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Manufactured (mobile) Home Change Report

Date of Change*
Date of Change
Location*
1. Westside Village
2. Lynnwood
Lot. No.*
Do you Own or Rent the home?*
1. Owner
2. Renter
Type of Change*
1. Moving into existing Mobile Home
2. Moving out & Leaving Mobile Home
1. Moving out with Mobile Home
2. Moving New Mobile Home onto Site
Name
Email Address
Address
City
Province
Postal Code
Phone Number
Cell/Alternative Number
If you are renting or have Sold the Mobile Home, please provide the following information
Please note that New Owners also need to complete a Manufactured (Mobile) Home Change Report.
Name
Purchaser or Tenants
Mailing Address and Telephone Number
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Mobile Home Information
Purchase Price
Make of Unit:*
Year of Unit*
Serial Number*
Length*
Width*
Model*
Description of enclosed additions (garage, porch, etc.)
Length, Width, Height, etc.
Decks are not assessable
The information above will be used by the Town of Slave Lake and the assessor to complete the tax roll account and ensure proper assessment and taxation of the manufactured (mobile) home. Taxes are the responsibility of the current owner of the home, even if there are taxes in arrears. Always ensure that any outstanding taxes have been paid prior to purchasing a designated manufactured home. ****Please note this is NOT an application or disconnection notice for water and sewer services****
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Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
Date:*
Date:
Reply Email
Bill of Sale *
Attach of copy of your Bill of Sale and/or any documents related to the sale of the mobile home.
The personal information requested on this form is being collected by Municipal Operation as required by the Town of Slave Lake, under the authority of the Freedom of Information and Protection of Privacy Act (FOIP act) Section 33(c). If you have any questions about the collection or use of your personal information, contact the Town of Slave Lake FOIP coordinator at 780-849-8018.

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