HomeMy WebLinkAbout948764oUIU9T/996
v
a
k.
i ~ G
•C% Q 4,
• ~ y
(S' O
r ~
c~ ai c~
U '
ca
H
RECEIVED 8/4/2009 at 3:12 PM
RECEIVING # 948764
BOOK: 729 PAGE: 230
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00,6230
(To be recorded with Security Instrument)
AFFIXATION AFFIDAVIT REGARDING
MANUFACTURED (AND FACTORY BUILT) HOME
The State of WYOMIN(j)
County of LINCOLN)
RASHUSSON
Loan 5562253
MIN'100294500000131656
Before me, the undersigned authority, on this day personally appeared JUSTIN RASMUSSON, AN
UNMARRIED MAN known to me to be the person(s) whose name(s) is/are subscribed below, and who, being
by me first dully sworn, did each on his/or her oath state as follows:
Description of Manufactured Home
New 2009 FLEETWOOD HOMES SANDALWOOD 3443A
New/Used Year Manufacturer's Name Model Name and Model No,
IDFL904A28869-
5 W 1 3
IDFL904B28869-
44 X 23.4 5W13. IDA 229171 IDA 229170
Length Width Serial Number HUD #
Manufactured Home Location
461 MAPLE STREET LINCOLN
Street County
LABARGE WYOMING 83123
City State Zip Code
In addition to the covenants and agreements made in the Security Instrument, Borrower covenants and agrees
as follows:
I The manufactured home described above located at the address above is permanently affixed to a
foundation and will assume the characteristic of site-built housing
Affixation Affidavit Regarding Manufactured Home
A& 43 19 Page 1 of 4
6>3
ky
5562253
2. The wheels, axles, tow bar, or hitch were removed when said manufactured home was placed on the
permanent site
3 All foundations, both perimeter and piers for said manufactured home have footings that are located
below the frost line or in compliance with local building codes or requirements.
4. If piers are used for said manufactured home, they will be placed where said home manufacturer
recommends
5. If state law so requires, anchors for said manufactured home have been provided.
6 The manufactured home is permanently connected to a septic or sewage system and other utilities such
as electricity, water and natural gas.
7 No other lien or financing affects said manufactured home or real estate, other than those disclosed in
writing to Lender.
8. The foundation system of the manufactured home has been designed by an engineer, if required by
state or local building codes, to meet the soil conditions of the site
9 Borrower(s) acknowledges his or her intent that said manufactured home will become immovable
property and part of the real property securing the security instrument
10. The manufactured home will be assessed and taxed as an improvement the real property I/We
understand that if Lender does not escrow for these taxes, that I/We will be responsible for payment of
such taxes.
1 I If the land is being purchased, such purchase and said manufactured home represent a single real estate
transaction under applicable state law
12 Said manufactured home has been built under the Federal Manufactured Home Construction and
Safety Standards that were established June 15, 1976.
13. This Affidavit is executed by Borrower(s) pursuant to applicable state law.
14 All permits required by governmental authorities have been obtained. Borrower(s) certifies that
Borrower(s) is in receipt of manufacturer's recommended maintenance program regarding the carpets
and manufactures warranties covering the heating/cooling system, hot water heater, range, etc... and
the formaldehyde health notice.
Affixation Affidavit Regarding Manufactured Home
eit 43 19 Page 2 of 4
5562253
In Witness Whereof, Borrower(s) has executed this Affidavit in my presence and in the presence of
undersigned witnesses on this 2ND day of JULY, 2009
BORROWER - JUSTIN RASMUSSON - DATE -
Witness Witness
STATE OF
COUNTY OF J!,_ rN~ The foregoing instru ent was acknowledged before me this ~ day of
~ol. by
who is personally known to me (yes/no) or who provided
identification,
y'UCDQRAI I A. w l.v:.1 i PUBLIC
~..,n STATE OF
COUNTY OF WYOMING
E>
Affixation Affidavit Regarding Manufactured Home
+99~ 43 19
as
Notary Public
Print Name: .
My Commission Expires
i
Page 3 of 4
5562253
Lender's Statement of Intent:
The undersigned ("Lender") intends that the Home be an immoveable fixture and a permanent improvement
to the Land.
Lender: HOME MORTGAGE RESOURCES, INC., AN IDAHO CORPORATION
By: Authorized Signature
STATE OF _
COUNTY OF
IDAHO
ADA
The foregoing instrument was acknowledged before me this 2ND day of JULY, 2009 by
F.RTN IIA111S()14 VP OF OPFRATILINS
an agent of HOME MORTGAGE RESOURCES, INC., AN IDAHO CORPORATION, Lender, who is
personally kno e% who provided as identification.
•I,.
N07',~ Notary Public R
~L C Print Name: MY COMMISSION EXP 0310912013
~'0
My Commission Expires:
y~ G8L1C
Attention i t ik!%bs ipstrument covers goods that are or are to become fixtures on the Property
described he AdDI&P'filed for record in the records where Security Instruments on real estate are
recorded. Additio"'Ittffs instrument should be appropriately indexed, not only as Security Instrument but
also as a financing statement covering goods that are or are to become fixtures on the Property described
herein. The mailing of the Borrower (Debtor) and Lender (Secured Party) are set forth in this instrument.
Affixation Affidavit Regarding Manufactured Home
409 43.19 Page 4 of 4