RAMSEY COUNTY ASSESSOR
MANUFACTURED HOME UNIT
90 PLATO BLVD WEST
P.O. BOX 64097
SAINT PAUL, MN 55164-0097
DATE:
PARK:
PIN:
Manufactured Home Homestead Application
Pursuant to Minnesota Statute 273.124, state law requires that all manufactured home owners or relative/occupants
provide the following information. Social Security Numbers are required for all owners or qualified relatives who lived in the
property on January 2nd or May 29th and who claim it as their homestead. If you do not provide the Social Security
Numbers, the County Assessor will classify the property as non-homestead.
Failure to return ownership/occupancy information could result in your home being taxed as non-homestead. This will
result in a higher rate of tax than the homestead rate.
Complete the entire application fully and legibly for Ramsey County records and to apply for the homestead benefit.
Please provide a photocopy of all sales documentation including the Certificate of Title which can be obtained at your
local Driver and Vehicle Services Office.
If you do not have a copy of your Title at this time, please send it to our office at your earliest convenience.
Manufactured Home Owner or Relative/Occupant
PROPERTY ADDRESS: __________________________________________________________________________________
Owner & Occupant Non-Occupant Owner Occupant (relative of the owner)
Print Name: ______________________________________________ Social Security Number: ________________________
Marital Status: Single Married Widowed Divorced Legally Separated
Date Owned: ___________ Your Move in Date: ________________ Daytime Phone Number: _______________________
Previous Address: ______________________________________________________________________________________
Signature: ________________________________________________________ Date: _____________________________
Owner & Occupant Non-Occupant Owner Occupant (relative of the owner)
Print Name: ______________________________________________ Social Security Number: ________________________
Marital Status: Single Married Widowed Divorced Legally Separated
Date Owned: ___________ Your Move in Date: ________________ Daytime Phone Number: _______________________
Previous Address: ______________________________________________________________________________________
Signature: ________________________________________________________ Date: _____________________________
Failure to fully complete the application can result in a fractional homestead or denial of the homestead classification on
said property.
Making false statements on this application is against the law. Minnesota Statutes, section 609.41, states that anyone
giving false information in order to avoid or reduce their tax obligations is subject to a fine of up to $3,000 and/or up to one
year in prison.
By signing this application, I certify that the information on this form is true and correct to the best of my knowledge. I also
certify that on January 2 or May 29 of the current year, I was an owner or a qualifying relative of this property, that said
property was my primary residence, and I was a Minnesota resident.
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Financial Arrangements
Purchase Price: $ _____________ Date of Purchase _________________ Contract for title?
No Yes
Type of Acquisition (Check all that apply)
Advertised, open market sale (e.g., sign, broker listing, newspaper ad, drive by)
Unadvertised sale (e.g., word of mouth, friend/acquaintance)
Did you buy this home from a relative?
Are you buying the home on a contract for title?
Was this home a gift?
Was this home ever condemned or foreclosed by a mortgage company of bank?
Home was bought from a dealer? If yes, provide name of dealer: ________________________________________
Comments: __________________________________________________________________________________________
Manufactured Home Description
VIN: ____________________________ Manufactured Year: ____________
Make: __________________________ Floor Width: ___________________
Model: _________________ Floor Length: ______________________
____
_ ___
_________
Porch:
No Yes, size of Porch _____ x _____
Deck: No Yes, size of Deck _____ x _____
Canopy: No Yes, size of Canopy _____ x _____
Central Air:
No Yes
Fireplace: No Yes
Exterior Type:
Vinyl Metal Wood Other: ___________________________________
Total Bedrooms: _____ Total Bathrooms: _____ Total Other Rooms: _____
Condition of Home: New Excellent Good Average Fair Poor
Please check components that have been recently updated or replaced:
Exterior/Siding Heating/Cooling Floor/Wall/Ceiling
Windows Kitchen Other: ____________________________________
Roof Bath
Comments: ______________________________________________________________________________________________
If this home is sold or you change your primary residence, you are required by state law to notify your County Assessor
within 30 days.
If you have any questions, please call the Ramsey County Assessor’s Office at 651-266-2131.
Return completed form to: Ramsey County Assessor’s Office, P.O. Box 64097, Saint Paul, MN 55164-0097
The accuracy of assessed manufactured homes depends upon the accuracy of the sales information our office
receives. We appreciate your cooperation in providing the data about the home and the transaction in which you
acquired it.