SCO — Mobile Home | Floating Home (sco10-1)

SCO sample sco10-1.pdf¶

TAX CLEARANCE CERTIFICATE

□ Mobile Home | □ Floating Home

COUNTY OF _______________________________

SERIAL NUMBER/HULL NUMBER: DECAL NUMBER/CF NUMBER:

ADDRESS OF HOME LOCATION: ASSESSOR'S PARCEL NUMBER:

CURRENT REGISTERED OWNER: APPLICANT:

NAME: NAME:

ADDRESS: ADDRESS:

I hereby certify that the following have been paid:

□ In delinquent license fees

□ In property taxes applicable to the home identified above through the fiscal year ____ - ____.

□ Security deposit for payment of the property taxes for the fiscal year ____ - ____.

□ No taxes due or payable at this time.

(SCO 10-1)(Page 1)(6-16)

TAX CLEARANCE CERTIFICATE

THIS CERTIFICATE IS VOID ON AND AFTER:

DAY DATE MONTH YEAR

There may be a supplemental assessment not covered by this
Tax Clearance Certificate that may create an additional bill.

___________ County Tax Collector State of California

Executed at (time), (county) County this (day) day of (month), (year).

(SCO 10-1)(Page 2)(6-16)