HomeMy WebLinkAboutNovember 5, 2007
MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FEE
RECEIVE~
INSTRUCTIONS
NOV - 7 2001
MOBIl.E HOMe PARK OPERATOR (or owner of land If mobile home subject to fee Is located outsl2~ €{.q,"'dt=~:.,Qcm.pJe.tEl Section A with mobile
home owner. Submit /n duplicate to your local Assessor within 5 days of tne arrival of each '!lS~~~ s-::: ..,-~-, .
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 value If Included In that figure. Submit form to local Clerk
for computation of parking permit fee.
CLERK: Complete Section C.
TO BE
COMPLETEO
BY
-PARK
OPERATOR
AND
MOBilE
HOME
OWNER
ASSESSOR
Cl.ERK
PA-n8 (R. 08-e3l
kG
VR OF MANUFACTURE'
,c,(pg-
SERiAl NUMBER
~ d 0,'14
PURCHASED AS WHER.E PURCHASEO
ONEW lS::OSED
PURCHASE YR
;< OD -q..
LICENSE NO. (IF APPlICA8t..El
PURCHASE PRICE
00 YOU HAVE
o Bill OF SALE
NO. OF ROOMS
BATHS_
WIOTH lENGTH WEIGHT
\l.c FT. ~FT.
COLOR
NO. OF AXLES
. 0 TITlE
TOTAl ROOMS
OOES MOBIlE HOME HAVE
aDRMS. _ 0 SKIRTING
o AlA CONDmONING
o OISHWASHEA
SIGNATURE OF MOBILE HOME OWNER
o FIREPLACE
o WASHER
o DRYER
o PORCH
o PATIO
o CARPORT
_SF
_SF
SF
1. Total Fair Market Value $
2. Exempt Furnishings _ $
3. NET FAIR MARKET VALUE $
(Subtract line 2 from line 1)
DATE VIEWED OR INSPECTED
SIGNATURE OF AssessOR
4. Net Fair Market Value (from line 3 above) $
5. % Level of Local Assessment X
(established for preceding Jan. 1 assessment)
. 6. Value for Fee Cdmputatlon (mult/ply line 4 by line 5) $
7. Net Tax Rate (after state credits)
(established for preceding January 1 assessment) X
8. Annual Fee (multiply line 6 by line 7) $
9. GrOSSMOQth~ Fee~dIVlde<line8'bYt2months} $
10.LQttery Credit (if applicable) _ $
1LNetMohthly 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
(Entetthe foUowtng month)
The monthly fee Is due
on or I;lefore the 10th'
day of each month
thereafter.
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