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Home My WebLink About9108550023 RECEIVED 8/11/2005 at 2:53 PM RECEIVING # ~910855 BOOK: 594 PAGE: 231 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Record and Return [] by Mail [] by Pickup to: Wells Fargo Home Mortgage Final Documents 1000 Blue Gentian Road MAC X9999-01M Eagan, MN 55121 This Instrument Prepared By: Val Costello Preparer's Name Mort,qa,qe Specialist Preparer's Title 1919 Dou,qlas Street Pmparer's Address 1 Omaha, NE68102 Preparer's Address 2 0057936379 Loan Number ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and is to be filed for record in the records where conveyances of real estate are recorded. Page 1 of 5 ~ Marc J. I ifset A~ tfgilts m~etve~t Rev. 5.00/05 Kent Hathaway L~,nette Hathaway [type the name of each Homeowner signing this Aft'~avit]; being duly sworn, on his or her oath state as follows: 00232 1. Homeowner owns the manufactured home ("Home") described as follows: Used 1986 Fuqua' Homes 702 9192 New/Used Year Manufact;~rer's Name Model Name or Model:No. Manufacturer's Serial No. 26 x 56 Length I Width 526 Main Street The Home was built in compliance with the federal Manufactured Home Construction and Safety Standards Act. If the Homeowner is the first retail buyer of the Home, Homeowner is in receipt of (i) the manufacturer's warranty for the Home, (ii) the Consumer Manual for the Home, (iii) the Insulation Disclosure for the Home, and (iv) the formaldehyde health notice for the Home. The Home is or will be located at the following "Property Address": Auburn Lincoln WY 83110 Street or Route City County State Zip Code 5. The legal description of the Property Address ("Land") is typed below or please see attached legal description: See attached legal description · 6. The Homeowner is the owner of the Land or, if not the owner of the Land, is in possession of the real property pursuant to a lease in recordable form, and the consent of the lessor is attached to this Affidavit. 7. The Home [] is [] shall be anchored to the Land by attachment to a permanent foundation, constructed in accordance with applicable state and local building codes and manufacturer's specifications in a manner sufficient to validate any applicable manufacturer's warranty, and permanently connected to appropriate residential utilities (e.g., water, gas, electdcily, sewer) ("Permanently Affixed"). The Homeowner intends that the Home be an immoveable fixture and a permanent improvement to the Land. 8. The Home shall be assessed and taxed as an improvement to the Land. ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and' is to be filed for record in the records where conveyances of real estate are recorded. Page 2 of 5 ~) Marc J. Uf~et A.~ ~t~t~ m~ervecl Rev, 00233 g. Homeowner agrees that as of today, or if the Home is not yet located at the Property Address, upon the delivery of the Home to the Property Address: (a) All permits required by governmental authorities have been obtained; (b) The foundation system for the Home was designed by an engineer to meet the soil conditions of the Land. All foundations are constructed in accordance with applicable state and local building codes, and manufacturer's specifications in a manner sufficient to validate any applicable manufacturer's warranty, (c) The wheels, axles, towbar or hitch were removed when the Home was, placed on the Property Address; and (d) The Home is (i). I:;~rmanently Affixed to a foundation, (ii) has the characteristics of site-built housing, and (iii) is part of the Land.:, 10. If the Homeowner is the owner of the Land, any conveyance or financing of the Home and the Land shall be a single transaction under applicable state law. 11. Other than those disclosed in this Affidavit,-the Homeowner is not aware of (i) any other claim, lien or encumbrance affecting the Home, (ii) any facts or information known to the Homeowner that could reasonably affect the validity of the title of the Home or the existence or non-existence of security interests in it. 12. A Homeowner shall initial only one of the following, as it applies to title to the Home: [ ] The Home is not covered by a certificate of title. The odginal manufacturer's certificate of origin, duly endorsed to the Homeowner, is attached to this Affidavit, or previously was recorded in the real property records of the jurisdiction where the Home is to be located. [ ] The Home is not covered by a cedificate of title. After diligent search and inquiry, the Homeowner is unable to produce the original manufacturer's certificate of origin. [ ] The [] manufacturer's certificate of odgin [] certificate of title to the Home [] shall be [] has been eliminated as required by applicable law. [ ] The Home shall be covered by a certificate of title. 13. This Affidavit is executed by Homeowner(s) pursuant to applicable state law. ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and is to be filed for record in the records where conveyances of real estate are recorded. Page 3 of 5 0 Mar~. J. Lifter Alll~h~ re~el~ed Rev. 0O234 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersigned witnesses on this ¢ dayof .,Z~57"-" , ~0~" . Homeowner #1 ~ Kent Hathaway (SEPAL) Lynette Hathaway Printed Name (SEAL) Homeowner #3 WRness Witness Witness Pdnted Name STATE OF ~l-'}~O//~A. ll~"~ ) ) SS,: COUNTY OF /-.-//~C~..~.-~,--~. ) On the 4,~'"~,,~ day of ~/~/l.J/~=(~"' in theyear ~ before ...Te, the undersigned, a Notary Public in and for said Stat,e, personally appeared · personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose na'me(s) is(am) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the inslrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. Notary Printed Name Notary Public; State of Qualified in the County of ,~,,I/~.~-.~L.-~ My commission expires: A~ENTION COUNTY CLERK: This instrument ~vers goods that are or are to be~me fi~ures on the Land described herein and is to be ~led for re.rd in the re~rds where conveyances of real estate are recorded. Page 4 of 5 ~3 Marc J, Ufset A~/#ghts reservbd Lender's Statement of Intent: The undersigned ("Lender") improvement to the Land. intends that the Home be an immoveable fixture 00235 and a permanent Wells Far.qo Bank, N.A. Lender -~. Authoriz~fl Signature STATE OF Wyoming COUNTY OF Teton SS.; 4th in the year 2005 before On the day of August me, the undersigned, a Notary Public in and for said State, personally appeared Karen T. Wylie personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose n;,me(s) ' ribed to the within instrument and acknowledged to me that he/she/they executed the same in re(are) subsc ....................... :--at"re/s~ on the instrument, the individual(s), or the person on his/her/their capaci[y{,ies), ana mat Dy nls/ne.u,m~ ~,~n behalf of which thee individual(s) acted, executed the instrument. . Laurle Coe Notary Printed Name Notary Public; State of Wyoming Qualified in the County of Lincoln My commission expires: _ 9 / 12 / 2007 Teton ~ Wyoming Official Seal: ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and is to be filed for record in the records where conveyances of real estate are recorded. Page 5 of 5 ~ Mare J, LIf~el All ~gh/s reserved Rev, 5/30/05 UG-O "2005 ll: S ELLS F RGO HONE MORTG ...... NO, 87?8038763 .. 00236 EXI-HB IT ,~ PROPERTY DESCRIPTION The legal description of the Property Address ("Land") is typed bolow or please see attached legal description: A portion o'f Lots 3 and 4 of'Block 12 of the Auburn Townaite as filed the 25'h day of September, 1909 at 3::30 P.M.., by Donald Mc~i!ister and FIo Lach,'ipelle in the County of Uinta, state ot' Wyoming, and also boing a portion of Lot 4, Section 4, T32N RI 19W of the 6~' P..M., Lincoln County, Wyomin8 and being more particularly described as follows: Beginning at a point 1407,68 foot S 67'05'17 W. from an old Iron Pipe found marking the S I/4 comer of Section 35, T35N R119W of the 6m P.M,, said point being also in Lot 4, Section 4, T32N RI lgW of'the 6ts P.M.; thence running 5 0'54'1 g' W, lzi1.45 feet to a point 99 ~'ee~ North fi.om a t-~nce marking the South line of Main Street as shown on map above referred; thence $ 89'49'12' W. paraltel with said South fence, 472.37 feet to the approximate line of a North-$ou~h fence; thence N 1'3g'02' E. along last said fence and me northerly prolongation r~raof, t39.g3 t'eet; thence N 89'37'04' E. 470.63 feet to the point or beginning,. Les~ and except ;my land contained in Quitclaim Deed recorded February 2l, 1090 in Book 283PR on page 291 of records of Lincoln County Clerk. 1986 FI]QUA tlCn, iE.~, la~ODEL 702, S]ZILT_AL}9].92, 13IUD 'rAG d~'S OR.E 1460913 ~ 01~ 146099 01 Rev 313010_5