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Home My WebLink About942900 ''<I) 1.-' /7- 6010817020 0090779265 § ..t'.~ c:; 11 !r1 ¡;: >., ¡:::. -a ~'õ a> .e ~ ~;;." 1!e CI'.I u .- '" ë~ 8 CI.) "0 lOt· 1~~ "0 ." ",F-< .- 8 Ffä ~ RECEIVED 10/15/2008 at 3:44 PM RECEIVING # 942900 BOOK: 707 PAGE: 124 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER. WY c,Oû124 6010817020 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 This Instrument Prepared By: OMAHA CLOSER 1 Preparer's Name 1919 DOUGLAS, Preparer's Address 1 OMAHA, NE 681010000 Preparer's Address 2 0090779265 Loan Number ATTENTION COUNTY CLERK:Thls 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 5 Initial' ~ NMFL # 7111 (MAHA)~ FREDERICK J KUEHN JR [type the name of each Homeowner signing this Affidavit]: being duly sworn, on his or her oath state as follows: úOii1.25 1. Homeowner owns the manufactured home ("Home") described as follows: USED 1999 FLEETWOOD HOMES OF IDAHO BROOKFIELD New/Used Year Manufacturer's Name Model Name or Model No. 066 X 026 Length x Width IDFLX04A22394BF13 IDFLX04A22394BF13 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": 339 COUNTY ROAD 107, ETNA, LINCOLN, WY 83118 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address ("Land") is: SEE ATTACHED LEGAL DESCRIPTION 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 LJ is LJ 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 la permanent improvement to the Land. ATTENTION COUNTY CLERK:Thls 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. Pag~ - . - Initial: ~ "M.. _. ...IMAHA' ~8 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: êOô126 (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. 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, (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 of the following, as it applies to title to the Home: rClosingand Agent: please refer to the Manufactured Home and Land SupplementalClosing Instructionsfor completioninstructionil: L-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. L-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. L-J The manufacturer's certificate of origin and/or certificate of title to the Home [ ] shall be [ ] has been eliminated as required by applicable law. L-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 00' ;, to b, m" t" "œ~On~ wh'" œ,,,yoo,,, of ".1 "tore ." "œn,'. Page 3 of 5 Initial: IN WITNESS WHEREOF, Homeowner(s) has executeg pre ce 0 the undersigned witnesses on this /l - , ,D . is Affidavit in my presence and in the day of Witness COû127 Homeowner #2 (SEAL) Witness Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) Witness sS.: ~r1 ð ~ personally known to me or pro ed to me on t e 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 individua/(s) acted, executed the instrument. ~ ji. cI~ Notary S ature Notary Public, State of .~ My Commission expires: h· ~ D '- ~ () / J all/ Ic/ ¿;fit /'5011 Notary Printed Name Qualified in the County of ~~ O;tf~¡al",5~1~'"''''''''"''''''b'''''''_''''''~''''~''''''''' """" ~~ J' L· I '- D(~ 'I. . . " ,,', ._~'''_.. ~ --,"'<R;....-.l~..I>7;'J'~ W. L.. d. f...\f 1\.;()f\J\H \ \ /'I~';:V I:); J~ 1(' os' ~'~ ' -""" ...,' 1-' l .. , ') 1 County of State of -. , ~~ '~,. Lincoln ~, V'v'yori1in:~~ , ~ ~~ :1\1...... . ~''¡,."... '-.,,'. . ;~ ~ ~,~ (,..OlHI¡b~'iÜ, ":;":i"~!~::? J!J:'t.;,1 ;20, ',:~rì"lï 1 '. ~i""':b::,w~:t."~:~""".J¡'i:.I~l..~~b't:;~ ¡~:'''."":,,,~. ~~,t,' ~:¡I. J-~~~''':¡''~)J~~.:~~:'':t:¡'~'r~; ;;"~"~" ""'''I,,,,,;,::; 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 4 of 5 NMt=I ... 7< < < (MAHA) Rev 2/4/2008