Manufactured Home Special Waiver And Commercial Move Affidavit

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Tax Year
OTC
State of Oklahoma
2016
932
Manufactured Home Special Waiver
Waiver Number:
and Commercial Move Affidavit
Revised 11-2015
State of Oklahoma
)
) SS
County of
)
__________________________________________
I the undersigned do solemnly swear (or affirm) that I am the legal agent of the company, or the actual person
representing the property described below and that the statements contained herein are true.
Signature: _______________________________________________________________________
Subscribed and sworn to before me this ___________ day of ___________________ , _________ .
My commission expires: ______________________ , _______________ .
Notary Seal
____________________________________________________________________ , Notary Public
This waiver may only be used for moving homes for commercial purposes between January 2nd to
January 6th of the current year. Moves after January 6th require OTC Form 936.
NOTICE: All ad valorem fees and taxes must be paid on such manufactured home within thirty (30) days of issuance
of this waiver. [Title 68 Section 2813(E)]
Oklahoma Title Number: __________________________________________________________________________
Model Year and Make: ____________________________________________________
Length: ______________
VIN Number: ___________________________________________________________________________________
License Plate Number: _______________________________ Decal Number: _____________________________
Owner’s Name: _________________________________________________________________________________
Owner’s Address: _______________________________________________________________________________
City: ____________________________________
State: _______ Zip: _________________
Telephone Number: _______________________
Email Address: _______________________________________
Moving From:
City: ___________________________________
County: ___________________________ Date: ___________
Location or Legal Description: _____________________________________________________________________
______________________________________________________________________________________________
Moving To:
City: ___________________________________
County: ___________________________ Date: ___________
Location or Legal Description: _____________________________________________________________________
______________________________________________________________________________________________
County Assessor Signature: _________________________________________________________
Date: ____________________

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