Mobile Home Clearance Request - Department of Tax and Collections

Mobile Home Information

Assessor's Parcel Number (APN):

Decal Number:

Escrow Number:

*If Applicable

Property Address:

City:

State:

Zip Code:

Current Owner's Information

Name:

Same as Property Address

Mailing Address:

City:

State:

Zip Code:

New Owner's Information

New Owner's Name:

Same as Property Address

Mailing Address:

City:

State:

Zip Code:

Duplicate Tax Clearance Request

If you previously received a tax clearance for a title change, but the clearance was lost, damaged, or expired, and you are in need of a new clearance to continue with your title change, a duplicate tax clearance can be issued.

This is a duplicate tax clearance request.

There is a fee of $35 that must be paid to process your request.

Please make check or money order payment to: SCC DTAC
Include a copy of this form with your payment.

Mail payment to:

Department of Tax and Collections
70 West Hedding Street
East Wing, 6th Floor
San Jose, CA 95110

This is my first request for a tax clearance.

Contact Information

Name:

Email:

Phone Number:

Mailing Address:

City:

State:

Zip Code:

Additional Information: