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UDS301 rev17Dec2010
BILL OF SALE FOR A MOBILE HOME
Year
Make
Mobile Home Identification Number
The above has/have been sold to:
Date Sold:
Name entered in error:
(if applicable)
FULL PURCHASE PRICE:
$
DEDUCTIBLE ITEMS: Carport $
Utility Shed $
Screened Porch $
Freezer $
Refrigerator $
Drapes $
Air Compressor (condenser unit located outside) $
Furniture (ITEMIZE):
$
TOTAL DEDUCTIONS: $
TAXABLE AMOUNT:
$
Under penalty of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Seller’s Signature
Seller’s Printed Name
Co-Seller’s Signature
Co-Seller’s Printed Name
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