County of San Bernardino

www.mytaxcollector.com En Español

Mobile Home Tax Clearance Certificate Request Form

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 $25.00 fee for any duplicate tax clearance certificates