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Home My WebLink About930185 ~ ~' ;1 (1) ~.... ~ ~~ ~() fiì (j ~ f" I::: ~ is. ~1 8 [rJ ~¿ ~§~ ~~ ~ S" g 9..,Oq -:< :;;'~ ~ ....~ 0 o .., ~J ~~; ::~. .:>- If" .5f r'" . ¡-' In i L. or;. - -9 dD"- :'.!: ........... "'..... "..~ rlK~ I ~ HORIZON. HOME LOANS R~cord and Return ¢ by Mail Dby Pickup to: First Horizon Home Loans Corporation Post Closing Mail Room 1555 W. Walnut Hill Lane #200MC Irving. Texas 75038 RECEIVED 6/11/2007 at 9:35 AM RECEIVING # 930185 BOOK: 661 PAGE: 399 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER. WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION STATE OF Wvorning COUNTYOF&~ ) ) ) '3$.: ) BEFORE ME. the undersi~ned notary public, on this day personally appeared ~ 'f'lilß e Ÿ- ,( .; {type the nail/a of eàdf HomllQWller $Îgnil7g this Affidavit): known to me to be the persot1(s) whose name(s) is/are subscribed below (each a ·'Homeowner"). 811d who, being by me first duly sworn. did each on his or her oath state as follows: 1. Homeowner OWIIS the manufactured home (nl'lome") described as follQws: 19$5 ~p?O/l/ Se~!.iðtt¿ 2.~Fe9-tø?t;o/fß. N.e '..r M.nur....i,,', N.... ModefR.... or Model No. Mrg. S"I.I $~.;flWldlh 2. The Home was built in compliance with the federal M3nufactured Home Construction and Safety Standards Act. 3. I f 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 tbe Home. and (i\') the formaldehyde health nOlice for the Home. -L The Home is or will be located at the follrm in(! "I'ropert)' Address"; e!::~~r R%f:!M,û-¿)(.íJRJ ~f4 ~ ú)f.cfJ.;¡~!'< W/li!J! A TTENTIO~ COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein and is to be filled fOT record in the records when~ conveyances of real estate are recorded, Page J of 4 O:S¡301.8~j " "', 0004~O Th~ 1.,;10,,''11 rlp>C''''rt'''tl',," oftl".a, 0"",,£10"",' A,.I...Ir~l-c- ''''1."",.1'''\:,. ...·.....ø.d b"'IO\,·..... ...t^"'....., ""'A", ^....nnl.,,.,,~ t",..n . ..... '''''è"' .....~.J"" t" VII to",- , JVtJ'-"..J . "'..u........J,.1 \ .......UU I I~ L.,' r'Ao 'U .. UL t"HIluLL.Jir.. .3'-\.0 III...."'....U\,,\.I 1\".5'" descrìption: See attached e:-;hibit a for leyal de-srìplí~)n 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 A rfida\' it. 7. The Home 0 is 0 shall be anchored to thè 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 vnlidilte any applicable manufacturer's warra.nty. and permanently connected to appropriate residential utilities (e.g., water, gas, electricity. se",'er) ("-Permanently Affixed"). The Homeo....ner 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 locnted at the Property Address. upon the delivery of the Home to the Property Address: (n) All permits required by governmental authorities have been obtained: (b) The fOl.lndatioJ1 system for the Home WilS designed by an engineerto 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 ,\o·arranty. (c) The wheels, axles, towbar or hitch were removed when the Home was. or will be, 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 (i ii) is part of the Land. 10. ¡fthe 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, II. Other than those disclosed in this Affidavit, the Homeowner is not aware of (i) any other claim. lien or encumbrance affecting the Home, (ii) nny facts or information known to the Homeowner that could reasonably affect the validity of the tille of the Home or the existence or non-existence of se¡;:urity ¡('Iterests in it. 12. A Homeowner shall initial only one of the following. as it applies to title to the Home: r ] 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 rhe 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 0 manufacturer's certificate or origin Ocertificate oftille to the Home o shall be 0 has been eliminated as required by applicable law. [ ] The Home shall be covered by a certificate of title. 3. The Homeowner desigmHes the following person to record this Affidavir in the real property records of the jurisdiction .....here the Home is to be located and upon ils rccçn;!¡"s it shall be returned by tho: rl!f(:¢rding offic:er to the same: Name: First Horb:on Home Loan Corporotion 14. This Affidll"ít is executed by Homcowner(s) pursuant to applicable state law. Page:! of4 I!-~iol\ "", "'I"'~ ."', .... 'V~~U..Q,,::::'):..J 00040:1L IN WITNESS WHEREOF, l'lomeo~~has e. eCl e. lInd~rsigl1ed \\ itl1esses on this d day of 'f{\ \ \LClf ~ C.- \\1 \ met";? (SEAL) Homeowner # I 'fYy. V-û (~ c: - \--\ \ \yY\ûS Printed Name this Affidavit in mv Rres~ and in the presence of the , ~-r - W hness (ffJ.':o?~ (SEAL) . \ Witness (SEAL) Homeowner #3 Witness Printed Name STATE OF ) ) sS.: ~-:} in the yei'lr before me, the undersigned. a Notary Signature ~ Notary Printed Name Notary Public: State of Qualified jrt the County of My commission expires: ~~ DONNA BOOTH· NOTARY PUBLIC COUNTY OF 1'2\ STATE OF LINCOLN \115' WYOMING MY COMMISSION EXPIRES SEPT. 20, 2007 Official Seal Lender's Statement of Inrent: Page J of4 OS3018~; ~)OO·~·O' _I. t:<~' The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent improvement to the Land;r" First Horizon Home Loan Corpora«ion Lender B>';~~ orized Si ature STATE OF '^/0'lyng, COUNTY OF ø~ ) ) 55.: ) personally known \0 me or proved to me on II~ bnsis of satisfactory evidence to be the individual(s) v. hose 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 thai by his/her/their signature(s} on the instrument, the ilidividual(s), or the person behalf of which the individual(s) acted, executed the instrument. ~Æ~ Notal')' Printed Name Notar)' Public; State of Qualified in the County of My commission expires: DÖNÑÀ âÕOTR -NôtA o ffj ¡a PEJ/awrk OF (I) AY PUBLIC üÑëåLN STATE OF wYOMING MY COMMISSION EXPIRES SEPT . 20. 2007 Drafted By: Page 4 of 4 tJ~~:;Njl SS Exhibit A File 6010715180 Description 000403 The land referred to in this document is situated in the State of Wyoming, County of Lincoln, and is described as follows: Lot 6 of Star View Estates Subdivision, Lincoln County, Wyoming as described on the official plat filed on November 4, 1981 as instrument No. 568074 of the records of the Lincoln County Clerk.