1) COMPLETE THE FORM BELOW ON OR BEFORE MAY 15TH

Name
Address
City, State & Zip
Email
Date of purchase
Purchase Price
Location of camper on April 1st of this year:
Campground
Lot/Site #
My camper declaration information is the same as the previous year.
YesNo

If "Yes" please skip to number 4.

2)

Date camper was move into Ellsworth

3)

Date camper was removed from Ellsworth

Make
Model
Year
Length
Serial Number

4)

Is your camper registered in Maine?

YesNo

If your camper is registered please attach a copy of the registration with this form when submitting to the Assessor's Office.

If your camper trailer was located in Ellsworth on April 1st the law requires that you register your camper in the City of Ellsworth not in the town in which you reside.