Form 62a378 - Report Of Mobile Homes And Recreational Vehicles Not Registered In This State

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62A378 (8-10)
Commonwealth of Kentucky
Report of Mobile Homes and Recreational Vehicles
DEPARTMENT OF REVENUE
Not Registered in this State
To be Filed by Every Person Providing Rental Space
for Mobile Homes and Recreational Vehicles Not Registered in this State
As of January 1, 20____
Pursuant to Kentucky Revised Statute 132.260:
“Every person providing rental space for the parking of mobile homes and recreational vehicles shall by February 1 of each year report the
name of the owner and type and size of all mobile homes and recreational vehicles not registered in this state under KRS 186.655 on his
premises on the prior January 1 to the property valuation administrator of the county in which the property is located. The report shall be
made in accordance with forms prescribed by the Department of Revenue and shall be signed and verifi ed by the chief offi cer or person in
charge of the business. The property valuation administrator may make a personal inspection and investigation of the premises on which
mobile homes and recreational vehicles are located, for the purpose of identifying and assessing such property. No person in charge of such
premises shall refuse to permit the inspection and investigation.”
INSTRUCTIONS
List all mobile homes which are parked on these premises as of January 1 of the year for which this report is made. List all recreational
vehicles which are parked on these premises as of January 1 of the year for which this report is made. File the report, on or before February
1, with the property valuation administrator of the county in which park is located. You may also fi le the report with the Department of
Revenue, Offi ce of Property Valuation, Station 32, 501 High Street, Frankfort, KY 40620.
Name and Address of Park
Name and Address of Park Owner
Address
Make of Mobile Home or
Size
Name of Owner
Year
Model
(if not Park)
Recreational Vehicle
(Length and Width)
I certify this to be a true and correct report to the best of my knowledge of the mobile homes and/or recreational vehicles parked on these
premises as of January 1, 20___ .
Signature of Person in Charge of Business ______________________________________________
Date _________________________ ______________________
Title _________________________________________________

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