Form Ptr 1B is a required form to be filed with the Pennsylvania Department of State whenever you make an amendment to your Articles of Organization, change your company's name, or create a new location. This form helps the state keep track of all active businesses in the state and ensures that your company is in compliance with all relevant regulations. Make sure to file this form as soon as any changes are made to your business so that you stay compliant and avoid any penalties.
| Question | Answer |
|---|---|
| Form Name | Form Ptr 1B |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | format of details of fitness report, fitness report format, medical fitness report, 2007 |
Form |
Mobile Home Owners |
Verification of 2006 and 2007 Mobile Home Park Site Fees
(Use blue or black ink. See instructions for completion on back.)
Part I — To Be Completed by Applicant (Part II to be completed by mobile home park owner or manager)
Social Security # |
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– |
Spouse’s/CU Partner’s Social Security # |
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– |
Name
Last Name, First Name, and Initial (Joint filers enter first name and initial of each - Enter spouse’s/CU partner’s last name ONLY if different)
Address
Street |
City |
State |
Zip Code |
Mobile Home Park Site #
A.Did you occupy your mobile home with someone other than your spouse/
CU partner and share site fees with them? If you (and your spouse/CU partner) were the sole occupant(s), check “No.”
B.If yes, indicate the share (percentage) of the site fees that you and your spouse/CU partner paid. If you (and your spouse/CU partner)
were the sole occupant(s), enter 100%.
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Yes No |
Yes No |
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Part II — To Be Completed by Mobile Home Park Owner or Manager
Column A — 2006 Site Fees
1. Total site fees due under agreement |
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with mobile home park |
$ |
Column B — 2007 Site Fees
1. Total site fees due under agreement |
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with mobile home park |
$ |
2. Total site fees paid by resident(s) |
$ |
2. Total site fees paid by resident(s) |
$ |
I certify that I am the owner or manager of, where the above mobile home site is located. I further certify that the
(Name) |
(Title) |
(Phone) |
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Part III — To Be Completed by Applicant
Column A — 2006
3.Total number of residents (including applicant) who shared site fees. (Spouses filing joint application count as one (1) occupant) ...............
4.Total site fees paid by all residents living at this
address. (Enter amount from Part II, Line 2, |
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Column A) |
$ |
5.Share (percentage) of site fees that you (and your spouse) paid in 2006 from Part I, Line B. (Enter this number as a decimal. For example, if the share is 50%, enter 0.50. If you were the sole occupant, enter 1.00) ...............................
6.Total site fees paid by you (and your spouse) (Line 4 Line 5). Enter in space for site
fees at Line 14, Form |
$ |
Column B — 2007
3.Total number of residents (including applicant) who shared site fees. (Spouses/CU couples filing joint application count as one (1) occupant) .....
4.Total site fees paid by all residents living at this
address. (Enter amount from Part II, Line 2, |
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Column B) |
$ |
5.Share (percentage) of site fees that you (and your spouse/CU partner) paid in 2007 from Part I, Line B. (Enter this number as a decimal. For example, if the share is 50%, enter 0.50. If you were the sole occupant, enter 1.00) ......
6.Total site fees paid by you (and your spouse/ CU partner) (Line 4 Line 5). Enter in space
for site fees at Line 13, Form |
$ |
(If you complete this form, be sure to enclose it with your Form
Form
Part I – To Be Completed by Applicant
Social Security Number. If your marital/civil union status as of December 31, 2007, was single, you must enter your social security number in the space provided on Form
Name and Address. Print or type your name (last name first) and complete address of the property for which you are claiming the reimbursement in the spaces provided.
Also include your spouse’s/civil union partner’s name if filing jointly.
Mobile Home Park Site Number. Enter the mobile home park site number of the principal residence for which you are claiming the reimbursement in the space provided.
Note: Civil union couple status applies only for tax years beginning on or after January 1, 2007. It does not apply for tax year 2006.
A.Multiple Occupants. Check “Yes” only if you occupied your mobile home with someone else (other than your spouse/civil union partner) and shared mobile home site fees with them. For example, you live in your mobile home with your sister. If you (and your spouse/civil union partner) were the sole occupant(s), check “No.”
B.Percentage of Site Fees Paid. If you answered “Yes” to Question A, enter the share (percentage) of the site fees that you (and your spouse/civil union partner) paid. For example, if you and your sister live in your mobile home and you both pay
Part II – To Be Completed by Mobile Home Park Owner or Manager
Enter the appropriate amounts for calendar years
2006 and 2007 as follows:
Line 1. Enter the amount of site fees due under the mobile home park agreement entered into with the resident(s).
Line 2. Enter the total amount of mobile home site fees paid by, or on behalf of, the resident(s). Enter only amounts actually due and paid for each calendar year.
Compare Lines 1 and 2 for each calendar year.
•If Line 2 is equal to Line 1 for both years, complete the certification portion of Form
•If Line 2 is not equal to Line 1 for both years, the appli- cant is not eligible for a property tax reimbursement.
Do not complete the certification portion of Form
Certification. Complete the certification portion of Form
Part III – To Be Completed by Applicant
Line 3 - Total Number of Residents. Enter the total num- ber of residents who lived in your mobile home and shared site fees for each calendar year. If you are filing a joint ap- plication with your spouse/civil union partner, you and your spouse/civil union partner count as one resident.
Line 4 - Total Site Fees Paid. Enter the total site fees paid for each calendar year by all residents who lived in the mobile home for which you are claiming a property tax reimbursement. (Enter amount from Part II, Line 2.)
Line 5 - Percentage of Site Fees Paid. Enter your share (percentage) of site fees paid from Part I, Line B for each calendar year. Enter this number as a decimal. For ex- ample, if you lived in your mobile home with your sister and you both paid 50% of the site fees, enter 0.50 on Line 5. If you and your spouse/civil union partner were the sole occupant(s), enter 1.00.
Line 6 - Total Site Fees Paid by Applicant. Multiply the amount on Line 4 by the decimal on Line 5 and enter the result in the box at Line 6 for each calendar year.