Form Center

2. Township/City
3. Owner
4. Parcel Number
6. Address1
8. Address2
10. City
11. State
12. Zip
14. Location of Mobile Home
15. Make of Mobile Home
16. Model
18. Year Manufactured
19. Serial Number
21. Width
22. Length
23. Date Purchased
    Date Purchased
25. Purchased From
26. Purchase Price
28. Additions to the Mobile Home?
29. Comments Regarding the Condition of the Home
31. Do you claim homestead on this mobile home?

    1. Yes
    2. No
32. Please indicate the use of the mobile home

    1. Seasonal
    2. Commercial
    3. Farm
    4. Residential
    5. Vacant
34. Please sign and return this form to the Assessor's Office as soon as possible.
    By typing your name into this box you authorize this as an electronic signature.
35. Please upload a copy of your title.
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field