INSPECTED
1. Total Fair Market Value $
2. Exempt Furnishings - $
3. NET FAIR MARKET VALUE $
(Subtract line2.from line 1)
SIGNATURE OF ASSESSOR .
4. Net Fair Market Value (from line 3 above) $ The first monthly fee
covers the month of
5. % level of Local Assessment X
(estabflshed for preceding Jan. 1 assessment) (Enter month)
6. Value for Fee pomputation (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 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 Fee (subtract line 10 from line 9) $ thereafter.
0.\ .., ,q 09-921
W1sronsln Department 01 Revenue