HomeMy WebLinkAboutSeptember 16, 2008MOBILE HOME ETA
OF MONTHLY PARKING PERMIT FEE
INSTRUCTIONS
MOBILE HOME PARK OPE
home owner. Submit fn dupi
ASSESSOR: Complete Sec
Worksheet). NOTE: Exempt
for computation of parking p
CLERK: Complete Section i
TO BE
COMPLETED
BY
PARK
OPERATOR
AND
MOBILE
HOME
OWNER
ASSESSOR
CLERK
,TOR (ar owner ollarld it mobile home sub%ect to tee is located outside of park): Compiete Section A with mobile
e to your local Assessor within 5 days of the arrival of each mobile home.
B. Determine the fair market value of the mobile home. (Use PA-117, Mobile Home Valuation
nishings must be subtracted from the fair market value if included in that figure. Submit form to Iocai Clerk
lit fee.
RECEIVED
TAXATION ISTAICT 6CHOOLDISTRICT NAME OFMOBIIEHOMEOWNER ~~""--"' '""---'--~-
Oshkosh David & Paula Seiler
NAME OF P RK AOORESS OF PARK
Petri ian Villa a Virginian Street
COUNTY ARRIVAL DATE ADDRESS OF MOBILE HOME
Winne a o 10/1/08 1405 Indigo Drive
MOBILE-HOME DESCRIPTION
MANUFAC RER'S NAME MODEL OR POPULAR NAME SERIAL NUMBER
Wick Rollohome 32050
YR OF MAN ACTURE PURCHASE YR PURCHASE PRICE PURCHASED A5 WHERE PURCHASED
1977 2008 $15,000.00 ^ NEW ~ usl'so Private
DO YOU HA E LICENSE NO. (IF APPLK:ABLE) WIDTH LENGTH WEIONr COLOfi NO.OF AXLES
^ BILL O SALE ^ TITLE ------------ 14 FT• 70 ~• ---- -------- -----
NO. OF R M3 OOES MOB0.E HOME HAVE
BATHS 1 BORMS. 2 ~ SKIRTING O FIREPLACE ^ PORCH SF
^ AIR CONOmOlNN(i ~ WASHER ^ PATK) SF
TOTALROO S 5 O DISHWASHEq ~ DRYER O CARPORT SF
PLEASE SIGNATURE OF HOME OWNER / DATE /
~
I
SIGN H lO
',~;
DATE VIEWED OR INSPECTED
1. Tot I Fair Market Value $
2. Ex pt Furnishings - $
SIGNATURE OF ASSESSOR
3. N FAIR MARKET VALUE $
(Su tract line 2 from line 1)
~,
4. Net Fair Market Value (from line 3 above) $ The first monthly fee
covers the month of
5. % evel of Local Assessment X
(es biished !for preceding Jan. 1 assessment)
(Enter month)
6. Val a for Fee Computation (multiply line 4 by line 5) $
and is due on or before
7. Net Tax Rate (after state credits) the 10th day of
(e ablished for preceding January 1 assessment) X
8. An ual Fee (multiply line 6 by line 7) $
(Enter the following month)
9. Gro s Monthly Fee (divide line 8 by 12 months) $ The monthly fee is due
10: Lot ry Credit (if applicable) - $ on or before the 10th
day of each month
11. Net Monthly Fee (subtract line 10 from line 9) $ thereafter.
PA•118 (R. 09-4i3) I Wisconsin Department of Revenue