HomeMy WebLinkAboutCertificate for Mobile Home Movement - BLD Letters / Memos - 2/21/1996 t;
TAX CERTIFICATE FOR MOBILE HOME MOVEMENT Current T 5 Ye(RCW 46.44.170) Adv.T Y
No. Total
This form must be certified by the County Treasurer and attached to a mobile home movement permit issued by the State Highway
Commission or Local Authorities before that permit is valid.
PLEASE FILL OUT COMPLETELY. INCOMPLETE CERTIFICATES WILL NOT BE ACCEPTED. PLEASE TYPE OR PRINT.
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ONcr w Name-0jwThjuz l ���� elf `�\�✓" 1 a: Name 44*,`y/,-,. G'l\/NI/'l,4 0ooL JI/J,K�
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City �� �fn i �' State��yZip a LL City L 4/ —State—CV44 Zip
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Z 0 ',TYPE OF MOVEMENT
ZWithin County /t D Out of County Oat of State To Dealers Lot El Repossession ;Gy f.
Transporter's Name 04 1-c Address I`!/l 3o co rc wt, , 6 r�wrPv�f�vt' l� S w ..
WUTC Permit No. I O DOT Special Motor Vehicle Permit No.
_ DESC PTION OF MOBILE HOME 40 j
Make _ Zj F Model Year �z Serial No. � Length •'
Width �� Assessor's I.D.or Parcel No. i7 63 U J - Tip out Yes 4h(Room that can be exte�tded),
i v+,C 1'6 • LOCATION INFORMATION D c'�
Movement From. f �y r' tJhDyL /' J ;�� /jL"�l �I1 VA/1/1
Address(Mobile Home Park and Space N)/Parcel Number City/State County
Destination: l` 1 (;L 1J ."/ 1-V w`/ / C. W14 /JAI r�Sext/
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Address(Mobile Home Park and Space k)/Parcel Number City/State County
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I hereby certify that the information contained in the foregoing TREASURER'S TAX CERTIFICATION
certificate is true and correct to est f my knowledge and I hereby certify that all of the taxes on the above mobile home
belief. that have been certified to me for collection have been paid.
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Date wne r A nt County Treasurer
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Print Name Uv ��C
Phi#). — J/L, Date County
APPLICANT'S DOPY