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.