Manufactured Home Registration To register your manufactured home please complete the form below: Contact Information Owner's Name (required) Owner's Mailing Address (required) City (required) State Kansas ZIP Code (required) Phone Number (required) Email (required) Home Information Location of Manufactured Home (required) Year (required) Make (required) Model (required) Length (required) Width (required) Central Air (required) Yes No Identification Number (required) Addition Types (Include decks, porches, carports, etc.) Addition Dimensions Foundation Type (required) Concrete Wall Concrete Block Wall Vinyl/Wood/Fiberglass Skirting Other Please enter the other type of foundation (required) Do you own the land the home is on? (required) Yes No Home Purchase Date (required) Occupant Name (required) Who was the home purchased from? (required) Disclaimer * By entering your name below and submitting this form, you are certifying the above information is true and accurate. Your Name (required) Today's Date (required) Security Verification ReCaptcha (required)