Form Pt 6 - South Dakota Mobile Home Listing Form And Assessment Record

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SD EForm -
1309
V3
SOUTH DAKOTA MOBILE HOME LISTING FORM AND ASSESSMENT RECORD
(Must be filed with County Director of Equalization during January each year.)
DECAL No. ___________ shall be attached to the right front of the mobile home. SDCL 10-9-11
TAXPAYER INFORMATION
MOBILE HOME INFORMATION
NAME:
Legal Description of Location of Home:
MAILING
Street Address
ADDRESS
School District ______________________________________________
City
State
Zip
OWNER OCCUPANCY STATUS
County ____________________________________________________
I am the current owner of this mobile home
YES
NO
Manufacturer________________________________________________
I am the current occupant of this mobile home
YES
NO
Model or Make_______________________________________________
This is the only single family dwelling
Serial Number _______________________________________________
for which I am applying
YES
NO
Year Manufactured ___________________________________________
This is my principal place of residence
YES
NO
Date Delivered to Customer ____________________________________
If purchased under conditional sales contract, give name
Width/Length ______________________Title No. __________________
and address of both the seller and lien holder.
New or Used Mobile Home: New
Used
Seller _________________________________________________
Condition: Excellent
Good
Fair
Lien Holder ____________________________________________
Poor
Very Poor
$______________SRP
Previous Registration: Decal Number ___________
STATE OF SOUTH DAKOTA
County__________ Taxes paid ___________
County of _____________________ss
I (we) affirm under the penalties of perjury that the information here stated contains a full and correct statement of description of my mobile home to the best of my
knowledge and belief.
____________________________________________________
________________
Signature of Taxpayer
DATE
Date filed with Director of Equalization ____________ Received by _____________________
======================================================================================================================
1. Mobile home full and true value without pers. prop. as noted on PT 24) $________________ Other Improvements _________ $ _______________________
0.00
2. Adjustment factor (if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_______________
1.00
3. Adjusted value (if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
0
0
0.00
4. For less than 12 months (10-9-8):Line 3 $ ____________divided by 12 = $ ________
Times months remaining in year ____________ = pro rated value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
0.00
5. Penalties, if any (10-9-5)(failure to list) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
6. Total Assessment (for tax purposes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
0.00
_______________________________________________
County Director of Equalization
LAST YEAR’S ASSESSED VALUE = $_______________
THIS YEAR’S ASSESSED VALUE HAS INCREASED OVER LAST YEARS ASSESSED VALUE BY __________%.
The Director of Equalization will provide the property owner, upon request, sales of comparable property or other information supporting the increased assessed
valuation. You have the right to appeal this valuation thru the appeal process. This process is explained on this valuation notice. (below)
======================================================================================================================
CERTIFICATE TO TAXPAYER
The above contains a correct copy of your mobile home assessment and the tax due and payable on such. This tax is due and payable immediately to the County Treasurer,
provided, however, that tax will not become delinquent if one half of the tax is paid on or before April thirtieth and the second half paid on or before October thirty-first of
the year it was registered. If registered after April thirtieth the tax must be paid on or before October thirty-first of that year. If the mobile home is registered after October
thirty-first, the taxes for that year shall be paid within thirty days. The penalty shall be added on the first day of May and on the first day of each month thereafter until paid.
The penalty shall attach and be a charge upon the taxes if the tax becomes delinquent. The County Treasurer is required to file notice as provided by law and 45 days
thereafter issue a distress warrant to the Sheriff. Complaint on your assessment may be made to your local Township or Municipal Board of Equalization by filing a written
notice of appeal with the clerk of the local board of equalization no later than the Thursday preceding the third Monday in March. (postmarked by deadline is considered
timely) The local board of equalization meets on the third Monday in March and is in session for five days. From the decision of your local board, you may appeal to your
county board by filing a written notice of appeal with the county auditor on or before the first Tuesday in April. (postmarked by deadline is considered timely)
County Board of Equalization meets on the second Tuesday in April and shall adjourn no later than three weeks after the second Tuesday in April. Appeal from your County
Board may be taken to the State Office of Hearing Examiners. Such written notice must be filed with the Chief Hearing Examiner, 210 E. Fourth, Pierre, South Dakota,
57501, no later than the third Friday in May (postmarked by deadline is considered timely). Appeals to the Circuit Court may be taken from the county board or the Office
of Hearing Examiners within thirty days from the publication of the decision. An appeal from the county board to circuit court will prevent an appeal to the Office of
Hearing Examiner. However, you may appeal the decision of the Office of Hearings Examiner to circuit court.
======================================================================================================================
Original (white) retained by Director of Equalization
Copy 1 (green) to County Auditor Copy 3 (pink) to Conditional Seller
________________________________________________
Copy 2 (canary) to Treasurer
Copy 4 (goldenrod) to Taxpayer
County Auditor
PT 6 (7/09)
PRINT FOR MAILING
CLEAR FORM

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