Form 62a378 - Report Of Location Of Mobile Homes
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1REPORT OF LOCATION OF MOBILE HOMES
62A378 (9-05)
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
To be Filed by Every Person Providing Rental Space
for Mobile Homes and House Trailers
As of January 1, 20____
INSTRUCTIONS
Include all mobile homes which are parked on these premises as of January 1 of the year for which report is made. File the report, on or
before February 1, with the property valuation administrator of the county in which park is located.
Name and Address of Park Owner
Name and Address of Park
Address
Make of Mobile Home
Size
Name of Owner
Year
Model
(if not Park)
or House Trailer
(Length & Width)
I certify this to be a true and correct report to the best of my knowledge of the mobile homes or house trailers parked on these premises
as of January 1, 20____ .
Signature of Person in Charge of Business _______________________________________________
Date___________________________________________
Title_________________________________
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Parent category: Business