Fillable Dr402 DECLARATION OF MOBILE HOME AS REAL PROPERTY

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Dr402 DECLARATION OF MOBILE HOME AS REAL PROPERTY

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The Dr402 DECLARATION OF MOBILE HOME AS REAL PROPERTY form is 1 page long and contains:

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  • 11 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

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DR-402
DECLARATION OF MOBILE HOME AS REAL PROPERTY
R. 8/95
COMPLETED BY THE APPLICANT
County
Parcel ID
Tag Numbers
I, the undersigned, request that the mobile home described below be assessed
as real property. Said mobile home, of which I am the registered owner, was
previously licensed as a motor vehicle.
RP
RP
RP
Single Wide Double Wide Triple Wide Other, explain:
DESCRIPTION OF MOBILE HOME
Does your mobile home have an attachment or utility building? yes no
Name of Model
Manufacturer
Identification Number
Serial Number
Year purchased
Price new
$
Price used
$
Length and width
by
Condition New Good
Fair Poor Repossessed
The said mobile home was permanently affixed on January 1 of the current year, is now permanently affixed,
and it is my intention that the same remain permanently affixed to the following lands owned by me. An
assessment for ad valorem taxation has been made on said lands for the current tax year.
Description of land
Mobile home assessed for year(s):
I hereby make application for the issuance of an "RP" license plate to identify the above-described mobile
home as real property. The statements contained are true to the best of my knowledge and belief.
Signature of applicant
Print name
Date
COMPLETED BY THE PROPERTY APPRAISER
Owner has presented Registration Certificate at time of application Bill of Sale at time of registration.
I certify that the foregoing return was filed in the office of the property appraiser addressed, and that the
above-described mobile home is included in an assessment for ad valorem taxation of the property of the
person described above as the registered owner of such mobile home.
Signature, property appraiser
Date
Provide a completed copy to both the tax collector and the applicant.
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Dr402 DECLARATION OF MOBILE HOME AS REAL PROPERTY

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Completed 4 November 2019

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