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6010715757
Record and Return to:
RECEIVED 8/14/2008 at 12:56 PM
RECEIVING # 941295
BOOK: 702 PAGE: 375
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
WELLS FARGO BANK, NA
FINAL DOCUMENTS X9999-01 M
1000 BLUE GENTIAN ROAD
EAGAN, MN 55121-1663
000375
MANUFACTURED HOME
AFFIDA VIT OF AFFIXATION
0172140691
BEFORE ME, the undenngrled notary pubhc., on thIS day personally appeared
VINCENT J GUINTA SR
known to me to be the person(s) whose name(s} Is/are subscribed below (each a "Homeowner"), and
who, bemg by me first duly sworn, did each 011 hIS or her oath state as follows
1. Homeowner owns the 1118nufactlU"ed home ("Home") described as follows
USED
New/Used
1986
Year
GUERDON
Manufacturer's Name
1JfAf5213
Model Name / Model No
60 X 27
Length / Width
GDBOID40865213A
Serial No.1
Gi;illQlD4086521~
Serial No, 2
Serial NO.3
Serial No.4
2 The I-lome was built In comphance with the· federal Manufactured Home oOnstructlO11 and Safety
Standards Act
3. If the Homeowner is the first retail buyer of the Home, Homeowner is In receipt of (1) the
manufacturer's warranty for the Home, (ii) the oonSl1.rner Manual for the Home, (iii) the InsuJatlOn
D]sclosure for the Home, and (IV) the formaldehyde health nOÍlce
4 The Home IS or will be located at the following "Property Address"
26 LlTILE CANYON ROAD, DIAMONDVILLE, WY 83116
(property AadreSS)
5 The legal descnptlOn of the real property where the Horne ]S or wjU be permanently affixed (ItLóU1d")
IS
See Attached Legal Description
6 The Homeowner IS the OWner of the Land or, if not the owner of the land, IS In posseSSlOn of the
real property pun:uant to a lease Ul recordable foml, and the consent of the lessor IS attached to this
Affidavit
(Page 1 of 4) EC228A REV. 02/02/07
000376
0172140691
7 The Home is anchored to the La.nd by attachnwnt to a permanent foundatIOn,
constnlCted m accordance with applIcable state snd local bulldm.g codes and man:ufacturer's spedficatlOns
In a m::.nner sufficIent to validate any applicable manufacturer's warranty, and permanently connected to
appropnate residen.1:1altltilitles (e.g., water, gas, electnclty, sewer) ("permanently affixed") The
I-lo111eowner Intends that the HOh1e be an Immoveable fixture and a permanent Improvement to the
Land
8 The I-lame 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 I-lame to the PropeI1y Address.
(a) AJI permits reqUIred by governmental authorities have been obtamed,
(b) TI1t: foundatIOn system for the I-Iome was desIgned by an engmeer to meet the soil conditlOl1S of
Property Address. All foundatiOns <:ire constructed m accordance with apphcable state and local buildmg
codes, and manufacturer's speoit¡cahons 111. a manner SL1fficIcnt to validate any applicable manufacturer's
Wl:lJT::lnty,
(c) The wheels, axles, towbar or hItch were removed when the Home was, or will be, placed on the
Property Address,
Cd) The Home IS (i) permanently affixed to a foundatIOn, (ii) has the charactenstIc of site-built hous111.g,
and (iii) IS part of the Land; and
(e) The Home IS permanently connected to a septIc tank or sewage system and other utiJitws such as
eJectnclty, water and natural gas
10 If the Honl,eowner IS the owner of the Land, any conveyance or fina.ncmg of the Home and the
Land shall be a Slli.gJe transactIOn under applIcable state law
11. Other than those drsclosed li1. this Affidavlt, the Homeowner IS not aware of (i) any other claim, hen
or encumbrance affectmg the Home, (Ü) any facts or mformatlOn known to the applIcant that could
reasonably affect the validIty of the title of the Home or the eXistence 01· non~eXlstence of secunty
111terestl': 111 It
12 A Homeowner shall mitlEll only one of the followmg, as it applIes to title to the Home
-- The Home IS not covered by a certificate of title Th.e onglnalmanufacturer's certificate of ongm,
duly endorsed to the Homeowner, IS attached to thIS affidavit
- TI1.e Horne IS not covered by a certificate of title>, After dilrgent search and mgL!lrY, the Hbmeo'vvner
IS unable to produce the ongm.al manufacturer's certificate of ongm
- The ce·11:ificate of title to the Home _shall be _ has been eluumated as requIred by apphcable
Jaw
__ The I-Iome shall be covered by a certificate of title
13 The Affidavlt exeeuted by HomeownerCs) pursuant to applIcable state law
(Page 2 of 4) EC22BC Rev. 02/02/07
000377
0172140691
IN WnNESS WI-illREOF, Homeo\vner(s) has exec\..~ed thIs Affidavl1: 111 my presence and 111 the
presence of the underslgn.ed wItnesses on thIS -Ji"ß. day of , \o/'k"",-.ier ,
-700 '7 .
~~~ AA, -Bonoo.r
WItness
WItness
STATE OF ~t)h.t/~_)
(Ý ,-...( ) S8.
COUNTY OF ,¿,,:.r("(> .Ä )
On the -<y& day of Se¡:;IeMier m the year cR¿Jð:7
me, the J-lp,dersIf,rned, a Notary Pübltc Ul and for said State, personaJly apPl;\ared
f¿{~t"O;1 ,.L r G~O-., G-
personally known to me or proved to me on the ba.SIS of sa.tIsfactory evidence to be the mdIvidual(s)
whose name(s) Is(are) subscribed to the witblrl Instrument and ackn.owledged to me that he/she/they
executed the same In bls/her/theu- capacitY(les), and that by rus/her/theJf slgnature(s) on the
mstrument, the ¡ndIVidual(s), or the person on bôll.aJf of which the 1l1.dJ.vidual(s) acted, execL~ted the
llìstrun~ ~ . û/ /
~ _~ LORIKALAN-NOTARYPUBLlC
Notary SIgnature 1./ COUNTY OF STATE OF
,.¿ 1"'1 ' /~.It LINCOLN WYOMING
Notary Pnnted Nanle My Commission Expires Feb. 26, 2011
Notary PublIc; State of ~~..-("
Qualified l1î the CO\.U1ty of ~~
My commISSIOn expIres· /Jdl,/..l4ÁtJ //
before
(Page 3 of 4)
EC228E Rev. 02/02/07
ûOô378
EXillBIT A
0172140691
PROPERTY DESCRIPTION
The legal descnptlOn of the Property Address (IOLan.dlO) is typed below or please see attached
legal descnptIon·
Parcel 65 of the 1942 Replat ofthe Town of Diamondville, Lincoln County, Wyoming, as
described on the official plat thereof.
(Page 4 of 4) EC227G REv. 12/01/05