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Kathy Michael McLean County Clerk All changes in ownership, movement of Mobile Home to another location, and exchange of a mobile home for another MUST be reported in writing to the McLean County Clerk, 115 E Washington Street, Room 102, PO Box 2400, Bloomington, IL 61702-2400 1. Parcel - - 8. Current Billing Information (Please Print) (Parcel # is located above the mailing address on your bill.) 2. Vehicle Identification # (VIN) Last Name (Located near fuse box or at the bottom of front doorway) First Name and Middle Initial 3. Make/Manufacturer and Year Address 4. Mobile Home Width and Additional Width and Length* City and State ZIP Code (*Length should not include hitch) Telephone Number E-Mail Address 5. Current Location of the Mobile Home 9. Please Sign and Print (MUST be signed by actual owner) Mobile Home Park and Lot # Street Address City, State, Zip Authorized Written Signature* 6. Prior Location of the Mobile Home, if different Printed Name* Mobile Home Park and Lot # Street Address Date City, State, Zip 7. Date of Sale/Transfer/Move *Only the current (new) owner is authorized to change or update mobile home owner, address, and location information Yes, I am a senior citizen or person with disabilities who would like to request an application registration or failing to file a required registration is for the 20% Reduction of Mobile Home Local Services Tax. guilty of a Class A misdemeanor. (35 ILCS 515/4) Applications are due by May 1st to be effective for the current year. Any person furnishing misinformation for purposes of McLean County Phone: (309) 888-5190 Fax: (309) 888-5932 115 E. Washington Street, Room 102 PO Box 2400 Bloomington, IL 61702-2400 Website: Mobile Home Registration Form *Items 1 through 9 MUST be completed 20% Reduction of Mobile Home Local Services Tax (For Office Use Only: X:\Tax Extension\Mobile Home\MH Registration Form)