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Home My WebLink About927770 U .-J ¡>.,.-J .l:¡ bi) ~:;; .!§ "". E tj· p u .>~ 8 f3: ~ or) ~"~~ c:: r.~ 0 0 1)iS~ o [2 III ::¡ ~ t: ~ f.q & ;'""CI U : r.: o:z j :; ¿a ';:¡ f:; 8 ê ~ I T W-190BEcK7015342 MANUFACTURED HOME AFFIDAVIT OF AFFIXATION RECEIVED 3/21/2007 at 3:58 PM -_A_ ";9 RECEIVING # 927770 BOOK: 652 PAGE: 49 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY WHEN RECORDED RETURN TO: New Line Mortgage 4516 South 700 East #200 Salt Lake City, UT 84107 Closer name: Robyn Sandberg 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. Loan number: 7015342 Borrowers names: LORI A. BECK Being duly sworn, on his or her oath state as follows: 1. Homeowner owns the manufactured home ("Home") described as follows: USED New/Used 10148U&X Serial No.(s) FUQUA Manufacturer's Name SEQUOIA Model Name or Model No. 50.0' X 23.3' Length x Width 1989 Year 2. The Home was built in compliance with 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 (1) the manufacturer's warranty for the Home, (2) the Consumer Manual for the Home, (3) the Insulation Disclosure for the Home and (4) the formaldehyde health notice for the Home. 4. The Home is located at the following "Property Address". Property address: 349 THREE RIVERS DRIVE, ALPINE WY 83128 5. The legal description of the Property Address ("Land") is typed below. Legal Description LOT 43 OF FOREST MEADOW SUBDIVISION, LINCOLN COUNTY, WYOMING AS DESCRIBED ON THE OFFICIAL PLAT THEREOF. Which is affixed and attached to the land and is part of the real property: Year: 1989 Make: FUQUA Model: SEQUOIA Serial Number: 10148U&X 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 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 (water, gas, electricity, sewer) 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. W-190BEcK7015342 Wells MH Affidavit of Affixation uuuua~190BECK7015342 9. Homeowner agrees that as of today: (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 (1) Permanently affixed to a foundation, (2) has the characteristics of site built housing, and (3) 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 (1) any other claim, lien or encumbrance affecting the Home, (2) any facts or information known to the Homeowner that could reasonable 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 of 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 and/or 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. d~·¿J· ~ On this /9 f!! day of ~4')J Public in and for said State, persona y appeared ,~7 I before me, the undersigned, a Notary LORI A. BECK Borrower(s) names 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. State of Wý ðWJì>1j County of County of Lincoln State of Wyoming My Commission Expires February 26, 2008 Wells MH Affidavit of Affixation W-190BECK7C15342 03~7?70 Lender's Statement of Intent: 000051. The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent improvement to the Land. New Line Mortgage, Div. of Republic Mortgage Home Loans, LLC Lencierl .) í1 1 n By:~I;~::)ð-'tvL{11 JYðvvLí[tf,lc/~ Authqrize~ture (j State of Utah County of Salt Lake On the ~'" day of \~V'cJ·" in the year 200ì and for said State, personally appeared before me, the undersigned a Notary Public in Robyn Sandberg Closer name Personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity and that by his/her signature on the instrument, the individual or person on behalf of which the individual acted, executed the instrument. W-190BEcK7015342 Wells MH Affidavit of Affixation