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60~o/-b1~2007
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15:39
First Horizon
307 734 7881
P .13
~ FIRST
III HORIZON.
HOME LOANS
000603
Record and Return IX! by Mail Dby Pickup to:
First Horizon Home Loans Corporation
Post Closing Mail Room
1555 W. Walnut Hill Lane #200MC
Irving, Texas 75038
RECEIVED 2/4/2008 at 3:37 PM
RECEIVING # 936709
BOOK: 685 PAGE: 603
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER WY
MANUFACTURED HOME
AFFIDAVIT OF AFFIXATION
STATE OF Wxoming
COUNTYOF~ív~~LAI
)
) 5S.:
)
BEFORE ME, the undersigned notary public, on this day personally appeared
J /9:;;::::>;1/ r})eC!L)/"cu
[type the name afeach Hall/eowner signing this Afjìda\'iI]:
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:
J.
Homeowner owns the manufactured home ("Home") described as follows:
:r}i~ M'&Þ.~' Mtt~!..'M1.fl~~~~!.;:(t~,/:!.~!r!.1A/
ið.3X 2&.3
The Home was built in compliance with the federal Manufactured Home Construction and Safety
Standards Act.
/Jj)J.CL
New/Used
2.
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 formaldehyd~ health notice for the Home.
4. The Home is or will be located at the following "Property Address";
!83/P ~7~b 1Jmrj4l/I;0d/ðYJ. J..¡Á/eðt.J/
Street or Route Ci ' County
3.
1.1 J V
Staíe
J?3//{)
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 of real estate are recorded.
Page I of 4
MAY-U1-~UU1 lÞ:J~
!,'ìrst Herì zen
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1". 14
" TIle ('"gal d........rinti,," ,..,r tha Dr...."...+.' ^ ~I'Ir.."r ("1 ....1'1", ;... h 'nad balo\\' or PIca..... s"'" .......""',,A ,,,,...1
~ '" IV .. ......~. .......\.,111 ""A ""~ .. . U~"'J "J .. ---, ~..,.." ..............1 J'oJ¡ ") 1"'''' '" .:Þ~ \.'"" .u.IUI\..II~U n""ðal
description:
See attached exhibit a for legal desriptioll
000604
6. The Homeowner is the Owner of the Land or, if not the owner of the Land, is in possession ofthe
real property pursuant to a lease in recordable form, and the consent oflhe lessor is anached to this
Affidavi't.
7. The Home ~ is 0 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.
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 fóundation system for the Home was designed by an engineer to meet the 5ioil
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, tow bar or hitch were removed when the Home was, or will be, placed on
the Property Address; and
(d) The Home is (i) Permanently Affix.ed to a foundation, (ii) has the characteristics of site-built
housing. and (iii) 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.
II. Other than those disclosed in this Affidavit, the Homeowner is not aware of (i) any olher claim, líen
or encumbrance affecting the Home, (ii) 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 or the following, as it applies to title to the Home:
[ ] The Home is not covered by a certificate or 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 oftille. After diligent search and inquiry, the
Homeowner is unable to produce the original manufacturer's certificate of origin.
[ ) The 0 manufacturer's certificate of origin Dcertificate oftitJe 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.
13. The Homeowner designates the following person to record this Affidavit in the real property records
of the jurisdiction where the Home is to be located and upon its recording it shall be returned by the
recording offiCo!r [0 th.. "..m..:
Name:: First Horizon Home Loan Corporatìon
14. This Aftìdavit is executed by Homeowner(s) pursuant to applicable state law.
Page 2 of 4
MAY-07-4VVI 15:39
First Horizon
307 734 71:J::J1
P .15
000605
IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence oflhe
ulldersigned witllesses on this 4 day of (Ý/)JI , .;20',7.
~"" ~ (SEAL) .
~eowner # I Witness
~Q.':;¿' "'- D tþ 10) "ø,.
Printed Name
(SEAL)
Homeowner #2
Primed Name
(SEAL)
Homeowner #3
Printed Name
STATE OF W\'om!n~ )
~) ) sS.:
COUNTY OF
W ¡tness
Witness
On the 'I day of 7n~, 2007
Notal)' Public in and f~ Stat~~~
pmonally k~e or proved 10 me on the basi. of sati.factory evidence to be the individua~.) whose
name(s) is (are) subscribed 10 the within instrument and acknowledged to me that he/she/they executed the Sélme
in his/her/their capaclty(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the
person on behalf of which the individuates) acted, executed the instrument.
Ate~M ~
Notary Signature
bL-OR/A N. ßYEI?S
Notary Printed Name
in the year before me, the undersigned, a
Notary Public; State of
Qualified in the County of
My commission expires:
t~9
GLORIA K. BYERS· NOTARY PUBLIC
'County of State .of
Lincoln Wyoming
My Commission Expires Sept. 15, 2007
Official Seal:
Page 3 of4
Lender's Statement of Intent:
MAY-U'(-;WU'( 10: ~~
¡"irst !tori zon
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1-'.lb
The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent
improvement to the Land
000606
first Horizon Home Loan Corporation
Lender
Bq:~Wre ~
STATE OF Wyoming
COUNTY OF ~~)
)
) 55.:
)
in the year ó2 007
ic in and for said St te, persoqally appeared
o .
personally kno to me orproved to me on the basis of satisfi ctory ev idence to be the individual(s) ....·hose
name{s} is (are) subscribed to the within instrument and acknowledged to me that he/she/they tJtecuted the same
in his/her/their capacity(ies), and that by his/her/their signature(s) On the instrument, the individuat(s), or the
persOn on behalf of which the individual(s) acted, executed the instrument.
~M~
'Notary Signature
QLORIA 10(.
Notary Printed Name
J2YIE/?,S
. ..
Notary Public; State of
Qualified in the Counry of
My commission e:o;pires:
~~
9 -/5-07
Official Seal:
GLORIA K. BYERS. NOTARY PUBLIC
C~unty of, State of
Lmcoln W.
M C yomlng
Y ommlsslon Expires Sept. 15, 2007
Drafted By:
Page 4 of4