HomeMy WebLinkAboutBLD1990-00341 OFFICE OF THE ASSESSOR, JEFFERSON COUNTY
MOBILE HOME QUESTIONNAIRE
RP Account 41
PP Account #
DATE
**********************************************************************************
Please read the entire form and provide as much information as possible. This will
help us identify the unit correctly and avoid double assessments. It will also aid
in placing a correct value on your property.
*******************************
REASON FOR INQUIRY:
Field visit Excise tax Building Moving
by deputy affidavit permit permit
Dealer report Application Delinquent State transfer
by sale for title taxes report
*******************************
MOBILE HOME OWNERSHIP/OCCUPANT DATA
Name(s) L 5 'LL R
Street or Box 7 6 /1 I/1/14 l S l*L ff a A D
City �o%, Q l)ni 5E J / W State/Zip gi3z,g
Home phone r, g Work phone '
Best time to call ) /4/1,
(specify home or work)
NOTE: If you rent the mobile home give name, address, and telephone number of
owner here
*****************
MOBILE HOME DATA:
Length (exclude hitch) /71 Width g Model Year /9 q®
Make V 6'JQ D Q ni Model
Serial number /3"/ q g
•
*****************
MOBILE HOME LOCATION - IN PARK
Park name
• Space # Date placed in park
(PLEASE COMPLETE REVERSE SIDE)
•
MOBILE HOME LOCATION - NOT IN A PARK
Do you own (or are buying) land oniich mobile home is located or do you
rent the land? (CIRCLE) �j�,�) BUYING RENT
Assessor's Real Property account (parcel) number (The 9 digit number on the tax
statement or valuation notice) .
00 / 9/ 003
What is the street address of this land? -
Street .';6 A j() �/S k6yc lQ 4j)
city J 6 kJ A) 6 N /11 - g g 3 ‘, K
If you rent the land what is the name and mailing address of the land owner?
Name •
Street or Box
City State/Zip
Telephone number
***********
MOBILE HOME HISTORY 1
Date you purchased 174 /4, / c 9 6
Purchase price 7/ /
How did this mobile home get to its present location:
Moved into Jefferson County from c) IL A-,
(County or State)
Delivered by dealer (name) d 0 N% /I O to /l l H/ S /A//C
Moved from another Jefferson County location? YES or lam- If yes, please give
previous address/location.
Didn't move - pruchased in place. .Yes or NO
Name of previous owner
Address
City State/Zip
If moved, was advance tax paid? YES or NO. If yes, to which County
Does the mobile home replace a previous mobile home at this new location? YES or NO
If this is a replacement, to whom and where did the previous mobile home go?
Thank you for your assistance. If you need help or information about the assessment
of your mobile home call the Assessor's Office at 385-9105. Questions about taxes
call the Treasurer's Office at 385-9150.
(NOTE: If mobile home is new to this county a valuation notice will be mailed to
you when it's valued and added to the assessment roll.)
Please send completed form to: JEFFERSON COUNTY ASSESSOR OFFICE
PO Box 1220
PORT TOWNSEND, WA 98368
APPR VED
MAY V', :.1f
Jefferson , -4
&Building tepanmeit
//'