Form Otc 935-Mh - Manufactured Housing Rendition - Tulsa County - 2016
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1
2Tax Year
OTC
MANUFACTURED HOME RENDITION
Assessing Date
(This Statement is Privileged & Confidential)
935-MH
January 1.
Ken Yazel, Tulsa County Assessor
2018
Must be mailed
ATTN: Manufactured Housing Dept.
by March 15 to
500 S. Denver Ave, Suite 215 ● Tulsa, OK 74103
avoid penalties.
Revised 5-2017
918.596.5147 or 918.596.5142 ●
All taxable property in Oklahoma is required to be
RE#
PP#
rendered to the county assessor between January 1
and March 15 of each year by the owner or person
Name
Phone #
in control of such property. Property rendered after
March 15 but before April 15 shall have a mandatory
ten percent penalty applied. Property rendered after
Mailing Address
Email Address
April 15 shall have a twenty percent penalty applied.
Please print or type
Legal
School
District
Must Provide Copy of Original Title
(if this information has not changed, skip this box)
Manufacturer: ____________________________________
Serial Number/VIN: _____________________________
Year Manufactured: _______________________________
Oklahoma Title Number: _________________________
Length: _________________________
Width: __________________________
Value of Manufactured Home: ____________________________________________
Are you residing in this Manufactured Home?.................................................................................
Yes
No
Are you or your spouse currently in the military and claiming legal residency in another state? ....
Yes
No
If yes, please provide proof and contact your tag agent for a tag at the military rate.
Other Improvements -
Porch, deck, carport, etc.
Type
Description
Exemption -
Any person sixty-two (62) years of age or older, who is head of household, whose annual gross income did not exceed $22,000
or 50% of the HUD Median Family Income for your county. See your county assessor for the qualifying HUD income. You must complete OTC Form
952 and file with your county assessor.
(https:// ) See Back for Details.
Notice -
If the manufactured home has been moved or sold, please complete back of page and submit to this office immediately.
The manufactured home will remain on the tax rolls with the tax liability under your name until this office is provided with the appropriate
documentation of the move or sale. See Back for Details.
I the undersigned, affirm and attest, that all information provided and herein contained are true, correct and complete.
Don’t Forget
____________________________________________________
_____________________________________________
Signature of Taxpayer
Date
to Sign
____________________________________________________
_____________________________________________
✍
Signature of Preparer
Preparer’s Address
__________________________
_______________________
_____________________________________________
Preparer’s Identification Number
Phone Number
Preparer’s City, State, Zip
Assessor Only: Total of Value
Total Fair Cash Value ......... $ ___________________
X Assessment _________% ......... $ ___________________
________________________________________________
Less Exemptions ......... $ ___________________
Assessor/Deputy
Penalty _________% ......... $ ___________________
________________________
Net Assessed Value ......... $ ___________________
Date
continued on page 2
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