Form Dor 82503 - Dealer Mobile Home Inventory Exemption Declaration

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DEALER MOBILE HOME INVENTORY EXEMPTION DECLARATION

DBA

Pursuant to A.R.S. §§ 42-11125, 42-11151, 42-11153, this form must be ﬁ lled out in its entirety and one copy must be ﬁ led

ADDRESS

with the County Assessor of the county in which the claimed exempt property is located. This document is essential in

determining the tax status of transitory mobile homes. In order to expedite processing of the Mobile Home Property Tax

CITY

STATE

ZIP

Clearance (form DOR 82504), complete and ﬁ le this declaration immediately following the ﬁ rst Monday in January.

TELEPHONE

ADD TO

NEW OR

FACTORY LIST

COMPLETE

LICENSE AND / OR

MANUFACTURER / TRADE NAME (MODEL)

INVENTORY

YEAR

USED

PRICE ON TITLE

SERIAL NUMBER

NUMBER TAB

DATE

By signing below, I hereby afﬁ rm that this is a full, true, and complete statement of property claimed by, in the possession or control of the undersigned. This information is veriﬁ able from records and ﬁ les of the

above-named business.

SIGNATURE OWNER/MANAGER

DOR 82503 (1/99)