PERMIT TO: REMOVE MOBILE HOME ORHOUSE TRALER Permit No. To:. Date. Inre_ Mfg.No.. 19 (Type ofmobile home) I, the undersigned tax collector for thei taxing district of do hereby authorize the above owner to remove the above mobile home from the taxing district to: Icertify that all municipal, school, and county real estatei taxes assessed on the above mobile home are paid to date. Fee Paid $2.00 Tax Collector Act 54 oft the 1969 session provides: (F) PENALTY- - Any person who moves al mobilel home or house trailer from the territorial limits ofthet taxing district without having first obtained a removal permit issued under this act, shall upon summary conviction thereof,: be sentenced to pay a fine of one hundred dollars ($100) and costs of prosecution or undergo imprisonment for not more than thirty days or both. Valid for 30 days from date ofissue.