Form Dor 82505 - Mobile Home Park And Trailer Court Operator'S Report To County Assessor

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MOBILE HOME PARK AND TRAILER COURT OPERATOR’S REPORT TO COUNTY ASSESSOR

NAME OF PARK:

ADDRESS:

For the Month of

, YR:

Parcel Number

Phone Number __________________________________

OWNER

TRAILER

DATE OF ARRIVAL (A)

NAME

ADDRESS

SPACE

SERIAL NUMBER

MAKE

SIZE

YEAR

OR DEPARTURE (D)

Pursuant to A.R.S. § 42-19154: (1) “If a person permits a mobile home to be placed on land which he owns, possesses or controls, in a manner that permits the mobile home to be

occupied as a dwelling or sleeping place for one or more persons for a period of thirty days or more, the person shall keep a register containing information that is required by the department.”

(2) A copy of the information in the register for each month shall be sent to the County Assessor of the county in which the land is located not later than the tenth day following the month

covered by the report. (3) A person who fails to maintain the register to make the report required by this section is guilty of a class 2 misdemeanor.

NOTE: The County Assessor has a report of your entire space inventory on ﬁ le. Therefore, it is only

necessary for you to list new arrivals and departures. Report the current mailing address of each owner.

Owner / Operator

DOR 82505 (Rev. 5/04)