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Home My WebLink About927039 u ~ ?-,..JI ..0 64 '1;;J I::; (1..) ...... 1: s o 0 t)~ ~t.;..~ Olj ~- :::: J::: 0 0 'r; E$ >~ .oor; .;!: t; t: i:5 ~'1 5 OJ"<:: t) S I::; c; .::! <>:I "1 g.;g «t ~~ or-: 4.> ~M ~ ú l"ba:J-12-2l1n'7 1 t:: : 14 First Horizon 307 734 ,-".,n, P.13 Ol..j ~ FIRST ¿~ HORIZON. HOME LOANS 000646 Record and Return ø by Mail Dby Pickup to: RECEIVED 2/26/2007 at 11 :20 AM RECEIVING # 927039 BOOK: 649 PAGE: 646 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY First Horizon Home Loans Corporation Post Closing Mail Room 1555 W. Walnut Hill Lane #200MC Irving, Texas 75038 MANUF ACTlJRED HOME AFFIDAVIT OF AFFIXATION STATE OF Wyoming ) ___~ )ss.: COUNTY OF C7.......4 ) ft" BEFORE ME, the undersigned notary public, 0/1 this day personally appeared gess/t!.cU 7rz~ & ~ [f)pe the name of each Homeowner signil1g this AffidU1'it): 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: ~I (!).¡Q,n?,o 10-111 I?... 0'1- 63;¡..()jSS9.4ø Year Manufacturer's Name Model Name or Model No. Mfg. Serial No, Len@!hlWidth ~fÞ.ØI)( æ. 7 ~ New/Used 2. The Home was built in compliance with the federal Manufactured Home Construction and Safety Standards Act. I f the Homeowner is the first retail buyer of the Home, Homeowner is in receipt of (0 the manufacturer's warranty for the Home, (ii) the Consumer Manual for the Home, (iii) the Insulation Disclosure for the Horne, and (iv) the formaldehyde health notice for the Home, 4. The Home is or will be located at the following "Property Address": 22.~ L!rn1? L/t1VG; Emir) Lt/t¡eo{J¡f I úJ II Street or Route City County , Sta"J' 3. $'Sl/~ Zip Code ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and is to be filled for record in the records where conveyances ofreal estate are recorded. Page I of4 1Jf<V 0927039 c¡ "' . 000647 Tile leg'" d..r,...:nt:,," ",r tho P,"""'OI"t\:l Addr..rr ('" ".,,.1", :... ...,....,.1 h..ln,,, or pI..."..... ........ ....""...",.1 1"""1 ~ ""'i,JIiw& ¡t"U""U VI ....'Þ I I Vt'...., '.1"\ IW~" .....404"""') ''''' ") ......... "''''." . """.3"" """"" "1"'"\011.1"-'" ."'6" description: See anached exhibit a for le1þal desription 6. 7. 8. 9. 14. 10. 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. The Home 0 is 0 shall be Bnchored 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 v~\idate any applicable manufacturer's warranty, and permanently connected to appropriate reslidential utilities (e.g., water, gas, electricity, sewer) ("Permanently Affixed"). The Homeowqer intends that the Home be an immoveable fixture and a permanent improvement to the Land. II The Home shall be assessed and taxed as an improvement to the Land. 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 ~ddress: (a) All permits required by governmbntal authorities have been obtained; (b) The foundation system for the Hbme was designed by an engineer to meet the soil conditions of the land. All foun~ations 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, ax.les, towbar or hitch were removed when the Home was, or will be, placed on the Property Addre9s~ 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. If the Homeowner is the owner öfthe Land, any conve)'ance or financing of the Home and the land shall be a single transaction under applicable state law. 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 arthe Home or the existence or non-existence of security interests in it. 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 oftitle. The original manufacturer's certificate of origin, duly endorsed to the Homeowner, is anached to this Affidavit, or previously was recorded in the real property recordg 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 cel1iticate of origin. [ ] The 0 manufacturer's certificate of origin Dcertificate of title to the Home o shall be 0 has been eliminated as required by applicable law. [ ] The Home shall be covered by a certificate oftitle. The Homeowner designates the following person to record this Affidavit in the real propeny records of the jurisdiction where the Home is to be located and upon its recording it shall be returned by the recording ùrr.è:o!Ir to the sam.,¡:: NamCl; First Horizon Home Loan Corporation II. 12. 13. This Affidavit is execúted by Homeowner(s) pUr!luant to applicable state law. Page 2 of 4 ~ FEB-12-20n? 1c:14 First Horizon 307 734 Mnn, P.15 0927039 IN WITNESS WHEREOF, Homeowner(s) has executed this' Affidavit in my presence and in the presence of the Llllder~i~lledwitl1eS~eSOl1thiS ILl day of "1Mrll..tu:; ,d007 . r.t{.uù Jø;ù..û,Z (SEAL) meowner # I Witness ..J f:;S S(l'A rt1./I- J21 E SC H I ¡:= tJ e ¿VI Ì'" z... Printed Name 000648 (SEAL) Witness Homeowner #2 Printed Name (SEAL) W itoess Homeowner #3 Printed Name STATE OF Wyoming " ) ) S5.: COUNTY OF 7 in the year before me, the und~rsigned. a personal y known to me or proved to me on the basis of satisfactory e ence 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 capllcity(ies), and that by his/her/their signaturc(s) On the instrument. the individual(s), or the person on behalfofwhich the individual(s) acted, executed the instrument. AJe~f!. ~ Notary Signature . (;¿o&jEJ. k· ß Y £12 S Notary Printed Name Notary Public; State of Qualìficd in the County of My commission expires: ~ 9 - /.5 ~ 0 7 GLORIA K. BYERS· NOTARY PUBLlO C~Llnty of ~r~ State of Lincoln ~iÈ;¡~ Wyoming My Commission Ex-pires Sept. 15, 2007 Official Seal: Lender's Statement of Intent: Page 3 of4 0327033 . 000649 The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent Improvement to the Land First Horizon Home Loan COrJJoration Lender By: STATE OF Wyoming COUNTY OF ~ ) ) S5.: ) personally kn n to me 0 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. AJe~M~ Notary Signature G¿o¡Q/-A f¿. ßYERS Notary Printed Name Notary Public; State of Qualified in the County of My commission expires: Ú)1j 0'YYU/J?3 ~ 9-/5-07 Official Seal: GLORIA K, BYERS - NOTARY PUBLIC . State of County of Wyoming Lincoln . My Commission Expires Sept. 15,2007 Drafted By: . . Page 4 of 4 1<'.I:!:/:-l :¿-:¿U('7 1 h : 16 O~27039 First Horizon 307 734 '7an. P.22 000650 PROPERTY DEScriPTION The legal description of the Property Address ("Land") is typed below or please see attached legal description: Lot 9 of CMR Subdivision, Lincoln County, Wyoming as described on the official plat No. 363 filed on June 15, 1995 as Instrument No. 803595 of the records of the Lincoln County Clerk. !) :~I~ '!i:,n:. :.<:.~:~ ('1.\: TOTAL P.22