Form Ab-38 - Ownership Change Request For A Pre-1977 Mobile Home Page 2
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2Part III. Mobile Home Sale Information
Please provide the following sale information requested for an ownership change to be processed. The Department of
Revenue uses sale information in determining accurate market values, for the valuation of property. This information is
considered confi dential and the department will not share the information.
Mobile Home Sale Price ___________________________
Was the mobile home advertised as being for sale?
Yes
No
Was the sale between relatives or business partners?
Yes
No
Was a trade involved in this sale?
Yes
No
Was the seller forced to sell the mobile home?
Yes
No
Was the buyer forced to buy the mobile home?
Yes
No
Part IV. Affi rmation and Signature
I declare under penalty of perjury, that this request (including any accompanying documentation) is to the best of my
knowledge, true and correct.
Signature _______________________________________________
Date ______________________________
Print Name _________________________________________________
Name of Person Filing this Form (if different from Page 1) ______________________________________
Part V. Notary Seal
A notarized signature is required unless a notarized bill of sale or a signed off title is attached to this form.
STATE OF MONTANA
County of __________________________________________________
This instrument was acknowledged before me on _______________________________
By _______________________________________________________
Print name of signer(s)
__________________________________________________
Notary Signature
(Montana notaries must complete the following, if not part of stamp.)
Print Name _________________________________________
NOTARY PUBLIC for State of ___________________________
Residing At _________________________________________
My Commission Expires _______________________________
Part VI. For Department of Revenue Offi ce Use Only
Was the transfer completed?
Yes
No
If the transfer was not completed, please explain why __________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Reviewed By ____________________________________________
Date ______________________________
Title ___________________________________________________
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