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York County
Registration Application for a Mobile Home

TO AVOID A FILING PENALTY

File on or before March 1st annually
OR
60 days from the date of purchase or move to York County

Using this form, you may register your mobile home for Personal Property Taxation. This form will be considered filed once we verify the information. In order to avoid a penalty for late or not filing, you must file on this mobile home on or before March 1st each year. You have 60 days from the date you purchase your mobile home or the date of move into York County to register for Personal Property Tax. 

                                                  IMPORTANT:

*Required Fields-registration cannot be accepted unless these areas are complete                      

Tax Year*
                                           TAXPAYER INFORMATION

OWNER # 1
Last Name*     First Name*     
Middle Initial     Suffix (Sr., Jr. etc.)     SS #1

OWNER # 2 (Required if more than one owner)
Last Name      First Name         
Middle Initial    Suffix (Sr., Jr. etc.)        SS #2

Mailing Address 1* Apt./Lot/Suite No. 
Mailing Address 2  Apt./Lot/Suite No. 
City*     State*      Zip* -

Physical Street Address 1*  
Apt./Lot/Suite No.
Physical Street Address  2   
Apt./Lot/Suite No.   
City*        State*         Zip*    -


                                         MOBILE HOME INFORMATION

Year*     Make*     Length*     Width*

Identification Number*     Title Number

Date Purchased (MM/DD/YYYY)*     Purchase Price * $

Was this mobile home located in York County on January 1st of the year in which you are filing? Yes    No

If you answered No:
If No, date this mobile home was disposed
If No, did you purchase this mobile home after January 1st of the year in which you are filing?       Yes    No
If No, location where you owned this mobile home on January 1st of the year in which you are filing

Physical Street Address Line 1*    
Apt./Lot/Suite No.
Physical Street Address Line 2   
Apt./Lot/Suite No.
City*     State*      Zip* -

If this Mobile Home was located in York County January 1st of the year in which you are filing, but, it was not owned by you, please provide previous owner(s) name:
Last Name      First Name      Middle Initial   

                                       ACTIVE DUTY MILITARY INFORMATION
Owner #1
Active Duty Military: Yes
   No  

Owner # 2
Active Duty Military: Yes
  No

(If yes, each owner MUST supply their current Leave & Earnings Statement)

Daytime Phone Number  E-mail Address*

Declaration: I (we) declare that the statements and figures above, are true, full and correct to the best of my (our) knowledge and belief.

Taxpayer # 1 Initials*      Taxpayer # 2 Initials (if co-owned)   

This registration cannot be accepted unless you initial the above declaration

                                     Please verify your information and
                      


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York County, Virginia
224 Ballard Street, P. O. Box 532
Yorktown, Virginia 23690-0532