HomeMy WebLinkAboutApril 17, 2007 MOBILE HOME STATEMENT ����"_
'V` faECEIVED_
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A with mobile
INSTRUCTIONS
JUN 1 2007 ' '
`MOBI HOME PARK OPERATOR (or owner o/ land i /mobile home subject to lee is located outside o/ S K � yy `l
F
ASSESSORS ASSESSORS OFFICE FICE
)om owner. Submit in duplicate. to your local Assessor within 5 days of the arrival of each mobile hom� ��
home.
SSESSOR: Complete Section 8. Determine the fair market value of the mobile home. (Use PA -117, Mobile Home Valuation
N orksheet). NOTE: Exempt furnishings must be subtracted from the fair market value if included in that figure. Submit form to local Clerk
or computation of parking permit fee.
:LERK: Complete Section C. 1--Q `, UQ.. - ' 1 c-
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TAXATION DISTRICT
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City o f Oshkosh NAME OF MOBILE HOVE OWNER
TO BE NAME OFPAAK (*Ae.,(IYIC &Ito
Edison Estates
AOORESS
COMPLETED 2‘6, av j f, <
ILA/ COUNTY ARRIVAL DATE ' ►r
BY Winnebago I Le- L- 1 ADOAESS, ll£HOME
PARK MOBILE HOME -- DESCRIPTION
UANUFACTUREWS NA1.IE 11100EL OR POPULAR NAME
OPERATOR SkyIIV1C SERIAL NUMBER f
AND YR OF 1l / A � N �Gj Z0 f
UFACTURE YR. OF PURCHASE PURCHASE PRICE I HA PURCSED AS WHERE P o� 5 f
I Vt 1 t4 5I (000 0 NEW useo
MOBILE CO YOU HAVE UCENSE NO. (IF APPLICABLE) I
1 WI OTN N WEIGHT COLOR
HOME 0 BILL OF SALE ❑ TITS FT r�Z I NO. OF AXLES
NO. OF ROOMS I LENGTH
ODES 41080.E HOVE HAVE
OWNER BATHS SOMAS. 0 SKIRTING
0 FIRE PLACE 0 PORCH SF
0 AIR CONOITIONING 0 WASHER 0 PATIO
TOTAL ROOMS ❑ OISHWASHEA SF
O DRYER ❑CARPORT SF
PLEASE I SIGNATURE OF MOBILE HO ME OWNER
SIGN HERE �' ATE . girl 107
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.o� .titri , S is r � i�L,` . T't
GATE VIEWED OR INSPECTED «.a r..•$:.. ?e5 a tt
1. Total Fair Market Value $
ASSESSOR
2. Exempt Furnishings — g
3. NET FAIR MARKET VALUE $ SIGNATURE OF ASSESSOR
(Subtract line 2 from line 1)
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4. Net Fair Market Value (from line 3 above) $
The first monthly tee
5. % Level of Local Assessment X covers the month of
(established for preceding Jan. 1 assessment)
6. Value for Fee Computation (multiply line 4 by line 5) S (Erne( mono,)
CLERK
7. Net Tax Rate (after state credits) and is due on or before
(established for preceding January 1 assessment) X the 10th day of
8. Annual Fee (multiply line 6 by line 7) $
• 9. Gross Monthly Fee (divide line 8 by 12 months) S (Enter 1r,• tollowinQ month)
Credit if The monthly fee is due
10. Lottery ( applicable) — $ on or before the 10th
11. Net Monthly Fee (subtract line 10 from line 9) $ day of each month
thereafter.
R.os.