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2. THIS FORM IS FOR MOBILE OR MANUFACTURED HOME SALES ONLY
4. Uinta County Assessor
   225 9th St.
   Evanston, WY 82930
   307-783-0338

   Dear Uinta County Property Owner:

   In our effort to ensure property assessments are fair and accurate, we are asking for your assistance concerning the mobile home you recently purchased.

   This is a sales verification form that will be used to evaluate the sale of the mobile home. The information required on the form describes, in your opinion, how the home was at the time of the purchase. Information such as the condition, type of sale or number of bathrooms enables us to make sure the correct information is used in sales analysis.

   In accordance with the rules of the Wyoming State Board of Equalization, we are required to verify all property sales that occur each year. In order to accomplish this in the most efficient manner possible, we request that you complete the form within 10 days. If you prefer, you may fax it to 307-783-0336 or email it to elrobinson@uintacounty.com, or loperkins@uintacounty.com. You can also call 307-783-0338 or 307-782-7432 (Bridger Valley) and complete the information by talking with a staff member regarding your purchase.

   Let us assure you that your individual assessment will not go up or down based on the information that you provide. We utilize the mass appraisal technique to compare your property to other similar properties thereby arriving at a fair value for all properties with the same or comparable characteristics.

   We understand that there may be some feelings of reluctance to share the information on your property. Please know that your information is confidential and will not be disclosed to the general public. This information is available only to specific individuals during a 30 day protest period each year. Your cooperation in assisting us to obtain the most accurate information possible is the best way to insure uniform and equitable assessments.

   Again, congratulations on the purchase of your new home. If there is anyway that we may be of assistance to you, please do not hesitate to call.
6. Title Owner's First Name
7. Title Owner's Last Name
9. Mailing Address
11. Mailing Address 2
13. City
14. State
15. Zip
17. Phone #
19. Where did home come from?
20. Current location of home:
22. Mobile or Manufactured Home Information:
23. Title number:
25. Serial Number
26. Year Built
28. Size (Width):
29. Size (Length):
30. Manufactured by:
32. Purchase date:
33. Total purchase price:
34. Did purchase include land?

    1. Yes

    1. No
36. Has home been permanently affixed to the land?

    1. Yes

    1. No
37. Have there been any major changes to the property since the date of the purchase?

    1. Yes

    1. No
38. If "yes", explain:
40. Home is:

    1. being lived in

    1. used for storage
41. Was the mobile home sold & / or moving?

    1. Yes

    1. No
43. If so, to whom and / or where:
45. Was mobile home destroyed and / or hauled to dump?

    1. Yes
    2. No
46. When & explain:
48. Features:
49. # of Bedrooms
50. # of Total Rooms
51. # of Bathrooms
53. Number of Plumbing Fixtures:
54. Shower/Tub Combo
55. Just Tub
56. Just Shower
58. Toilet
59. Sink
61. Main Heat Type
    -- Select One --Forced AirFloor/Wall FuranceCool Air in Heat DuctsHeat PumpWarm & Cool Air ZoneCool Air Separate DuctsNone
62. Exterior Siding
63. Roof Material
65. Skirting Type
    -- Select One --MetalVinylPlywoodBrick PanelBrick VeneerSimulated Stone Stone VennerNone
66. Garage

    1. Attached
    2. Detached

    1. None
68. Number of Additional Features
69. Fireplace
70. Wood Stove
72. Gas Fireplace
73. Central Air
74. Wet Bar
75. Hot Tub
77. Jetted Tub
78. Swamp Cooler
79. Other (please explain):
81. Condition of Home
82. Interior

    1. Good
    2. Average
    3. Poor
83. Exterior

    1. Good
    2. Average
    3. Poor
85. Remarks on condition:
87. Has home been remodeled since original build?

    1. Yes
    2. No
88. If yes, what percentage of building has been remodeled?
90. If yes, what year was remodeling completed?
92. Additional comments:
94. Name of personal completing this form:
96. Thank you for your assistance in completing this survey. The information gathered here is confidential and will be used for property verification purposes only. For questions please call 307-783-0338.
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98. 1. Receive an email copy of this form.
99. Email address

    This field is not part of the form submission.

100. Submit

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