HomeMy WebLinkAboutAuthentication Certification Manufactured Home TaxP"v"``k V'l 'V% 2,5 -0.0 -Qt
AUTHENTICATION/CERTIFICATION - MANUFACTURED [TOME TAX
(Authentication of Paid Ad Valorem Taxes)
The undersigned certifies under penalty of perjury that the following information is true and correct to
the best of his/her knowledge.
Authentication Number: 2018089 Movement
Y
Title Change 1 Y ] Into/Out of Inventory
CURRENT INFORMATION:
Schedule or Parcel Number: M089350 Date: 03/23/2018
Name of Owner(s) of Manufactured Home: BAKER, BRANDON & KELLY S
Situs Address: VIN: GWCA21 L24664
7677 301 COUNTY RD Title Number: 24E771186
PARACHUTE, CO 81635 HUD #:
Make: GOLM
Size: 28 X 66
Year Built. 1997
SALE INFORMATION:
Name and Mailing Address of Purchaser(s): Sale Price: $5,000.00
AFFORDABLE BUILDERS Sale Date: 04/02/2018
802 SAMOAN DRIVE Assessor's Value: $11,25
GRAND JUNCTION, CO 81506
MOVEMENT TO: �i�'•• •■•''
Situs Address or Legal Description: Mover Name: `�■<<�=
802 SAMOAN DRIVE, GRAND JUNCTION, AFFORADABLE BUILDERS 802 S ■ OAN
CO 81506 DRIVE GRAND JUNCTION CO 81506
Park Name/Name of Land Owner: BRANDON BAKER
Move Date:04/02/18 Permit Expiration Date: 04/23/18 Destination County: MESA
Within County: Mover: Acje t: Owner:
Print Name of Person Signing:- evcc te\r1.o„.‘ h ,v
Y1
Signature:.
1/]6 e/(%' Telephone Number: 9 20 260 -06(
C�
Tax Area: 047
Actual Value: $156,270.00
Current Mill Levy: 50.9810
Assessor or Staff Signature:
Garfield ASSESSOR INFORMATION
Assessed Value: $11,250.00 Number of taxable months: 12
Prorated taxes due: $573.52
Garfield TREA RER INFORMATION
Due Paid Date
Date: 03/23/2018
Tax Year: 2018
Prior Year's Taxes:
Taxes prorated: 573.52 _ S�3. SZ -5 -21.-\g
Certificate/Permit Fees: 10.00 \9 . Do -, - 2:1)-k
Total Due: 587,-S7, Sib- S7— 3-z.5_ltd
I certify that all ad valorem taxes due this county applicable to the above described manufactured home have been paid
through the curent tax year including any tax due.
Treasurer or Deputy Signature: 1 i';`") Date:03/23/2018