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Mobile Home Tax Clearance Certificate Request Form
brown stripe
 

If the Registered ownership does not match HCD records, you will need to contact the Tax Collector's Office at (909) 387-8308.

If there is any money owed, payment must be by cash, cashiers check, escrow check, certified check or money order only.


* Decal Number  
Assessors Parcel Number  
* VIN / Serial Number  
     

Current Owner and Mobile Home Location

* Current Owner(s)  
   
   
   
     
* Current Mailing Address  
* City  
* State  
* Zip Code  
     
* Current Mobile Home Location  
* City  
* State  
* Zip Code  
     

New Owner and Mobile Home Location

* New Owner(s)  
   
   
   
     
* New Mailing Address  
* City  
* State  
* Zip Code  
     
* New Mobile Home Location  
* City  
* State  
* Zip Code  
     

Requested By

* Escrow Company
(enter your name if not in escrow)
 
* Escrow Number
(or NONE if not in escrow)
 
     
* Attention to  
* Mailing Address  
* City  
* State  
* Zip Code  
     
* Phone Number  
Email  
     
Additional Remarks  
Conditional Clearance Requested
(For Escrow Companies only)
     
* - Indicates Required Field Notice - There is a $21.00 fee for any duplicate tax clearance certificates
     

 
18.204.2.53 no session.