Mobile Home 4-6 Year Assessment Questionnaire
Thank you for your cooperation. We are required by the State of Wyoming to physically visit each property in the County every 4-6 years and collect the following information.
Your Account # written on Door Card *
Your answer
Names of Appraisers on Door Card *
Your answer
Date Of Visit *
MM
/
DD
/
YYYY
Your Street Address *
Your answer
Your Name *
Your answer
Number of Bedrooms *
Bedroom count does not affect value, it is just used for comparisons.
Number of Bathrooms *
Plumbing in Bathrooms
Please check the number of bathrooms with the following fixture counts. A 2 fixture bathroom has a toilet and sink. A 3 fixture has a toilet, sink and tub/shower or shower. A 4 fixture has 2 sinks, toilet, and tub/shower. A 5 fixture has toilet, 2 sinks, walk in shower, and separate tub.
0
1
2
3
4
5
6
2 Fixture
3 Fixture
4 Fixture
5 Fixture
Number of Other Rooms in Home *
Kitchens, offices, living, dining, family. Don't count closets, halls, or bathroom.
Number of Plumbing Fixtures
Please check the number of the following plumbing fixtures.
0
1
2
3
4
Kitchen Sinks
Vegetable Sinks
Wet Bar Sinks
Hot Water Heaters
Laundry Hookups
Laundry Sinks
Primary HVAC System *
What is the primary heating system in the home.
Do You Have Central Air Conditioning? *
Do not count evaporative coolers or window units
Number of Secondary Heat Sources *
Please check the amount of secondary heat in your home.
0
1
2
3
4
Masonry Fireplace
Steel Fireplace
Wood Stove
Pellet Stove
Direct Vent Gas Stove
This home is a ... *
The Interior of the home has...
Foundation Information *
Yes
No
Is this home supported by a steel frame?
Are there any support jacks underneath?
Is there a center support?
Garage *
Does your home have the following?
Yes
No
Attached Garage - Unfinished
Attached Garage - Drywall on all walls and ceiling.
Detached Garage - Unfinished
Detached Garage - Drywall on all walls and ceiling.
Heat in Garage
If your garage is heated, please select the heat source.
Do you have any concerns or problems with the home?
Your answer
If we have any additional questions, can we contact you?
Please provide phone and/or email address.
Your answer
Outbuildings
If your property has outbuildings that are heated, insulated, have interior finish or plumbing, please describe them below.
Your answer
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