C O M P L E T E MOBILE HOME SERVICE, INC.


YOUR CONTACT INFORMATION
NAME
CONTACT NUMBER
EMAIL
PREFER TO BE CONTACTED BY DAYTIME CALL EVENING CALL EMAIL
REQUESTED MOVE DATE
YOUR MOVE INFORMATION
FROM LOCATION M/H COMMUNITY PRIVATE PROPERTY OTHER
FROM: STREET ADDRESS, CITY, STATE, ZIP CODE
TO LOCATION M/H COMMUNITY PRIVATE PROPERTY OTHER
TO STREET ADDRESS, CITY, STATE, ZIP CODE
HOME DESCRIPTION
SIZE OF HOME
YEAR OF HOME
MAKE OF HOME
VIN NUMBER OF HOME
SIZE OF HOME SINGLE WIDE DOUBLE WIDE TRIPLE WIDE
RUNNING GEAR
HITCH CONDITION
AWNINGS (PATIO SIDE) SIZE
AWNINGS (CARPORT SIDE) SIZE
SKRITING
HOME IS ABOVE GROUND AT OLD LOCATION BELOW GROUND AT OLD LOCATION WILL BE ABOVE GROUND AT NEW LOCATION WILL BE BELOW GROUND AT NEW LOCATION
UTILITIES AT OLD SITE ELECTRIC (100 AMP) ELECTRIC (200 AMP) WATER -- CITY WATER -- WELL WATER -- HAULED SEWER -- CITY SEWER -- SEPTIC GAS -- NATURAL GAS -- PROPANE
UTILITIES AT NEW SITE ELECTRIC (100 AMP) ELECTRIC (200 AMP) WATER -- CITY WATER -- WELL WATER -- HAULED SEWER -- CITY SEWER -- SEPTIC GAS -- NATURAL GAS -- PROPANE
COOLING AIR CONDITIONING COOLER
DOES HOME HAVE
INTERIOR OF HOME
ROOF
SIDING
CEILING