HomeMy WebLinkAbout932468
0078258878
RECEIVED 8/24/2007 at 3:33 PM
RECEIVING # 932468
BOOK: 670 PAGE: 25
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000025
MANUFACTURED HOME AFFIDAVIT OF AFFIXATION
Record and Return [ ] by Mail [ ] by Pickup to:
WFHM FINAL DOCS X9999-01M
1000 BLUE GENTIAN ROAD
EAGAN, MN 55121
""'-1
This Instrument Prepared By:
.....-
MAITLAND CLOSING
Preparer's Name
2600 LAKE LUCIEN DR, STE 312
Preparer's Address 1
MAITLAND, FL 327510000
Preparer's Address 2
0078258878
Loan Number
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.
Page 1 of 4 Initial: ç; tv ~/
NMFL # 7111 (MAHA) Rev 05/07
000026
EARL W VILOS
[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:
NewlUsed Year Manufacturer's Name
Model Name or Model No.
052 X 028
Length x Width
USED
1981 KAUFMAN AND BOARD HOMES BAINBRIDGE NONE
KBIDSNA113314
KBIDSNB113314
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 health notice for the Home.
4. The Home is or will be located at the following" Property Address":
36 RADIANT STREET, DIAMONDVILLE, LINCOLN, WY 83116
Street or Route, City, County, State Zip Code
5. The legal description of the Property Address ("Land") is:
SEE ATTACHED LEGAL DESCRIPTION.
THIS IS A PURCHASE MONEY SECURITY 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, and the consent of the lessor is
attached to this Affidavit.
7. The Home [¿]is [_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.
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.
Page 2 of 4 Initial: t: I/!/ 1/
NMFL # 7111 (MAHA)
000027
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 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, 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 (iii) is part of the Land.
1 Q. 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, (ij) any facts or information known to the
Homeowner that could reasonably 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 to the Home:
[Closing and Agent: please refer to the Manufactured Home and land Supplemental 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.
[_J 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 [ J shall
be [ J has been eliminated as required by applicable law.
[_J 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 described herein
and is to be filed for record in the records where conveyances of real estate are recorded.
Page 3 of 4 Initial: {: W l/
NMFl # 7111 (MAHA)
000028
IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the
presence of the undersigned witnesses on this day of
[Ä..}: (1.// I/i~
Homeowner #1 (SEAL)
EARL W VILOS
Witness
Homeowner #2 (SEAL)
Witness
Homeowner #3 (SEAL)
Witness
Homeowner #4 (SEAL)
Witness
STATE OF 9cG-l' L:l..?
COUNTY OF Lt ~
ss.:
On the ð4t+l day of ÅU~U.'2i1 in the year ~-,
before me, the undersigned, a Notary Public in and for said State, personally appeared
~\2L W. \It LlYS
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.
~m~Å
Not y Signature
\CEI~P-I L)G ~C6AS
Notary Printed Name
Notary Public, State of ~l~ Qualified in the County of U~
My Commission expires: ~ ~ti ,3Dl Ö
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1/1P¡¡'¡fl!rI~\~\~~TY CLERK: This instrument covers goods that are or are to become fixtures on the Land described herein
and IJ'.:YI~\} filed for record in the records where conveyances of real estate are recorded.
Page 4 of 4
NMFL # 7111 (MAHA)
000029
Exhibit A
Lots 3 and 4 of Block 3 of Hillcrest Subdivision to the Town of Diamondville,
Lincoln County, Wyoming as described on the official plat thereof.
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