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Home My WebLink About918499 :¡ II .dß ]~~ .~~-a J~ r: 10 v.I 6) 'EJ: ' .' o:E .~,L :?~,'. ,", it" f( 1""'......) t ./ {i r;¡~t~:~~:~;~; ~:i~; :;!~;~; ~ I,.'·,..",·.·..·,'. ,. :~:::~~~~~::*:: :;:::::~:::~~:!:.:;~;:: . ,'-."'- -.; ;'·,·"""~~~17.~.:.;':~:-O:'-.':.,·..,<1fJ¡¡:. r;'·'~"-......<¡..-.2"'.1'··.,-·":O';UUP:..1I:.........T ",...."'..-!O.. ~. -" 'r_ .........,.....:6'\.-...: '~. ',-"1::.'.- '...·.>.·,-.·'·.·r.·..·,...".I':I:.·.... ........ ·~'·!>J.'1~.i">iI"~·ü.":"'...."",IK.....,..·~:'1~·¡~...:.··~,-'.··· .#. ··i',·...·....,;..¡.....-"'..1"~."·,...-· "-.' \.' ..,;.r""";':",'I"''''.~.L'''''' ðO Record and Return to: WELLS FARGO BANK, NA' FINAL DOCUMENTS X9999'91M 1000 BLUE GENTIAN ROAD EAGAN. MN 55121·1663 RECEIVED 5/17/2006 at 3:59 PM RECEIVING # 918499 BOOK: 620 PAGE: 376 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION BEFORE ME, the undersigned notary public, on this day personally appeared (type the name(s) of each Homeowner signing this Affidavit): COO:i76 0152027488 known to me to be the person(s) whose name(s) is/are subscribed below (each a "Homeowner"), and who, being by me first duly sworn, did each on his or her oath state as follows: 1, Homeowner owns the manufactured home ("Home") described as follows: USED New/Used 1998 Year ATLANTIC HOMES Manufacturer's Name I Model Name / Model No. 76 X 27 Lenght! Width 4798-078-9948-A Serial No, 1 4798-078-9948-8 Serial No, 2 Serial No.3 Serial No.4 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. 4. The Home is or will be located at the following "Property Add ess": See Attached Leeal Description 5, The legal description of the real property where the Home is or will be permanently affixed ("Land") IS: 6. The Homeowner is the owner of the Land or, if not the owner of the land, is in possesion of the real property pursuant to a lease in recordable form, and the consent of the lessor is attached to this Affidavit. (Page 1 of 5) EC228A REV. 12/22/05 . '·-;·'·.'I_·r'~I:1·Tr, -~.::' . ',"',"; , ,', .·.~.·r.·.·,·,·,,·,:,'·". " .,' :.,·!:....~~'1.I'....-....·h""~~....·.~' .~.,!:-"."' " ":':', ¡'.',·,_·-o..,II';·,"':"j", ·'j'I:":', ."...~..:.... ,.....J -".'.'"- 091.8499 C n n ':')) ,...,( 7 I.. \... \. 0152027488 7, The Home Is anchored to the Land by attachment to a permanent foundation, constructrd in accordance with applicable state and local building codes and manufactures's specifications in a manner sufficient to validate any applicable manufacturer's warranty, and permanently connected to appropriate resindential 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 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 Property Address. 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, or will be. placed on the Property Address; (d) The Home is (i) permanently affixed to a foundation, (ii) has the characteristic of site-built housing, and (iii) is part of the Land; and (e) The Home is permanently connected to a septic tank or sewage system and other utilities such as electricity, water and natural gas. 10, If the Homeowner is the owner of the Land. any conveyance or fmancing 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 applicant that could reasonably affect the validity of the title of the Home or the existence or non-exixtence of security interests in it. 12. A release of lien from each of the lien holders identified in paragraph 11 of this Affidavit _ has been shall be delivered to the commissioner of motor vehicles. 13, A homeowner shall initial only one of the following, as it applies to title to the Home: L The Home is not covered by a certificate of title, The original manufacturer's certificate of origin, duly endosed to the Homeowner, is attached to this affidavit. . _ 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 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. 14. The Homeowner designates the following person to record this Manufactured Home Affidavit of Affixation and upon its recording it shall be returned by the recording officer in thð real property records where the home is to be located to same: Name: Address: 15, The Affidavit executed by Homeowner(s) pursuant to applicable state law. (Page 2 of 5) EC228C Rev, 12/22/05 ~"'''''~ "'~'~i:' ""-;'V¡~ .;1~1:¡~~~~~W~'~:: ~;":f.~:~:~;1¡~::~ æ-~¿~~::::: ;'. ~'''i' ... ~~;~(ij t:C. ~ ._ '.ft~ , , I '. '-~.¡ :1:",', :,'.'.. " ....!1 , '. ,., ..~ '. '" . ~',', , ... I '.\',;"-f ¡~,;.,t:'. :" .. ··...,·,.,··.··.....;.:-...u.-...·.. ".. ·,·,,·.·.·.·.·.·.·.·.·...1·.·'· .' ""·'C'>'_J."._"",·r<;'-i·«;>"~I(.".'.· ,0.:::' .;.... ,~.. "-'-" ,'; ·~"~Cr.,;··,·,~···'" ., '. - '." ",..' ,.,:'¡-"''lo:.~r.''''.', . . .. 091.8L199 C (1 0 :-; 7 8 T~~1ir 0152027488 IN WIlNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersined witnesses on this day of ~vf/dS -Bocrower -Bocrower Witness Witness , STATE OF LJ~.· '. ) ) ss.: COUNTY OF ) in the year ðù 0 b er onally appeared before own to me 0 proved to me 0 the basis of satist: ory evidence to be the individual(s) whose n 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(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 Printe a e . Notary Pubh. ate of ~ Qualified m tbe Co,,:,ty of . . My comrrusslOn explfes ~- t~:~~:~~'"~;~J (Page 3 of 5) EC22BE Rev. 12/22/05 ;,.,- ",.~-. ..,'..,,' ...., : ..-.."I;!;I;..I...¡.;.:,...:·...;'.'"'''\t:.~......~_'I1'~~)ij;'l."..'"'''.-f·,_~~.:"'....-.~·.:.~~....._.·..~~""I" i'.V:r.'·;"....<,·:';.;.;.:I:.¡t¡I¡«<I:J¡.,.:.';. "-.'> ",·t· , ,.:...:-.",,'!'~'¡J~~,~~.;.cM."":'I?:")".Q"'''H'I:o\:'~'':' "'.' "','~::';j.. ."~~ir.:~'2;~.1¡.1,~tr."·;<:'F-:'·':·I'_";~ .~tøo.¡';'..~'.' '. O~1.S499 r. . '1 (1 t.:: t"1 9 \_".!"':d ( Lender's Statement of Intent: 0152027488 The undersigned ('Lender") intends that the Home be an immoveable fixture and a permanent improvement to the Land. WELLS FARGO BANK, N.A, Lender By: ·¡f/àd/~ Authó' . a Signature ' STATE OF COUNTY OF ) ) ss.: ) On the day of in the year me, the undersigned, a Notary Public in and for said State, personally appeared 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. before Notary Signàture Official Seal: Notary Printed Name Notary Public; State of Qualified in the County of My commission expires A 1TENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Property described herein and is to be ftled for record in the records where conveyances of real estate are recorded. (Page 4 of 5) EC228G Rev, 12/22/05 :;:.¡.::::,:':::::;;;;\ tl·~·"·.'~~~ 1);;~::ili~~~f~L~ill '::1:::::::: ;:::~:f:~~:~~: ~~,''.I'.'.'.~I.'.'""" I.::I.!~~ tI,lw!1!fI ì ., ...~ '.~.;a:,;tà::a:.:'I~'" '~':':'7';., .;.·.õ1.;...:'O;....1...~·.;.....'":"~'J"....r.r,"; ,.; ~7.":'·.~ ,. :'. ~'. .... : ... ".. '.~"'.. .:.:.:.:.:.:.:.:.;...... '.' . .. . . ·.·..i·....·N4~.."...':'".-;>~J"-:·f!J'.~...~"('...,,~.~!I',.,,..¡~.... ~.f.·~·; " ~··-..·..·....."....~..·!.....·.·~!.~I!·:.. K' ._'"j''''' . ...,.."....,...,......,. ;, 'of ' 0918499 c '" .- 59 11 EXffiBIT A 0152027488 PROPERTY DESCRIPTION The legal description of the Property Address ("Land") is typed below or please see attached legal description: Southeast Quartel' of the Southeast Quarter of Section 22, Township 21 NOI·th Range 117 West of the 6th P.M., Lincoln County, Wyoming.' (P::¡no ~ nf'¡:::\ 1:('l}l)al DC'" 1,>I,>n/nr= />