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Email: Phone: Fax: Email: Phone: Fax: Email: Phone: Fax: Email: Phone: Fax: # of LT Leased Spaces *PO *RO Include prior year resident ledgers, and CC 798.74.5 fully executed disclosure with this registration. Pursuant to the PMC 5.44.050(c), No later than January 31st of each subsequent year, each owner shall file an annual registration statement with the Department, under penalty of perjury, on a form provided by the City, setting forth complete information for each of the categories listed in PMC 5.44.050(b), which covers the time period since the prior registration statement. Annual Civil Code Notice Mailing to Residents Annual CARE Mailing *PO = Park Owned RO = Resident Owned LT = Long Term RESIDENT NOTICES Please list the dates of these resident notices. Description: Date By Who SPACE INFORMATION # of Mgmt. Spaces # of Vacant Pads # of Vacant Coaches # of Rent Control Spaces Other Total Number of Spaces Mailing Address: Mailing Address: City, State, Zip: Community Mangr: Mailing Address: City, State, Zip: Reg Completed by: City, State, Zip: Owner: Mailing Address: City, State, Zip: Mgmt. Company: Address: ANNUAL MOBILEHOME PARK REGISTRATION YEAR: GENERAL INFORMATION Community Name: No Yes Yes No Are you a new owner? Yes No If so, when did the new owner acquire this property? Is the Park a Senior Community? Is the Park an All Age Community? Rev. 01/22/2026 0