YOUR CONTACT INFORMATION
CONTACT NAME
STREET ADDRESS
CITY / STATE / ZIP
EMAIL ADDRESS
CONTACT TELEPHONE
( )
CONTACT FAX
YOUR MOVE INFORMATION
REQUESTED MOVE DATE:
FROM LOCATION
M/H COMMUNITY
PRIVATE PROPERTY
OTHER
DESCRIPTION OF PLACEMENT
FROM STREET ADDRESS
CITY
STATE
ZIP
TO LOCATION
TO STREET ADDRESS
Select State AL-Alabama AR-Arkansas AZ-Arizona CA-California CO-Colorado CT-Connecticut DC-District of Columbia DE-Delaware FL-Florida GA-Georgia IA-Iowa ID-Idaho IL-Illinois IN-Indiana KS-Kansas KY-Kentucky LA-Louisiana MA-Massachusetts MD-Maryland ME-Maine MI-Michigan MN-Minnesota MO-Missouri MS-Mississippi MT-Montana NC-North Carolina ND-North Dakota NE-Nebraska NH-New Hampshire NJ-New Jersey NM-New Mexico NV-Nevada NY-New York OH-Ohio OK-Oklahoma OR-Oregon PA-Pennsylvania RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VA-Virginia VT-Vermont WA-Washington WI-Wisconsin WV-West Virginia WY-Wyoming
HOME DESCRIPTION
YEAR
HOME MANUFACTURER
Select Year 2006 2007 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
SINGLEWIDE
DOUBLEWIDE
TRIPLE WIDE
SIZE ( feet x feet )
RUNNING GEAR CONNECTED
HITCH CONDITION
HEIGHT OF HOME ( FRAME TO GABLE )
ADDITIONAL MOVE ITEMS ( DECKS, SHEDS, OTHER BUILDINGS, ETC.)