HomeMy WebLinkAbout913243
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RECEIVED 10/28/2005 at 3:02 PM
RECEIVING # 913243
BOOK: 602 PAGE: 880
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER, WY
MANUFACTURED HOME AFFIDAVIT OF AFFIXATION
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Record and Return 121 by Mail 0 by Pickup to:
Wells Fargo Bank, N.A.
1COO Blue Gentian Road
MAC X9999-01M
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Eagan, MN 55121
This Instrument Prepared By:
Ania N. Kalvoda
Preparer's Name
MortQaQe Closer
Preparer's Title
808 Third Avenue South
Street Address
FarQo, NO 58103
City, State Zip
0057017717
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
C> Marc J, lifoet All rlghls reselVed
I Rev. 8/2212005
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Gene D. McElhannon
[type fhe name of each Homeowner signing fhis Affidavit]:
being duly sworn, on his or her oath state as follows:
1. Homeowner owns the manufactured home ("Home") described as follows:
New
New/Used
2004
Year
Hiqhland Mfq
Manufacturer's Name
41015
Model Name or Model No.
60,3x30.3
Length/Width
HS-11275 AIB
Serial No.
Serial No.
Serial No.
Serial No.
2. The Home was built in compliance with the federal Manufactured Home Construction and Safety Standards Act.
3. 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.
4. The Home is or will be located at the following "Property Address":
244 0 Avenue LaBarqe Lincoln
Street or Route City County
WY
83123
Zip Code
State
5. The legal description of the Property Address ("Land") is typed below or please see attached legal description:
Lots 15 and 16 of Block 1 of Alleman 2nd Addition to the Town of LaBarqe.
Lincoln County. Wvominq as described on the official Dlat 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 0 is t8J 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.
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
C> Marc J. Ufset All rights reserved
Rev. 8/19n005
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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:
rClosing Agent: please refer to the Manufactured Home and Land Supplemental Closing
Instructions for completion instructionsl:
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 and/or certificate of title to the Home [Ø shall be ~ has been
eliminated as required by applicable law.
L-J The Home shall be covered by a certificate of title.
13. This Affidavit is executed by Homeowner(s) pursuant to applicable state law.
L-J
L-J
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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
@ Marc J. Lifset All rights IBserved
Rev. 8/1912005
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IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the
undersigned witnesses on this day of __
.~,# ¡U/k------
Borrower #1
(SEAL)
Witness
GeneD. McElhannon
Printed Name
(SEAL)
Borrower #2
Witness
Printed Name
(SEAL)
Borrower #3
Witness
Printed Name
(SEAL)
Borrower #4
Witness
Printed Name
STATE OF
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) ss.:
)
COUNTY OF 'In ,/~
~1fL day of fJc-lo~
ed, a Nota Public in and for said State, personally appeared
c ~b'""A-J ,
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 helshelthey 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.
in the year
oZðO 6
before
~j.~
N0(j ~~:;~; S, {)~7EP-
Notary Printed Name
Official Seal:
Notary Public; State of
Qualified in the County of
My commission expires:
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"OFFICIAL SEAL"
PUBUC JANICE S OSTER
STATE OF
IWNOIS COMMISSION EXPIRES 11/09/08
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 4 of 5
@ Marc J, Llfset All rlghls lesetved
Rev. 8/1912005
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lender's Statement of Intent:
The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent
improvement to the Land.
BW Mortqaqe LLC
Lender
By:
Authorized Sig ture KATHY GRINAIŒR
PRODUCTION OPERATIONS MANAGER
STATE OF NORTH DAKOTA
ss.:
COUNTY OF CASS
On the 24TH day of OCTOBER in the year 2005 before
me, the undersigned, a Notary Public in and for said State, personally appeared
KATHY GRINAKER PRODUCTION OPERATIONS MANAGER BW MORTGAGE LLC
,
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 helshelthey 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, e ed the instrument.
r '
. KALVODA
Notary Public; State of
Qualified in the County of
My commission expires:
NORTH DAKOTA
CASS
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
Ii:> Marc J. Litsel All rights ",served
Rev, 8/1912005