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HomeMy WebLinkAboutBLD1990-00348 OFFICE OF THE ASSESSOR, JEFFERSON COUNTY MOBILE HOME QUESTIONNAIRE RP Account 4i 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 elinquent State transfer by sale for title taxes report ******************************* MOBILE HOME OWNERSHIP/OCCUPA A Name(s) 10 01QX C Y1 Street or Box 1 ) ,--/31 City ( G� State/Zip -7"6/ 68 Home phone 9 J Work phone Best time to call (specify home or work) NOTE: If you rent the bile home give name, address, and telephone number of owner here ***************** MOBILE HOME DATA: Length exclude hitch) Width Model Year Al, Make Model Serial number ***************** MOBILE HOME L AT N - IN PARK Park name Space 1/ Date placed in park (PLEASE COMPLETE REVERSE SIDE) 3 62) a V ss9©7(�ujz- 4� ' (7( ' ''' .0 cc-_-;•_. / __ n , 1 la 4 ,,,,,, , , ,x"I 1 gri) I , 67 i lit S� 4-119 4-10. \if 4,Aef d.! 1 elf - \I 0 --11 , ,ic IC 1,76r g 1 x