The permit shall be in substantially the following form: TAX PERMIT County of ___________ Permit Number ___________________________________ State of North Carolina Date of Issuance __________________________________ Permission is hereby granted to: ____________________________________________ (Name & address of owner) ______________________________________________________________________ (Name & address of carrier) to remove the following described mobile home: ______________________________________________________________________ (Make, model, size, serial number, etc.) From: ______________________________________________________________________ (Address) To: ______________________________________________________________________ (Address) This permit is issued in accordance with the provisions of G.S. 105-316.1 through G.S. 105-316.8 of the General Statutes of North Carolina. (Signed) _____________________________________ Tax Collector (or Deputy Tax Collector) County of _____________________________
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