Registration form for Manufactured Dwelling Parks

Oregon Housing and Community Services

ANNUAL REGISTRATION FORM

for Manufactured / Marina Communities

ORS 90.730 requires that every Manufactured Dwelling facility/Marina 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/marina, please complete a form for each.

Step 1 - Identify the Park/Marina and Registration Year
		A. Please select your park/marina from this Park/Marina List. If your park/marina 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/Slips:	Total: Vacant:

Facility Name:

TIN:

ID:

Park/Marina 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 :


	PRIMARY CONTACT:	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:

PRIMARY CONTACT

FACILITY OWNER

Listed on MMCRC Park/Marina Directory:

PRIMARY CONTACT

FACILITY OWNER

Return Registration Form to:

Oregon Housing and Community Services
Manufactured / Marina Communities Resource Center
725 Summer Street NE, Suite B
Salem, Oregon 97301-1266
EMAIL: Hcs.mmcrc@oregon.gov
Toll Free in Oregon: 800.453.5511

Submit Registration
Click No if you need to make revisions to this registration form. Click Yes to submit your registration form. Once submitted a confirmation may be printed.

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