REGISTER CORRECTION
Manufactured Home Act
Telephone: 1 877 526-1526 Mailing Address: PO Box 9431 Stn Prov Govt Courier Address: 200 – 940 Blanshard Street
Email :
[email protected] Victoria BC V8W 9V3 Victoria BC V8W 3E6
SUBMITTING PARTY: Please scan and email to [email protected]
Freedom of Information and Protection of Privacy Act
(FOIPPA) – Personal information provided on this form is
NAME collected, used and disclosed under the authority of the
FOIPPA and the Manufactured Home Act for the purposes
of assessment. Questions regarding the collection, use
ADDRESS
and disclosure of personal information can be directed
to the Executive Coordinator of the BC Registry Services
CITY/PROVINCE/POSTAL CODE at 1 877 526‑1526, PO Box 9431 Stn Prov Govt, Victoria
BC V8W 9V3.
TELEPHONE NO. EMAIL
A. MANUFACTURED HOME REGISTRATION #: REGISTERED OWNER SURNAME:
MUST COMPLETE SECTION 1 AND EITHER SECTIONS 2, 3, OR 4. SUBMIT ADDITIONAL FORM IF NECESSARY
B. CORRECT LOCATION – no fee for Section B location corrections
✴ 1. CURRENT CIVIC ADDRESS
STREET NO. STREET NAME CITY / TOWN / VILLAGE / MUNICIPALITY PROVINCE
2. MANUFACTURED HOME LOCATED IN A MANUFACTURED HOME PARK
PAD NO. MANUFACTURED HOME PARK NAME
3. MANUFACTURED HOME LOCATED AT A DEALER'S SALES LOT OR MANUFACTURER'S LOT
DEALER NAME
4. MANUFACTURED HOME LOCATED ON LAND OR PRIVATE STRATA LOT
PID LOT/STRATA PARCEL BLOCK DISTRICT LOT PART OF
SECTION TOWNSHIP RANGE MERIDIAN LAND DISTRICT PLAN
5. a.) Reservation Name b.) Identity Number
6. Addtion location information (i.e. directions or landmarks or storage facility name
Do the home owners own the land on which the home sits or have a registered lease of not less than 3 years? YES NO
7. Did the manufactured home move within the manufactured home park? YES NO N/A
8. Did the manufactured home move to a different location than stated on the transport permit? YES NO N/A
If manufactured home changed location without a permit, complete a Change in Registered Location of a Manufactured Home, REG 713, instead of this
application.
C. OTHER CHANGES – A fee of $15 applies to the following changes **MUST INCLUDE PHOTO EVIDENCE**
Manufacturer Year Manufactured
Make/Model
CSA Number (or Technical Safety BC label)
Serial Number
Other
D. PERSON COMPLETING FORM:
I am the Registered Owner I am the Agent of the Registered Owner
REGISTERED OWNER/AGENT NAME – please print SIGNATURE DATE SIGNED
YYYY / MM / DD
X
FORM 35 MHR (FEB 2022)