Delaware Administrative Code
Title 1 - Authorities, Boards and Commissions
200 - Delaware Manufactured Home Relocation Trust Fund
201 - Delaware Manufactured Home Relocation Trust Fund Regulations
Appendix B
DELAWARE MANUFACTURED HOME RELOCATION AUTHORITY
APPLICATION FOR REMOVAL AND DISPOSAL ASSISTANCE SUBMITTED BY
MANUFACTURED HOME COMMUNITY OWNER
The undersigned Applicant, a manufactured home community owner, hereby requests assistance from the Delaware Manufactured Home Relocation Trust Fund pursuant to 25 Del.C. § 7014. By signing this form, Applicant certifies that Applicant is the owner of a manufactured home community, as defined in 25 Del.C. § 7003 (l), and that Applicant has paid Applicant's share of the total Trust Fund assessment during to course of the tenancies and has remitted to the Authority the tenant's share as required by law. Applicant agrees that if Applicant realizes a profit from the removal and/or disposal of a home included in this Application, Applicant will notify the Authority in writing and will reimburse the Trust Fund for any profit gained by the Applicant pertaining to that home. Applicant understands that it is a class A misdemeanor for a landlord or a landlord's agent to file any notice, statement, or other document required under Section 7014 which is false or contains a material misstatement of fact.
____________________________ _________________
(Signature of Landlord) (Date)
____________________________
(Social Security or E.I. Number)
LANDLORD NAME _____________________________________________________
(Please Print)
PARK NAME ________________________________________________________
PARK ADDRESS: ____________________________________ ________
Space No.
CITY/STATE/ZIP CODE: _______________________________________________
Mailing Address if different from where park is located:
_______________________________________
_______________________________________
PHONE NUMBER: _______________ Total Spaces in Park: _______
TOTAL HOMES LOCATED IN PARK: ______
DATE TERMINATION/NONRENEWAL NOTICE MAILED TO TENANTS: ___________
DATE RELOCATION PLAN FILED WITH AUTHORITY: _______________________
Please attach: (a) a copy of the Relocation Plan and all quarterly updates to the Plan; (b) a copy of the notice of termination or non-renewal due to a change in use of land; (c) if you are seeking recovery of removal/disposal expenses, you must submit a copy of your contract with a licensed moving or towing contractor for the moving and disposal expenses for each home that is being removed or disposed of; (d) for each non-relocatable or abandoned home for which compensation is sought, complete the attached summary form and submit with this Application.
Total Removal/Disposal Expenses Claimed: $________________
This form must be completed and returned along with the required documents to:
Delaware Manufactured Home Relocation Authority
Dover, Delaware 19901
NON-RELOCATABLE OR ABANDONED HOME DESCRIPTION FORM
HOME OWNER INFORMATION CURRENT LOCATION OF MANUFACTURED HOME
Name: _________________________________ Address & Space Number:
Address: _______________________________ __________________________________
City/State/Zip Code: ______________________ ________________________________
Phone Number: __________________________
DESCRIPTION OF HOME
Single or Multi-Wide: _____________________
Size: __________________________________
Manufacturer: ___________________________
Serial Number: __________________________
Year Manufactured: ______________________
HUD Label if any: ________________________
Listing of Appurtenances attached to the home, including estimate of Size:
(Awnings, Skirting, Coolers or Air Conditioners, Sheds, Porches, Carport, etc.)
____________________________________________________________________________________
____________________________________________________________________________________
DETAIL OF WORK TO BE PERFORMED AND CHARGES:
NOTE: Must include all disassembly, transportation and disposal costs.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Contractor Information:
Name: _____________________________
Address: ___________________________
IF APPLICANT REALIZES A PROFIT FROM THE REMOVAL AND/OR DISPOSAL OF THE HOME, APPLICANT MUST REIMBURSE THE TRUST FUND FOR ANY PROFIT GAINED BY APPLICANT PERTAINING TO THAT HOME.
