HomeMy WebLinkAboutAuthentication & Certificate of Manufactured Home Tax No.Report Date: Fri Sep 26 08:31:23
Garfield County Assessor
AUTHENTICATION/CERTIFICATION-MANUFACTURED HOME TAX NO: 023-J 79—/L/
Account NO: M089299 Parcel Nb:
The undersigned certifies that under penalty of perjury, the following information is true and correct to the best of his/her
knowledge and that the manufactured home described will be moved by expiration date of: 10/26/2014
Movement: Y Title Change: N Inter -County: Y New County:
ORIGINAL Owner/Address:
ZURCHER, ANTONIA
4110 COUNTY ROAD 243
NEW CASTLE, CO 81647
Sales Price $0
ORIGINAL Legal:
SERIAL: RAD708223/4 YEAR: 1994
MAKE: GOLDEN WEST SIZE: 28 X
45 SPACE: 01925-363-00-064
NEW Owner/Address:
JOSEPH H & GINGER J
HULTQUIST
402 MUNRO
RIFLE, CO 81650
TITLE NO
NEW Location:
R150265 - 2I25-222-00-175
COUNTY ROAD 226
NEW CASTLE, CO 81647
SERIAL NO
YEAR MAKEJMODEL SIZE
Signature
Mover: C & M Mi BILE 8850 KINIKIN ROAD
Garfield County Assessor
I hereby certify that the Assessed Valuation on the above-described Manufactured home is as follows:
Assessed value: $7,120 Tax District:015 Mill Levy:46.0820 Months taxes calculated: 0
Prorated tax due as of certification date is 0.00 through 10/26/2014
THIS AUTHENTICATION MUST ACCOMPANY ALL MOVING PERMITS.
THE ORIGINAL MUST BE SUBMITTED WITH TRANSFER OF TITLE.
Person signing isd.Owner Agent Mover
Certification Date: 09/26/2014
Certificate/Permit Fee
2014 Taxes prorated
Current Year Taxes
Prior Year Taxes
Total Due
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Signature of Coun Assessor or Deputy
Garfield County Treasurer
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Due
10.00
0.00
2, I A.0 , �P
Paid
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I hereby certify that all ad valorem taxes due this county applicable to the above described Manufactured
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Homehavepaid through the curreOA. FIiQi any prorated tax due,
Date: 1 r G'1 c — • '°.
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County Treasurer or Deputy ki
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