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Year <br /> <br />Trade Name <br /> <br />Manufacturer Name <br /> <br />SUBJECT <br /> <br />Home Size__ X ~ = Sq. Ft, <br />[]Tag-A-Long [] Expando [] Tip-Out [] None X__ = Sq. Ft. <br /> <br /> Estimated Total Living Area/Perimeter Ratio = Sq. Ft. <br /> FLOOR PLAN <br />Bedrooms: [] 1 []2 [] 3 []4 Baths: []1 []1t.2 i-"1 134 []2 <br /> <br />Front: [] Kitchen [] Living Room [] Bedroom Other <br /> (List) <br />Total Room Count <br /> IDENTIFICATION NO.(S), CONST. CODES, STICKERS/LABELS <br /> <br />ID Serial No, ts) <br />Const. Code Label No.(s) <br /> <br />Tax Assessment Sticker No,ts) <br /> <br />Vehicle Type License No.(s) <br /> <br />Veh. Type Reg. Tab No.(s). <br /> <br />HUD Compliance Cert./List Location <br />Set-up, Installation Approved, Sticker No. <br />Smoke Detector(s)/# of Units -- <br /> <br /> [] Not verified <br />[]HUD []State []ANSI Std. Al19.1 []None <br />For yr. __ By <br /> <br /> State of <br /> <br />Expiration Date <br /> <br /> [] N/A [:::] State [] Local <br />Power Source: [] Wired in 110 Volt [] Battery <br /> <br />Water Heater (gas) Label Approved for MH Installation [] Yes <br /> <br /> VALUE SUMMARY <br />Guide Edition ,.o.fh / w.-"~- Codes ,.~o. / <br />White Section Part 1 Page # Yellow Section Chart # ~ <br /> <br />1. Book Value of Main Structure__ __ <br /> <br />Other: [] Tag-A-Long [] Expando <br /> <br />[]None <br />[] None <br />[] None <br />[] None <br />[] None <br />[] None <br /> <br />[] No [] N/A Elect. Unit <br /> <br />yrs. <br /> <br /> Gray Page # <br />sf&le <br /> Estimated Physical Life <br /> $ <br /> <br />State Code <br /> <br /> [] Tip-Out [] None <br /> Subtotal I <br />~ Location Adjustment <br /> Total Guide Book Retail Value <br /> <br />2. Condition Adjustment (See System Manual Guidelines for percentage.) x <br /> <br /> Rated: I"-I Excellent [] Good [] Fair [] Poor From Page #3 (A)[$ <br /> <br />3. Running Gear: [] Not Inspected <br /> Wheels w/Tire(s) [] OK Missing # deduct $55.00 ea. $<'> <br /> Tow 8ar(s) [] OK Missing # deduct $125.00 ea. $ <'> <br /> Axle w/Hub(s) [] OK Missing #~ deduct $245.00 ea. $ <br /> Frame(s) [] OK Missing # .. deduct $1,050.00 ea $ <'> <br />4. Repairs of home __From Page #3 (B) $<'> <br /> <br />5. Components__ __From Page #4 (C) $ <br />6. Depreciated Replacement Value of Home Sum of Lines A, 3, B & C (6)15 <br />7. Park Adj. From Pg. 7 (D) Sales Ratio % Park Adj. (E) (-+) .-- % ~ <br /> " Equals Total of Home and Park Location (7) IS <br /> <br /> Total X ..% <br /> <br /> tl~)r reference onlyi <br /> <br /> __ From Page #5 (F) $ + <br /> __ From Page #5 (G) $ <'> <br /> Sum of lines 7, F & G (10){5 { <br />__ + or <-> From Page # 8 tH) $ <br /> (11) S+ <br /> _Sum of lines 10, H & 1115 J <br />[] Completion Per Plans and Specifications <br /> <br />8. In Park Location Value (IPLV') + or <-> [ <br /> (Subtract Line 6 from Line 7) <br /> I <br />9. Accessories ....... <br /> Repairs of accessories__ <br /> <br />10. Indicated value by the Cost Approach <br /> a. Comparable market adjustment <br /> <br />11. Land Value [] See Attachment <br />12. ESTIMATED MARKET VALUE <br />[] Il Repaired [] In Present Conditon <br /> <br />Date Signature o! Appraiser <br />PAGE 2 Updated 1/92 V.P. <br /> <br />Designation*Certificatio,, <br /> <br /> <br />