The URL can be used to link to this page

Home My WebLink About937026 ) ~ ~ ª :5 ;>, ~ ;.;. "'¡:3 :3 Ó >. >- b ¡a ~~ ¡¡ 0 o u ". "" ë<iI r.I1 ~ ~ ..... ::i ( ( ~ ~ tLí / l' ; t \ I .¡ t, ,\ \ lannlbh, wf 6010716197 RECEIVED 2/19/2008 at 12:31 PM RECEIVING # 937026 BOOK: 687 PAGE: 129 JEANNE WAGNER LINCOLN COUNTŸ CLERK, KEMMERER, WY Record and Return 0 by Mail 0 by Pickup to: ROCKY MOUNTAIN BANK 2515 FOOTHILL BLVD. ROCK SPRINGS, WYOMING 82901 0001.29 Loan Number: 7286768 MANUFACTURED HOME AFFIDAVIT OF AFFIXATION STATE OF WYOMING ) ) ss.: ) COUNTY OF LINCOLN BEFORE ME, the undersigned notary public, on this day personally appeared CODY S MILLARD, ASHLEY N MILLARD 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: 1. Homeowner owns the manufactured home ("Home") described as follows: NEW New/Used 2007 KIT HOMES Year Manufacturer's Name 208KID 1936 AB 2019 66 X 26.7 Length x Width Model Name or Model No. Manufacturer's Serial No, IDA 275676 AND IDA 275677 HUD Label Number(s): Certificate of Title Number: 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, (Hi) the Insulation Disclosure for the Home, and (iv) the fonnaldehyde health notice for the Home. MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 10/20/05 Page 1 of 5 (:.f-I\ ~ V\ DocMagic ~ 800-649-1362 www.docmsglc.com 4. The Home is or will be located at the following "Property Address": 6001.30 423 VALLEY VIEW DRIVE, COKEVILLE, WYOMING 83114 Street or Route City County State Zip Code 5. The legal description of the Property Address ("Land") is: LOTS 14 AND 15 OF TAYLOR SECOND SUBDIVISION, LINCOLN COUNTY, WYOMING AS DESCRIBED ON THE OFFICIAL PLAT FILED ON SEPTEMBER 6, 1978 AS INSTRUMENT NO. 513535 OF THE RECORDS OF THE LINCOLN COUNTY CLERK. A.P.N.: 12-2419-18-2-01-001.00 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 fonn, and the consent of the lessor is attached to this Affidavit. 7. The Home 0 is 0 shall be anchored to the Land by attachment to a pennanent 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) ("Pennanently Affixed"). The Homeowner intends that the Home be an inunovable fixture and a pennanent 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 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 (Hi) is part of the Land. 10. If the Homeowner is the owner of the Land, any conveyance or fmancing 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, (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. MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 10/20/05 Page 2 of 5 CM A'\J\-\ DocMagic ~ 800-649-1362 www.docmagic.com mlbh,wf · . 12. A Homeowner shall initial only one of the following, as it applies to title to the Home: o 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. 000:13j. o 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. o The 0 manufacturer's certificate of origin 0 certificate of title to the Home 0 shall be 0 has been eliminated as required by applicable law. o 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 officer to same: Name: Address: 14. This Affidavit is executed by Homeowner(s) pursuant to applicable state law. IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersigned witnesses on this 19th day of December, 2007 Witness Witness ~ CO S MILLARD ) (Seal) -Borrower (Seal) -Borrower (Seal) -Borrower (Seal) -Borrower (Seal) -Borrower (Seal) -Borrower MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 10/20/05 Page 3 of 5 DocMagic ~ 800-649-1362 www.docmagic.com múbh. wf 0001.32 STATE OF WYOMING ) ç' I \/1/LJ..d'vl D.,lr ) ss.: COUNTY OF L~LN 0/,()!JO! ¡,uA:/Tl/1 ) On the .r1+~ day of âð~ in the year QaQi- me, the undersigned, a Notary Public in and for said State, personally appeared CODY S MILLARD, ASHLEY N MILLARD before personally Irnown 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 edged to me that he/she/they executed the same inhislher/their capacity(ies), and that by his/her eir signa e(s) on the instrwnent, the indo (s), or the person on behalf of which the individual(s) a ed, executed e instrwnent. Notary Printed Name Notary Public; State Of~. VùW} . Qualified in the County of Y!)))~ My Commission Expires: ¡ ( / /lPI/{){JJ V MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 10/20/05 Page 4 of 5 DoçMøgic ~ 800-649-1362 www.docmllgic.com nlbh, we 000133 Lender's Statement of Intent: The undersigned ("Lender") intends that the Home be an immovable fixture and a permanent improvement to the Land. ROCKY MOUNTAIN BANK Lender By: Authorized Signature STATE OF WYOMING ) . ,·01 'VJn.J-1/ Yìkù-ss.: COUNTYOF·~/W.{7 f) On the \ ctrVt day of JjQ.C -eArl WI in the year QOO -:]- before oreaw~ed.iV\~ Pubtwt ë:Said sWe. personmly appeared . personally known to me or proQ;o ore on the basis of satisfactory evidenœ to be the individnm{s) whose name(s) is/are subscribed to the within instrument and ackno- edged to me that he/she/they execu e same in hislher/their capacity(ies), and that by hislher/ :ér;signa (s) on the instrument, the ·nãiV'âual(s) or the person on behalf of which the individual(s) ac d, ~ed e instrument. I""~--""'~""-~--'''''''''''--'-''''''''---''-''''''''''----~ [S.HANNON. M. .PO\~~I+ . NOTARY PUBLIC I COUNTY OF' STATE OF I ~WEETWATER , . WYOMING I ·,c;~. . d1Æ,tJ ¡'I Oß ¡ It hAÝ CU,1MISSION eXP:H!':S -:.1.p-- J ~~~----~~~~-------~-~------ (Official Seal) No~ Public; State of vJý {)Y!t1Y1q¡, Qualified in the County of ~Mcdet- My Commission Expires: I ( I {)o¡ /~(jJf Drafted By: MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 10/20/05 Page 5 of 5 DocMagic ~ 800-649-1362 www.docmsgic.com rmfbh. wf