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Home My WebLink About932358 0078248556 6010715717 ~~:' ~,.,' -!J1 þJ) :,~.~' -@ ~ Pr~~~~' t>;) ill: ,.. .9 ~ ,,' ~~;:. ,~! ;: ~. r-ß :'; ~.,u ' ~. ~ ' .t <I'" -~~- '~~¡ ~;':I :::::;;.' ..;:, " /] I RECEIVED 8/21/2007 at 2:35 PM RECEIVING # 932358 BOOK: 669 PAGE: 636 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Record and Return [ ] by Mall [ ] by Pickup to: WFHM FINAL DOCS X9999-01M 1000 BLUE GENTIAN ROAD EAGAN, MN 55121 Th,is Instrument Prepared By: CHELSIE ERICKSON Preparer's Name 2387 F ROAD, Preparer's Address 1 GRAND JUNCTION, CO 815050000 Preparer's Address 2 {,) 0078248556 Loan Number , /...... C00636 ATTENTION COUNTY CLERK: This Instrument covers goods that are or are to become fixtures on the land desorlbed herein and Is to be filed for record in the reoords where conveyan ces of real estate are recorded. Page 1 of 4 Inltia¡)~ ~'I) NMFL # 7111 (MAH~~ MARK E O'DRISCOLL SHEILA A O'DRISCOLL 000637 [type the name of each Homeowner signing this Affidavit]: being duly sworn, on his or her oath state as follows: 1. Homeowner owns the manufactured home ("Home") described as follows: USED 1980 CENTURY HOUSING Cl-80-24 060 x 024 Length x Width New/Used Year Manufacturer's Name Model Name or Model No. CHCC01B5S12 CHCC018SS12 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 heéílth notice for the Home. 4. The Home is or will be located at the following "Property Address": 888 COTTONWOOD STREET, LABARGE, LINCOLN, WY 83123 Street or Route, City, County, State Zip Code 5. The legal descrìption of the Property Address ("Land") is: LOT 8 OF BLOCK 2 OF THE WEST VALLEY SUBDIVISION TO THE TOWN OF LABARGE, LINCOLN COUNT'l, WYOM:ING AS DESCRIBED ON THE OFFICIAL PLAT FILED ON JUNE 30, 1981 AS INSTRUMENT NO. 560645 OF THE RECORDS OF THE LINCOLN COUNT'l CLERK THIS IS A PURCHASE MONEY SEetm.ITY INSTRUMENT. TAX STATEMENTS SHOULD BE SENT TO: WELLS FARGO HOME MORTGAGE, P.O. BOX 11701, NEWARK, NJ 071014701 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, ahd the consent of the Jessor is attached to this Affidðvit. The Home r.0is [_J 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. 7. ATTENT/ON COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the land described herein end is to be filed for record in the rfJoords wherfJ oonVfJyancas of roal estatfJ arfJ rooordfJd. Paga 2 of 4 Initial 1\ \ \~" NMFl # 7111 (MAH~~ 8. The Home shall be assessed and taxed as an Improvement to the Land. OOOS38 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 engmeer 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 m à 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; and (d) The Home IS (i) Permanently Affixed to a foundation, Iii) has the characteristics of site-built housing, and (Hi) 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, Iii) any facts or information known to the Homeowner that could reasonably affect the validity of the title of the Home or the exístence or non-existence of security Interests in it. . 12. A Homeowner shall initial only one of the followmg, as it applies to title to the Home: [Closina and Agent: please refer to the Manufactured Home and Land SUPblemental Closing Instructions for completion instructions]; [_J 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 onginal manufacturer's certIficate of ongin. ['~ The m~ufacturer' s certificate of origin and/or certificate of title to the Home [ ] shall be [\,If 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. ATTENTION COUNTY CLERK: This instrument covers goods that are or are to become fixtures on the Land desoribed herein and is to be filed for reoord ¡the. reoords where oonveyances of real estate are reoorded. Page 3 of 4 NMFL # 7111 (MAH ' IN WITN¡:SS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of he undersigned witne\ses on this 1'1 day of , . ~\ OOOS39 omeowner 1 (SEAL) MARK E O'DRISCOLL ~ ~ IÞd~ d ¡j1. !J-/~ ...;;, 1-tomeownør #2 (SEAL) Witness SHEILA A Ö'DRISCOLL Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) Witness STATEOF_U~~ COUNTY OF T~l.(..... On the , l"\ day of ~ð1-L-'7 4- in the year :::Jðo 7 before me, the undersigned, a Notary Public in and for said State, personally appeared Mark E.ÎO'Driscoll and Sheila A. O'Dricoll personally known to me or proved to me on the basis of satisfactory evidence to be the individualls) 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 slgnature(s) on the instrument, the individualls), or the person on behalf of which the individualls) acted, executed the instrument. sS.: // Z<- ~ Signature Notary Public, State of My Commission expires: LA ~ L-l /ð./cl/?ðl t? cl Ð S,^ ""-A... :c , i.( 't (. M Go. ~ < r Notary Printed Name Qualified in the County of ~ Official Seal: .-- JOSHUA ISAAC MAHER .. Notary Public State of Utah c, My Commission Expires Dec. 01. 2010 204 N Main. Tooele, UT 84074 ATTENTION COUNTY CLERK: This Instrument covers goods that are or are to beoome fixtures on the Land described herein and is to be filed for record in the reoords where oonveyances of real estate are recorded. Page 4 of 4 NMFL # 7111 (MAHA)