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958284
6011119775 Return To: U.S. Bank Home Mortgage 809 S. 60 Street, Suite 210 West Allis, WI 53214 Attn: Laura Rofritz February 23 20 11 Date Place of Recording Tax Parcel No. 12- 4190- 00 -0 -05 -927 51 Legal Description 2Ts at page g2i -00- 307.00 Lot Block Plat or Section Township Range Quarter /Quarter Section U.S. BANK LOAN 2200102795 Chris R Austin jBorrower(s) Being duly sworn, on his or her oath state as follows: 1. Borrower(s) own, or are purchasing, the manufactured home described as follows: Used 1998 Champion New /Used Year Manufacturers Name 16984946276AB Vehicle Identification Number (s) 3. The Home is or will be located at the following Property Address: 286 Lincoln Lane Street or Route MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Thayne City 00.A.4179' RECEIVED 2/28 /2011 at 3:24 PM RECEIVING 958284 BOOK: 763 PAGE: 148 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Model Name or Model No. WY State 27x66 Length x Width 2. The Home was built in compliance with the federal Manufactured Home Construction and Safety Standards Act, after June 15, 1976. 83127 Zip Code ATTENTION COUNTY CLERK: This instrument covers goods that are 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 Revised 10/30/08 4. The legal description of the Property Address "Land is typed below or please see attached legal description: "SEE ATTACHED LEGAL DESCRIPTION" 5. The Borrower(s) is /are the owner of, or is /are purchasing, the Land and any conveyance or financing of the Horne and the Land shall be a single transaction under applicable state law. 6. The Home is 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 immovable fixture and a permanent improvement to the Land. 7. The Home shall be assessed and taxed as an improvement to the Land, with the understanding the manufactured home shall not be converted to personal property. 8. This Affidavit is executed by the Borrower(s) pursuant to applicable state law. 9. Borrower(s) and Lender state that it is their intent that the manufactured home be and remain permanently attached to and part of the real property, and that it be regarded as an immovable fixture thereto and not as personal property. 10. If the Home and Land is located in a state that allows for the elimination or surrender of the Vehicle title, and the elimination or surrender process has not already been competed, the Borrower(s) will execute all documentation required under law to convert the property to real estates. If the Home and Land is located in a state that does not require a vehicle title, the Borrower(s) will provide evidence that no vehicle title exists and agrees that they will not create a vehicle title in the future. If the Home and Land is located in a state where you are unable to eliminate or surrender the vehicle title, the Borrower(s) will execute all documentation required under law to insure that the vehicle title ownership is in the Borrower(s) name and U.S. Bank N.A. be shown as the first lien holder Borrower Signature L rr 5 J am c) Printed Name Borrower Signature Borrower Signature Printed Name Borrower Signature Printed Name Printed Name O b X149 ATTENTION COUNTY CLERK: This instrument covers goods that are 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 Revised 10/30/08 STATE OF L(/ �%y� y .,9 COUNTY OF On the 073 RJR day of lel/Way Undersigned, a Notary Public in and for said State, personally appeared 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 individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. e GlL /J" /ay--e/2 Notary Signature GLOA' //9 .G? YE7& Notary Printed Name Notary Public; State of C4- Qualified in the County ofd My Commission Expires: 9- t --I/ in the year 2011 before me, the GLORIA K. BYERS Count9gicial Lincoln NOTARY PUBLIC State of Wyoming My Commission Expires September 15, 2011 "I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law." GLORIA K. BYERS NOTARY PUBLIC County of Lincoln State of Wyoming My Commission Expires September 15, 2011 ATTENTION COUNTY CLERK: This instrument covers goods that are 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 Revised 10/30/08 Lender's Statement of Intent: The undersigned "Lender intends that the Home be an immovable fixture and a permanent improvement to the Land. U.S. Bank, N.A. By: Authorizes i' ature ,,(?(raAt£y 7 �i�i✓��GS Printed Name STATE OF 64).r SCOr)S.rr1 COUNTY OF 6tJflvXeSN4 00A.51 On the 8 day of FC8Rv14gy in the year .01/ before me, the Undersigned, a Notary Public in and for said State, personally appeared &R, axy r Z3 Na cLS 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 individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. Notary Signature Official Seal: is n( /V t0P /4 r Notary Printed Name Notary Public; State of fi.)y,s OrLf Qualified in the County of Sh My Commission Expires: J4 n pArl zo ATTENTION COUNTY CLERK: This instrument covers goods that are 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 Revised 10/30/08 USB750 Parcel Number: EXHIBIT "A" File 6011119775ET Description ©O &152 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 Southeast Quarter of the Northwest Quarter of the Northeast Quarter of Section 19, Township 34 North Range 118 West of the 6 P.M., Lincoln County, Wyoming and being more particularly described as follows: THE TRUE POINT OF BEGINNING being an Iron Pipe set at a point in the West line of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter, said point being 334.63 feet South 0 °44'40" West from the B.L.M. type monument found marking the Northwest corner of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter; thence South 89 °59'05" East, 660.00 feet to an Iron Pipe set at a point in the East line of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter; thence South 0 °41'31" West, along said East line, 334.20 feet to the B.L.M. type monument found marking the Southeast corner of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter; thence South 89 °58'42" West, along the South line of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter, 660.32 feet to the B.L.M. type monument found marking the Southwest corner of said Southeast Quarter of the Northwest Quarter of the Northeast Quarter; thence North 0 °44'40" East, along said West line, 334.63 feet to the TRUE POINT OF BEGINNING. Less and excepting the property as described in a Quitclaim Deed recorded June 3, 2009, in Book 724PR on page 433 of the official records of Lincoln County, Wyoming. ATTENTION COUNTY CLERK: This instrument covers goods that are fixtures on the and described herein and is to be filed for record in the records where conveyances of real estate are recorded. Loan 2200102795 Page 5 of 5 Revised 10/30/08