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HomeMy WebLinkAbout911353 RECEIVED 8/29/2005 at 4:56 PM RECEIVING # 911353 BOOK: 596 PAGE: 5 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY (:00005 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, MN55121 This lnstrument Prepared By: LyneEe Grove Preparer's Name Mort,qa,qe Closer Preparer's Title 808 3rd Ave S Preparer's Address 1 Fargo, ND 58103 Preparer's Address 2 0056785868 Loan Number A'iq'ENTION 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. Llfset All rights reserved Rev. 5/30/05 00006 WILLIAM G. MARCHIONE LAVERNE MARCHIONE [type the name of each Homeowner signing this Affidavit]: being duly sworn, on his or her oath state as follows: 1. Homeowner owns the manufactured home ("Home") described as follows: USSE 1997 ATLANTIC HOMES MIDWEST MANOR 4797-866-8579 A/B 56.3 X 27 New/Used Year Manufacturer's Name Model Name or Model No. Manufacturer's Serial No. Length / Width 2003 DEL RIO DR 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": KEMMERER LINCOLN WY 83101 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: LOT 14-L-3 OF ROLLING HILLS IsT ADDITION TO THE CITY OF KEMMERER, LINCOLN COUNTY, WYOMING AS DESCRIBED ON THE OFFICIAL PLAT THEREOF. 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, electricity, 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. A'~"rENTION 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 conveyahces of real estate are recorded. Page 2 of 5 © Marc J. Ll[set All rights reserved Rev. 5/30~5 ' 00007 9. 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) Permanently 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 original 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 certificate 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 origin [] 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. A'IaFENTION 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 © Marc J. Llfset All dghts reserved Rev. 5/30/05 C00008 IN WITNESS WHEREOF, Homeowner(s) has executed this Affldavit~ in my presence and in the presence of the undersigned witnesses on this ~"~ day of ('-'L.x-.~zl.~ :~oo ~ 0 ' Homeowner #1 WILLIAM G. MARCHIONE Pdnted..~e ,,~r~'~wner #2 ' ~"~""- -- LAVERNE MARCHIONE __ (SEAL) Printed Name Homeowner #3 (SEAL) Witness Witness Witness Pdnted Name STATE OF [~~~ ) COUNTYOF ~'~ ) ss.: ) On the ~ ~g day of C,(~k~L~ in the year ~;}~-~"-' before me, the undersiqned, a Notary Public in and for sai~ State, personally appeared personally known to me or proved to me on the basis of satisfacto? evidence to be the individual(s) whose na~e(s) is(are) 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/hedtheir signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. Nota~ ~ignature/ ~ Nota~ ~ota~ ~ublic; Stato of Oualifiod in tho County of My commission expires: A'h'ENTION COUN~ CLERK: This instrument covers goods that are or are to become fi~ures on the Land described herein and is to be filed for record in the records where conveyances of real estate are recorded. Page 4 of 5 © Marc J. Lifse/All rights reserved Rev. 5/30/05 Lender's Statement of Intent: The undersigned ("Lender") improvement to the Land. intends that the Home be an .00009 immoveable fixture and a permanent BW Mortqage, LLC Lender Authorized Sig~ture STATE OF NORTH DAKOTA COUNTY OF CASS ) ) SS.: ) Onthe 26th dayof August me, the undersigned, a Notary Public in and for said State, personally appeared KATHY GRINAKER in the year 2005 before personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is(are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. Notary S~gnature U ""'- Lynette Grove Notary Printed Name Notary Public State of North Dakota ....My Commission_.~_Expires_~Mr~r. 23, 2010 Notary Public; State of Qualified in the County of My commission expires: Official Seal: NORTH DAKOTA CASS March 29, 2010 A;D'rENTION 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 © Marc J. Lifset All dghts reserved Rev. 5/30/05