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Home My WebLink About9536336011018909 This document is h recorded by Alliance Title and Escrow of Wyoming, LLC as a courtesy only Record and Return 1 by Mail 1 by Pickup to: WFHM FINAL DOCS X2599 -024 405 SW 5TH STREET DES MOINES, IA 50309 -4600 This Instrument Prepared By: ROBIN RAMUS 623 434 -3099 Preparer's Name 1150 W. WASHINGTON ST, 2ND FLOOR Preparer's Address 1 TEMPE, AZ 852811480 Preparer's Address 2 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 1 Initial: NMFL 7111 (MAHA) Rev 2/4/2008 RECEIVED 5/25/2010 at 10:43 AM RECEIVING 953633 BOOK: 747 PAGE: 737 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 006,737 ALAYNA H RIGOULOT [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: USED 1997 OAKWOOD New /Used Year Manufacturer's Name H00015F02459 H00015F02459 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 135 SMITH LANE, AFTON, LINCOLN, WY 83110 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 THEREOF 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 1 is [1 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 Initial NMFL 7111 (MAHA) Rev 2/4/2008 C'0u738 048 x 026 Model Name or Model No. Length x Width 8. The Home shall be assessed and taxed as an improvement to the Land. Page 3 Initial: 01/1..� NMFL 7111 (MAHA) Rev 2/4/2008 ei0i 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 (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. 1 1 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: [Closing and Agent: please refer to the Manufactured Home and Land Supplemental Closing Instructions for completion instructions]: [1 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. 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 has been eliminated as required by applicable law. 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. IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersigned witnesse on this a day of Homeowner #1 (SEAL) ALAYNA H RIGOULOT Homeowner #2 (SEAL) Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) Witness STATE OF ss.: COUNTY OF �1 On the 7 0 day of In in the year 9 /6 be f re e, the underslgned NNota�blic in and for said State, personally appeared personally nown to me or ppled 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 individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. ry Signature Notary Public, State of y My Commission expires: h w 0 49011 Official Seal: JILL H. LARSON County of Lincoln NOTARY PUBLIC State of Wyoming My Commission Expires June 20, 2011 Witness Witness a-Ls s h. Notary Printed Name S.:Ot)'i 40 Qualified in the County of ATTENTION COUNTY CLERK: his in ru ent 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 NMFL 7111 (MAHA) Rev 2/4/2008 OO741 The land referred to in this document is situated in the State of Wyoming, County of Lincoln, and is described as follows: EXHIBIT A PROPERTY DESCRIPTION The legal description of the Property Address "Land is typed below or please see attached legal description: SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART THEREOF That part of the Southwest Quarter of the Southeast Quarter of Section 24 and that part of the Northwest Quarter of the Northeast Quarter of Section 25, Township 32 North, Range 119 West of the 6th P.M., Lincoln County, Wyoming, being part of that tract of record in the Office of the Clerk of Lincoln County in Book 64PR on page 305 described as follows: BEGINNING at the northwest point of that tract of record in said Office in Book 196PR on page 213, marked by a bathey, South 87 °08.0' East, 446.86 feet, from the Northwest corner of said Northwest Quarter of the Northeast Quarter, found as described in the Corner Record tiled in said Office; thence North 00 °25.2' West, 25.27 feet to a point on the north line of said Northwest Quarter of the Northeast Quarter; thence continuing North 00 °25.2' West, 224.73 to a point; thence South 83 °00.00' East, 176.00 to a point; thence South 00 °25.2' East, 202.14 feet to a point on said north line; thence continuing South 00 °25.2' East, 47.86 feet to the northeast point of said tract in Book 196; thence North 83 °00.0' West, 176.00 feet, along the north line of said tract in Book 196, to the POINT OF BEGINNING. Page 4 Initial: OIL—. NMFL 7110 (MALA) Rev 2/4/2008