HomeMy WebLinkAboutOctober 30, 2007
MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
INSTRUCTIONS
MOBilE HOME PARK OPERATOR (or owner of land if mobile home subject 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 ofthe mobile home. (Use PA-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.
BY
PARK MOBILE HOME DESCRIPTION
OPERATOR M
AND
MOBilE
HOME
OWNER
RECE. \\rEX}
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CLERK: Complete Section C.
TO BE
COMPLETED PARK ADDRESS
~l
MODEL OR POPULAR NAME
PURCHASE PRICE
DO YOU HAVE.
o BILL OF SALE
NO. OF ROOMS
NO. OF AXLES
DTITLE
BATHS
BDRMS
DOES MOBILE HOME HAVE
o SKIRTING
o AIR CONDITIONING
o DISHWASHER
o FIREPLACE
o WASHER
o DRYER
o PORCH
o PATIO
o CARPORT
SF
SF
SF
TOTAL ROOMS
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DATE VIEWED OR INSPECTED
ASSESSOR
1. Total Fair Market Value ............ $
2. Exempt Furnishings ............... _ $
3. NET FAIR MARKET VALUE ..... $
(Subtract line 2 from line 1)
SIGNATURE OF ASSESSOR
~
SECTIONC ..;.. COMPUTATION OF PARKING PERMIT FEE
CLERK
4. Net Fair Market Value (from line 3 above) ...................... $
5. % level of Local Assessment ....................................... X
(established for precedhg 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) ......................................... _ $
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
(Enter the following month)
The monthly fee is
due on or before the
10th day of each
month thereafter,
PA-118 (R 12.04)
Wisconsin Department of Revenue