HomeMy WebLinkAboutBLD1990-00442 OFFICE OF THE ASSESSOR, JEFFERSON COUNTY
MOBILE HOME QUESTIONNAIRE
RP Account lI
PP Account #
DATE , 7)
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.
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REASON FOR INQUIRY:
Field visit Excise tax Building Moving
by deputy affidavit permit permit
Dealer report Application quent State transfer
by sale for title taxes report
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• MOBILE HOME OWNERSHIP/OCCUPANT DATA
Name(s) 7emo
Street or Box C (2(,,./y4%7V1) aj' ,.11W
City State/Zip
Home phone Work phone '
Best time to call
(specify home or work)
NOTE: If you rent the mobile home give name, address, and telephone number of
owner here
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MOBILE HOME DATA:
//Length (exclude hitch) 6 Width t2-2: Model Year
Make (/
Model
Serial number
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MOBILE HOME LOCATION - IN PARK
Park name •
• Space 11 Date placed in park
(PLEASE COMPLETE REVERSE SIDE)
MOBILE HOME LOCATION - NOT IN A PARK
Do you own (or are buying) land on which mobile home is located or do you
rent the land? (CIRCLE) OWN BUYING RENT
Assessor's Real Property account (parcel) number (The 9 digit number on the tax
statement or valuation notice) .
What is the street�afdjdress of this land?
Street / / / (ii-ohtil.,2
City Trin4 tdb !J2' .
If you rent the land what is he name and mailing address of the land owner?
Name • d-AJL
Street or Box &7n ,k( )
City - 4-& l ,i2) State/Zip
Telephone number :3B /c 7
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MOBILE HOME HISTORY
Date you purchased
Purchase price ! e 6,60
How did this mobile home get to its present location:
Moved into Jefferson County from
(County or State)
Delivered by dealer (name)
Moved from another Jefferson County location? YES or NO. 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
'all the Treasurer's Office at 385-9150.
1TE: If mobile home is new to this county a valuation notice will be mailed to
when it's valued and added to the assessment roll.)
;e send completed form to: JEFFERSON COUNTY ASSESSOR OFFICE
PO Box 1220
PORT TOWNSEND, WA 98368