MOBILE HOME INFORMATION FORM

							PHONE 760-434-7850     2375 Jefferson Street, Carlsbad, Ca 92008
FAX 760-720-0381




                MOBILE HOME INFORMATION FORM



LAST
NAME_______________________________________________________
_____

YEAR_______________________________________________________
___________

MAKE_______________________________________________________
___________

TRADENAME__________________________________________________
_________

MODEL______________________________________________________
___________

LENGTH/WIDTH + SQUARE
FOOTAGE____________________________________

LABEL
NUMBER(S)__________________________________________________
____

DECAL
NUMBER(S)__________________________________________________
___

PARK
NAME_______________________________________________________
____

SPACE
RENT_______________________________________________________
_____

ANNUAL TAXES IF
APPLICABLE_________________________________________
SUBJECT PROPERTY
ADDRESS:__________________________________________

__________________________________________

__________________________________________

MAILING ADDRESS:_______________________________________
IF DIFFERENT FROM ABOVE

___________________________________________________________


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