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Home My WebLink About944689 i) .J u :j .?'... ~ :,:~ .~I) .:.;r. 1ff (I') c,J ._ ''''-.1 C') ~ ;,,- ¡:.¡:,¡ 0 tJis~ f: ~': za ö 7;J ~ f~~ .,. () F"" '-' r:-< ,- .~ ~ 1, ....",j j 0094713922 RECEIVED 1/14/2009 at 1 :07 PM RECEIVING # 944689 BOOK: 713 PAGE: 83 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 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: CLOSER I OMAHA Preparer's Name 1919 DOUGLAS, Preparer's Address 1 OMAHA, NE 681010000 Preparer's Address 2 0094713922 Loan Number ~o 00&083 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. í¡ {l.. Page 1 of 5 Initial: v~ NMFL # 7111 (MAHA) Rev 2/4/2008 CLINTON R BAIRD [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: 00û084 USED 2001 ATLANTIC HOMES 352 076 x 031 Length x Width New/Used Year Manufacturer's Name Model Name or Model No. 470135203573A 470135203573B 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": 126 BEDFORD-TURNERVILLE RD, BEDFORD, LINCOLN, WY 83112 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address ("Land") is: SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF 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 r X· 1 is L-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 5 Initial: --Cß- NMFL # 7111 (MAHA) Rev 2/4/2008 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 00 .(" 0«::15 Address, upon the delivery of the Home to the Property Address: V 0 (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: [Closingand Agent: please refer to the Manufactured Home and Land SupplementalClosing Instructionsfor completioninstruction~: 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. ~ The manufacturer's certificate of origin and/or certificate of title to the Home [ ] shall be [)(J 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 and is to be filed for record in the records where conveyances of real estate are recorded. Page 3 of 5 Initial: (13 NMFL # 7111 (MAHA) Rev 2/4/2008 1" IN WITNESS WHEREOF, Homeolner(s) has executed this Affidavit in my pr~sence and in the presence of the undersigned witnesses on this c¡ day of ' ~l"" W'{;" \<f ,,:;)..(j09 . J ~ ' ~ GOô086 Ctl.~~£-~_ :;e ~/ Homeowner #1 (SEAL) Witness CLINTON R BAIRD Homeowner #2 (SEAL) Witness Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) Witness STATE OF ) ss.: ) COUNTY OF before I in ~he year 2004 tate, personally appeared T ì , 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 indi idual(s), or the person on behalf of which the individual(s) acted, executed the instrument. ~L1 (ltJ~p~ Notary Pr' ted Name Notary Public, State of !A/yfJyY)("j My Commission expires: J:6br-utlj 2.t::, / :Lwr Official Seal: r~:£~6'"~"'=~"'\tt¡'iV'~~~ ' LJ1.VNA H,IWERLlE . NO·fIl.RY PUBLIC t ,~ County of Slate of ., UncoIl'! Wyoming ~\ l MI' Commission Expires Februl\rY 26, 2012 . ..~~~~~...... Qualified in the County of L/UI"JJ/iJ 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 NMFL # 7111 (MAHA) Rev 2/4/2008 Exhibit A File 6010817428 Description 00&087 The land referred to in this document is situated in the State of Wyoming, County of Lincoln, and is described as follows: A portion of the Northeast Quarter of the Northeast Quarter of Section 32, Township 34 North Range 118 West of the 6th P.M., Lincoln County, Wyoming being more particularly described as follows: Beginning at a point in the East line of said Section 32, said point being 661.86 feet South from the Northeast corner of said Section 32; thence South, along said East line, 246.14 feet; thence West 353.31 feet; thence North 247.02 feet to a point in the South line of the North Half of the North Half of the Northeast Quarter; thence South 89°51 '24" East, along last said South line, 353.31 feet to the point of beginning. Ö7