Manufactured Home Relocation Trust Fund				 Park Owner Certification Template
I,      , the undersigned to hereby certify that:
	[Name of Park Owner]
1.	I am the owner of the manufactured home community named      , located at      , which is closing on      
2.	The homeowner(s) named       is applying for benefits from the Minnesota Manufactured Home Relocation Trust fund has paid the $15 annual fee.
3.	The homeowner named above has paid all lot rents and is current on all payments.
4.	I agree to make the required payments into the Manufactured Home Relocation Trust Fund, minus verified costs, as described in Minnesota Statute 327C.095.
Note: The park owner may subtract documented demolition costs up to $1,500 from their payment to the Manufactured Home Relocation Trust Fund for each home that cannot be moved, when title is signed over to the park owner.

	     	
Signature	Date