Oregon Housing and Community Services
ANNUAL REGISTRATION FORM

for Manufactured Communities Resource Center

ORS 90.730 requires that every Manufactured Dwelling facility register ANNUALLY with the Oregon Housing and Community Services Department. This form is due by January 1st each year. If you are the landlord or owner of more than one park, please complete a form for each.
Step 1 - Identify the Park and Registration Year

 

   A. Please select your park from this Park List. If your park is not on the list, please call 800-453-5511 to register.
    B. Select the Year to register for:
Step 2 - Please complete the registration form below and click on the Submit button at the bottom to submit it. You will be able to get a confirmation after your successful submission.
  FACILITY INFORMATION: Date: (mm/dd/yyyy) No. of Spaces: Total:    Vacant:
  Facility Name: TIN: ID:
  Park Status: Open Closing Facility Classification: Family 55+
  Facility Physical Address:
  City: County: Zip:
  Facility Mail Address:
  City: State: Zip:
  Facility Web Site: Facility E-mail :
  CHECK BOX AFTER YOU REVIEW THE FORM: REVIEWED
  CHECK BOX IF THERE IS NO CHANGE IN CONTACTS: NO CHANGE
  FACILITY AFFILIATE (1): On-Site Manager Off-Site Manager Property Manager Contact

 

 First Name: Last Name:
  Address: City: State: Zip:
  Telephone #: Cell#: E-mail:
  FACILITY AFFILIATE (2): On-Site Manager Off-Site Manager Property Manager Contact
  First Name: Last Name:  
  Address: City: State: Zip:
  Telephone #: Cell#: E-mail:
  FACILITY OWNER:  
  First Name: Last Name:
  Address: City: State: Zip:
  Telephone #: Cell#: E-mail:
  Please send notices to: FACILITY AFFILIATE (1) FACILITY AFFILIATE (2) FACILITY OWNER
  Listed on MCRC Park Directory: FACILITY AFFILIATE (1) FACILITY AFFILIATE (2) FACILITY OWNER
    Return Registration Form to:
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Oregon Housing and Community Services
Manufactured Communities Resource Center
725 Summer Street NE, Suite B
Salem, Oregon 97301-1266
FAX: 503-986-2006
Toll Free in Oregon: 800-453-5511
Salem: 503-986-2145