Camper Declaration form - 2023 GL

2023 Declaration of Personal Property - MV CAMPER FORM 
, Connecticut 
  
Filing Requirement – This declaration must be completed and filed with the Assessor of the town where the personal property 
is located.  Declarations of personal property shall be made annually.  Writing “Same as last year” is not acceptable. 
 
Penalty for late filing – Failure to file timely will result in a penalty equal to 25% of the assessment of the personal property.  
This declaration must be filed or postmarked (as defined in C.G.S. Sec 1-2a) no later than November 1, 2023. 
 
Extension: The Assessor may grant a filing extension for good cause (CGS §12-42).  If a request for an extension is needed, 
(you need to contact the Assessor in writing on or before November 1, 2023 (PA 19-200): 
 
Wednesday, November 1, 2023 
 
If you no longer own the personal property assessed in your name last year or moved the property out of «Town», you must 
return this declaration to the Assessor and provide information related to the name of the new owner of the property or to where 
you moved the property (see below).  Otherwise, the Assessor must assume that you still own and have failed to declare your 
taxable personal property.  
 
AFFIDAVIT OF SALE OF PERSONAL PROPERTY 
I 
 
of  
 
 
 
 
Owners name 
 
Mailing Address 
 
City, State, and Zip 
With regards to personal property do so certify that on  
 
 
 
Said property was ((Please  appropriate box): 
 
 
 
Date  
 SOLD TO: 
 
 
 
 
And/Or 
Name 
 
Address 
 MOVED TO: 
 
 
 
 
 
City/Town and State to where camper was moved 
 
Address 
The signer is made aware that the penalty for making a false affidavit is a $500.00 fine or imprisonment for one year or both. 
 
 
 
 
 
 
Signature 
Print name 
 
 
 
 
 
 
 
 
 

 
 
 
2023 Personal Property Declaration – Motor Vehicle Camper Form 
For Owners of non-Connecticut registered vehicles such as camping type vehicles not registered in Connecticut  
List or Account #: 
Assessment date October 1, 2023
Owner’s Name: 
 
Required return date November 1, 2023
Address 
Location of personal property 
City/State/Zip 
 
Phone / Fax (          ) 
/ (          ) 
E-Mail
Taxable Property Information                                                        copy and attach additional sheets if needed 
 
#9  MOTOR VEHICLES Unregistered motor vehicles such as campers, RV’s, trailers, including any vehicle garaged in «Town» but registered in 
another state or another Connecticut town, or any such vehicle not registered.  
ASSESSOR’S USE 
ONLY 
Describe your personal property located in «Town»  below: 
 
 
Campground name: 
Campground Site #
 
 
At campground from 
to 
Property there year round   Yes   No 
 
 
Vehicle type: 
 Camp Trailer  Travel Trailer 
 Park Model 
 Motor Home 
 Fifth Wheel 
 
 
 (check all boxes that apply) 
 Pick-up Camper, slide-on 
 Pick-up Camper, chassis- Slide Outs 
 
 
Vehicle Description and Information 
Year
Make
 
Model #
 VIN
 
 
Model Name:
Make of engine:
Make of chassis
 
 
   Length: 
Width:
      Purchase date: 
Purchase price:
 
 
Registered: 
 Yes   No 
    Marker #: 
 
Where registered: 
 
 
IF REGISTERED IN ANOTHER CONNECTICUT TOWN OR OUT-OF-STATE YOU  
MUST PROVIDE A COPY OF THE CURRENT REGISTRATION 
 
VALUE $ 
 
#9 
 
Site and Non-registered Motor Vehicle Information: 
 
 
 
Improvement 
Yes 
No 
Size 
Wood or Metal 
VALUE 
#24 
 
Deck 
X 
 
 
 
 
Screen porch 
X 
 
 
 
 
Sun Room (with windows) 
X 
 
 
 
 
Canopy (not awnings) 
X 
 
 
 
 
Shed 
X 
 
 
 
 
Non-registered MV 
Yes 
No 
Year 
Make 
Model 
VALUE 
 
 
Golf Cart 
 
 
ATV 
 
 
Motorcycle 
 
 
Motor scooter 
 
 
Other (describe) 
 
 
Subtotal >
 
 
#25 – Penalty for failure to file as required by statute – 25% of assessment 
#25 
 
Assessor’s Final Assessment Total > 
 
 
 
Personal Property Declaration Affidavit 
This form must be signed (and in some cases witnessed) before it may be filed with the Assessor. 
Avoid Penalty - Notarize Personal Property Declaration signed by agent. 
I DO HEREBY declare under penalty of false statement that all sections of this declaration have been completed according to the best of my knowledge, remembrance, and belief; that 
it is a true statement of all my personal property liable to taxation; and that I have not conveyed or temporarily disposed of any estate for the purpose of evading the laws relating to the 
assessment and collection of taxes. 
 
Owner’s 
Signature 
 
Date 
 
 
 
 
Owner’s Signature (print owner’s name on line below) 
 
 
 
 
 
 
 
 
 
 
 
 
 
Print or type owner’s name 
 
 
 
 
 
I DO HEREBY declare under oath that I have been duly appointed agent for the owner of the property listed above and that I have full authority and knowledge sufficient to file a  
proper declaration for him in accord with the provisions of §12-50 C.G.S. 
 
 
Agent’s 
Signature 
 
Date 
 
 
 
 
Agent’s Signature (print agent’s name on line below) 
 
 
 
 
 
 
 
 
 
 
 
 
 
Print or type agent’s name 
 
 
 
 
 
Witness of agent’s sworn statement 
 
 
 
 
 
 
       Subscribed and sworn to before me - 
 
Date 
 
 
 
Assessor or staff member, Town Clerk, Justice of the Peace, Notary or Commissioner of Superior Court 
 
 
 
 
The Personal Property Declaration must be signed above and delivered to the Assessor or postmarked (as defined in  
C.G.S. Sec 1-2a) by Wednesday, November 1, 2023 – a 25% Penalty required for failure to file as required.