HomeMy WebLinkAboutOctober 1, 2006 MOBILE HOME STATEMENT OF MONTHLY PARKING PERMIT FE 0
1/4\y
INSTRUCTIONS
e' RECEIVED
MOBILE HOME PARK OPERATOR (or owner of land if mobile home subject to fee is located outside of perky Co0O11e 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 of the mobile home. (Use PA -117. Mobild 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. •
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TAXATION DISTRICT NAME OF MOBILE HOM OWNER
City of Oshkosh Nadine SYLreiner
•
TO BE NAME OF PARK ADORESS OF PARK
Patrician Village Virginian Street
COMPLETED COUNTY ARRIVAL DATE . ADORES,' OF MOBILE HOME
BY Winnebago 10/01/06 J 1415 Indigo Drive
PARK MOBILE HOME DESCRIPTION • _
MANUFACTURER'S NAME MOOEL OR POPULAR NAME I SERIAL NUMBER
OPERATOR Peerless - 21969
YR OF MANUFACTURE YR. OF PURCHASE rRCHASE PRICE PURCHASED AS ERE PURCHASED
AND 1989 1 2006 /// O NEW 01 USED WHERE
MOBILE DO YOU HAVE LICENSE NO. OF APPUCABLE) TIt WIDTH LENGTH WEIGHT COLOR NO. OF AXLES -
HOME
0 mu. OF SALE 0 Ti I 1 14 FT 60FE I I
•
NO. OF ROOMS A DOES MOBILE HOME HAVE
OWNER BATHS 1 Bows. 1. Q4KIR1NO O FIREPLACE 0 PORCH SF
r
0 AIR CONDITIONING 'rf MS 0 PATIO SF
TOTAL ROOMS . ❑ DISHWASHER it�DRYER . s 0 CARPORT SF
PLEASE SIGNATURE OF MOBILE HOME • DATE
SIGN HERE f i ( a /0 0/ b 4
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y,' a vow i . p sH. . £ a i' i .,, 2, r a, ,► p 4i :.v { d -. w.
DATE VIEWED OR INSPECTED
1. Total Fair Market Value $
ASSESSOR 2. Exempt Furnishings — $
SIGNATURE OF ASSESSOR •
3. NET FAIR MARKET VALUE $
(Subtract line 2 from line 1) •
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4. Net Fair Market Value (from line 3 above) $ The first monthly fee •
• 5. % Level of Local Assessment X covers the month of
(established for preceding Jan. 1 assessment) ,
(Enter month)
• 6. Value for Fee Computation (multiply line 4 by line 5) $
CLERK and is due on or before
7. Net Tax Rate (after state credits)
(established for preceding January 1 assessment) X the 10th day of
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
11. Net Monthly Fee (subtract line 10 from line 9) $ day of each month
thereafter.
oa.• ? ?IQ Og•92) Wisconsin Department of Remo*
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