Form Mh - Return Of Tangible Personal Property For Mobile Home(S) - 2011

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RETURN OF TANGIBLE PERSONAL PROPERTY FOR MOBILE HOME(S)
Waynesboro, Virginia
2011
2011
Donald R. Coffey
Commissioner of the Revenue
503 W. Main St., Room 107
Waynesboro VA 22980
(540) 942-6610
Name & Address:
* * * Important * * *
_______________________________
Effective Jan 1, 2009
_______________________________
A late/non fee of 10% of tax due or $10.00
___________________________
(whichever is greater) will be added to the assessed
___________________________
tax. Filing forms are due on or before May 2, 2011.
_______________________________
FORM MH
Every taxpayer owning a mobile home(s) located in the City of Waynesboro, Virginia, on January 1, 2011 must
file their mobile home on or before May 2, 2011, with the Commissioner of the Revenue, Waynesboro, VA.
Please confirm (or make any necessary changes, i.e. disposed of, sold)
information below by signing and returning to the address above.
NOTE: CAREFUL FILING OF THIS RETURN WILL BE BENEFICIAL BOTH TO THIS OFFICE AND THE TAXPAYER
ACCT ID: _____________
Owner
: ________________________________
SS# or FEIN#: ______________
(as listed on title)
Mailing Address:
_________________________________
_________________________________
Co-Owner: _______________________________________
Location of Mobile Home: ____________________________
:
____________________________
(If different from above)
(S
treet address and lot number if applicable)______________________
Date of Purchase:
Year/Make/Model: ________________________________
Size of Mobile home: (width x length): __________________________________________________
Title #: _______________________________________
VIN #: __________________________
Did you dispose of/sell mobile home in 2010? _____ Date of disposal or sale: _____________
New owner name and address: ________________________________________________________
DECLARATION BY TAXPAYER:
I declare that the foregoing statements are true, full and correct to the
best of my knowledge and belief.
__________________________________
_______________
(
)
(
)
Signature of Taxpayer
Date
OFFICE USE
_________________________________________________
_________________________________________________
:
TOTAL ASSESSMENT
=====================================

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