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Bureau of Assessment

Monthly Mobile Home Report

Please note:
All mobile home court operators are required to submit a monthly report of tenants by PA Purdon 53 §8821 (b). This includes ALL arrivals and departures, and includes the make, model, manufacturer, year, and serial number of the mobile home.

Please complete and submit by the 1st of each month.
For inquiries: 814-451-6225 or 1-800-352-0026

Mobile Home Park:  
Report Month:  
Report Year:  

 


Name   
Address   
Destination or Transfer To   
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. # 



Name 
Address 
Destination or Transfer To 
Lot # 
Make 
Size 
Age 
Mfg. #