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Get Form Ptr-1b Mobile Home Owners Verification Of 2010 And 2011 Mobile Home Park Site Fees (applicant

Ck ink. See instructions for completion on back.) Part I To Be Completed by Applicant Social Security # Name Address Spouse s/CU Partner s Social Security # Last Name, First Name, and Initial (Joint filers enter first name and initial of each - Enter spouse s/cu partner s last name ONLY if different) Street City State Mobile Home Park Site # A. Did someone other than your spouse/cu partner occupy your mobile home and share site fees with you? If you (and yo.

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