State Form 23303/ Dlgf Form 3 - Mobile Home Assessment Worksheet - 2001
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1MOBILE HOME ASSESSMENT WORKSHEET
INSTRUCTIONS: Township Assessor to prepare form in duplicate.
State Form 23303 (R4 / 10-01) / DLGF Form 3
DISTRIBUTION: White copy for file, yellow copy to County Assessor.
Prescribed by the Department of Local Government Finance
Township / Taxing unit
Name of owner
Year
Address (number and street or Route number)
Make
City
State
ZIP code
Mfg. size
Mailing address (if different from above)
Telephone number
Serial number
City
State
ZIP code
Other
SKETCH AREA
DATA COLLECTION
ASSESSMENT COMPUTATION
FOUNDATION SYSTEM
A) Box Size ________________' Wide x _______________' Long Base Price
1. None
2. Slab / Pier
B) Foundation Cost ________________ + Skirting Cost __________________
3. Skirting
C) Cent. Air _________ + Plumbing: TF ________ - 5 =___________ @ $300
HEATING & AIR CONDITIONING
1. Central Heat
D) Room Addition (Tip out, Roll out, Pull out)
2. Heat Pump
3. Central Air Conditioning
E) Total Base (Add Lines A, B, C and D)
PLUMBING
#
TF
F) Times Grade Factor
%
Full Baths
G) Reproduction Cost (Carry To Calculate Schedule)
Half Baths
Kitchen Sinks
SUMMARY OF SUPPLEMENTAL IMPROVEMENTS (NOT MOBILE HOME)
Water Heater
GRADE
Extra Fixtures
1. Custom
120%
Reproduction
Phys.
Remainder
Story
Cons.
Grade Year
Year
Size or
Obsol.
ID
Cond. Neigh. Base Rate
USE
Features
Adj. Rate
True Tax Value
Cost
Dep.
Value
Height
Type
Cons.
Remod.
Area
Dep.
No Plumb.
2. Good
100%
TOTAL
02
ROOM ADDITION
3. Economy
90%
03
TYPE: TO
RO
PO
CONDITION
04
SIZE: _____________________
Average
05
______________
(H) TOTAL TRUE TAX VALUE OF SUPPLEMENTAL IMPROVEMENTS
SCHEDULE FOR CALCULATING TRUE TAX VALUE
1. ASSESSMENT YEAR
20 ______
20 ______
20 ______
20 ______
20 ______
20 ______
2. MOBILE HOME REPRODUCTION COST (Line G)
3. DEDUCT MOBILE HOME DEPRECIATION
%
%
%
%
%
%
4. MOBILE HOME TRUE TAX VALUE
5. TOTAL OF SUPPLEMENTAL IMPS. (Line H)
6. TOTAL TRUE TAX VALUE
ASSESSED VALUE @ 100% T.T.V.
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Parent category: Financial