York County
Notice of Disposition or Relocation for a MOBILE HOME

Using this form you may notify this office your mobile home has been relocated out of York County or disposed. Mobile Homes are not prorated in York County, therefore, if owned on January 1st, in York County, the tax will be due for the entire year. This office will notify you via e-mail acknowledging receipt of this statement.

TAXPAYER INFORMATION

*Required Fields-registration cannot be accepted without these areas complete
OWNER 1:
Last Name*     First Name* 
Middle Initial      Suffix (Sr., Jr. etc.)   
OWNER 2: (Required if more than one owner)
Last Name      First Name   
Middle Initial      Suffix (Sr., Jr. etc.)   
Address Line 1*     Apt/Lot/Suite No.  
Address Line 2       Apt/Lot/Suite No.  
City*     State*     Zip*  -

MOBILE HOME INFORMATION

Year*     Make*     
Identification No.*     Width*     Length* 
Date Sold (MMDDYYYY)* 

Name(s) of New Owner:* 
Mailing Address: 

Comments: 
 

I/We do hereby swear (or attest) that the above information is complete and correct to the best of my/our knowledge and belief. By placing your initials in the appropriate box, it will be equivalent to your signature.
OWNER 1 initials*     OWNER 2 initials   

Daytime Phone Number 

E-mail* 

Please verify your information and