Mobile Home Registration Form

A registration form must be submitted within 30 days of any change in ownership or occupancy or within 5 days if the mobile home is newly brought into the park.

Failure to register does not exempt it from being assessed and taxed.

When submitting this registration form you must also submit a copy of the front and back of the most recently issued title.
For 20% DISCOUNT you must submit proof of age or disability claim documentation.

General Information

If not located in a designated mobile home, please complete the information below.

Mobile Home Information

Title Transfer Information

Purchase From:
Date Occupied:
Proof of Age:

I was 65 on/or before January 1st this year.
Birth Date:
I am disabled:

Yes
Claim No.:
Attached Documents (Recent Title, Proof of Age and/ or disability claim):
Purchase Date:

I hereby certify, under penalty of perjury, that the above information is accurate to the best of my knowledge.

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