504 Request Form – Maricopa County, AZ

FillingPDF is not affiliated with, endorsed by, or connected to the Maricopa County Assessor. Get the official form from the Maricopa County Assessor website.

504 Request Form – Maricopa County, AZ

The 504 Request Form (504 Mobile Home Request Form) is the Maricopa County Assessor's notice that a mobile or manufactured home is being moved. Fill it out online on FillingPDF and download or print the completed PDF.
1 page
Page 1 of 1
Click an element to change it — or pick a tool to add one

The 504 Request Form, printed as the 504 Mobile Home Request Form, is the document the Maricopa County Assessor requires before a mobile or manufactured home is moved from one location to another. It is one of the Maricopa County property tax forms that the Assessor publishes in its Mobile Homes category. You can fill out the form online on FillingPDF and download or print the completed PDF; the form is then emailed or faxed to the Assessor's office, as described below.

Last updated

What is 504?

The 504 Request Form, printed as the 504 Mobile Home Request Form, is the Maricopa County Assessor document that notifies the Assessor that a mobile or manufactured home is being moved from one location to another. The form states that it must be obtained before the move.

The form collects the information the Assessor needs to identify the unit and follow it: contact details, the mobile home's Vehicle Identification Number, Tax Roll Account # and year, make and size, whether the home is affixed to a parcel, the mover's name and phone, and the addresses the home is moving from and to, including the county it is moving to. It also asks whether the tax clearance should be emailed or faxed to you.

The form opens with a legal warning. Under A.R.S. § 42-19107 and A.R.S. § 42-19155, it is unlawful for any person to knowingly move or sell a mobile home if applicable property taxes have not been paid. A person who violates this provision is guilty of a Class 1 misdemeanor and subject to a fine.

The form says plainly that the request is not a property tax clearance statement. The Assessor's Mobile Homes forms list also includes an online version (Online 504 Request Form), a Spanish version (Formulario de Solicitud para Casa Móvil 504) and the Affidavit of Affixture (DOR 82528), which are separate documents.

Who needs to file 504?

Anyone who is going to move a mobile or manufactured home in Maricopa County files the 504 Request Form. The form states that, prior to moving a mobile/manufactured home, it is required to obtain a 504 Mobile Home Request Form.

The form has a contact person (name, phone, email and fax) and a separate section for the mover, so the person arranging the move and the company or person doing the move can be different. It also asks for the county the home is moving to, so it is used whether the destination is inside or outside Maricopa County.

Do not treat the request as proof that taxes are paid. The form itself says the request is not a property tax clearance statement, and its legal notice says it is unlawful to knowingly move or sell a mobile home if applicable property taxes have not been paid. The form does not describe who may sign or file for another person and has no signature line.

When to file 504

Submit the 504 Request Form before the mobile or manufactured home is moved. The form says that obtaining it is required prior to moving, and that it notifies the Assessor that the unit is going from one location to another.

The form has a Date line at the top, which you complete when you prepare the request. It prints no other deadline, validity period or processing time. Because the legal notice on the form makes it unlawful to knowingly move or sell a mobile home when applicable property taxes are unpaid, send the request early enough to receive the tax clearance by the delivery method you select on the form.

How to fill out 504

  1. Enter the date

    Write the date of the request on the Date line at the top of the form.

  2. Complete the contact information

    Enter the Contact Name, Phone, Email and Fax for the person who will receive the clearance. Fill in at least the method you plan to use.

  3. Choose email or fax delivery

    Select one option for Tax Clearance will be emailed or faxed, matching the contact detail you entered.

  4. Describe the mobile home

    Under Mobile Home Information, enter the Vehicle Identification Number, Tax Roll Account # and Year, then the Make and Size.

  5. Mark whether it is affixed

    Select Yes or No for Affixed to Parcel.

  6. Enter the mover's details

    Under Mover Information, enter the Mover's Name and Phone.

  7. Enter where the home is moving from

    Under Location Information, give Moving From, Lot/Space, City, State and Zip.

  8. Enter where the home is moving to

    Give Moving To, Lot/Space, City, State and Zip, then the County Moving To.

  9. Review and download the completed PDF

    Check the VIN, Tax Roll Account # and addresses, then download or print the completed PDF from FillingPDF and send it as described under How to submit.

How to submit 504

The Maricopa County Assessor asks you to email or fax the completed 504 Request Form to its office.

On the form, select whether the tax clearance will be emailed or faxed to you, and give the matching email address or fax number in the contact section. The form lists the Assessor's office at 301 W. Jefferson, Phoenix, Arizona 85003, and the website mcassessor.maricopa.gov; it names no mail or in-person channel. The Assessor's Mobile Homes forms page also lists an Online 504 Request Form, which is a separate online version of the request. FillingPDF lets you fill out and download the PDF; submission follows the Assessor's channels above.

Common mistakes to avoid

  • Moving the mobile home before obtaining the 504 Request Form; the form says it is required prior to moving.
  • Treating the 504 request as a property tax clearance statement; the form states it is not one.
  • Moving or selling a mobile home knowingly while applicable property taxes are unpaid, which the form's legal notice calls unlawful and a Class 1 misdemeanor.
  • Not selecting whether the tax clearance will be emailed or faxed, or giving no matching email address or fax number.
  • Leaving out the Vehicle Identification Number or the Tax Roll Account # and year, which identify the unit.
  • Skipping the Affixed to Parcel Yes or No answer.
  • Omitting the Lot/Space, city, state or ZIP for the moving-from or moving-to location, or the county moving to.
  • Sending the completed form somewhere other than the email address or fax number the form gives.

Frequently asked questions

What is the 504 Request Form in Maricopa County?

It is the 504 Mobile Home Request Form that notifies the Maricopa County Assessor that a mobile or manufactured home is being moved from one location to another. The form states that it is required prior to moving the unit.

Is the 504 Request Form a property tax clearance?

No. The form states that the request is not a property tax clearance statement. It asks for the clearance to be emailed or faxed to you, and its legal notice says it is unlawful to knowingly move or sell a mobile home if applicable property taxes have not been paid.

Where do I send the 504 Request Form?

Email it to [email protected] or fax it to 602.372.8900. The form asks you to email or fax the Assessor's office with the completed form and names no other channel.

When do I need to submit the 504 Request Form?

Before you move the mobile or manufactured home. The form says it is required prior to moving the unit; it prints no other deadline, so send it early enough to receive the tax clearance before the move.

What is the penalty for moving a mobile home with unpaid taxes?

The form's notice says that under A.R.S. § 42-19107 and A.R.S. § 42-19155, a person who knowingly moves or sells a mobile home when applicable property taxes are unpaid is guilty of a Class 1 misdemeanor and subject to a fine.

Is there a Spanish version of the 504 Request Form?

Yes. The Maricopa County Assessor's Mobile Homes forms list includes the Formulario de Solicitud para Casa Móvil 504 (Español), and it also lists an Online 504 Request Form alongside the PDF.

Can I fill out the 504 Request Form online on FillingPDF?

Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not connected to the Maricopa County Assessor, and it does not send the form; you email or fax it to the Assessor yourself.

Ready to fill out 504?

Fill out 504 now