Uintah County
Mobile Home Data Form
Fields shown in
green
are mandatory.
Building Permit #:
Date:
New/Current Owner:
Mailing Address:
Contact Telephone #:
Parcel Serial #:
Address of mobile home:
Make of mobile home:
Tag Serial #:
Model Year:
Length:
Width:
Year Purchased:
Purchase Price:
Former Owner of Mobile Home (if within Uintah County):
Where mobile home was moved from:
E-Mail Address:
