The URL can be used to link to this page

Home My WebLink About9586036011019621 This Instrument Prepared By: TRENIECE L. MACKEY Preparer's Name 1525 W. WT HARRIS BLVD Preparer's Address 1 CHARLOTTE, NC 28262 Preparer's Address 2 Page 1 Initial: NMFL 7111 (MAHA) Rev 2/4/2008 RECEIVED 3/24/2011 at 3:33 PM RECEIVING 958603 BOOK: 764 PAGE: 405 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Recording Requested By Return To: U t Chicago Title ServiceLink Division 4000 Industrial Blvd 2 Ac l goct Aliquippa, PA 15001 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. 000405 JUSTIN RAY GUZMAN HILLARY ANN GUZMAN [type the name of each Homeowner signing this Affidavit]: being duly sworn, on his or her oath state as follows: 1. Horneowner owns the manufactured home ("Home described as follows: 4FMBA PLAN WINDSTAR 75 x 30 USED 2004 WINDSTAR HOMES New /Used Year Manufacturer's Name NNID40373A NNID40373B Model Name or Model No. Length x Width 000406 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 91 W 4TH AVE, AFTON, LINCOLN, WY, 83110 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address "Land is: LEGAL Dt+ SCRTPTTON IS ATTACHED HERF,TO AS SCHEDTTT,R "A" AM) MADE, A PAILT RFRF,QF 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 Horne 1 x 1 is f 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 /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 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. 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#: 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. 1 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. 1 The manufacturer's certificate of origin and /or certificate of title to the Home shall be has been eliminated as required by applicable law. 1 The Home shall be covered by a certificate of title. 13. This Affidavit is executed by Homeowner(s) pursuant to applicable state law. 000407 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 Initial: NMFL 7111 (MAHA) Rev 2/ °12008 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the under igned witnesses on this 4 1-07 day of 722a/) 20// eowner #1 (SEAL) USTIN RAY G MAN Irk Ail HILLARY ANN GUZMAN Homeowner #3 (SEAL) Homeowner #4 (SEAL) STATE OF COUNTY OF day of 7 7 Q On the T )a/ CGZJ in the year before me the unde signed, a Wary Public in and r said Stat-, per o a ly appeared p:isonally known to me •r proved t• e on the basis of satisfactory evidence to •e 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. r Notary Signature Notary Public, State of My Commission expires: Official Seal: Page 4 NMFL 7111 (MAHA) Rev 2/4/2008 9- AC-0 Witness itness Witness Witness s s. My Commission Expires September 15, 2011 co/ uuo4a8 G Go/Q /A /ti YEi? S' Notary Printed Name �P Qualified in the County of LL1/_.f_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. Tax I.D: Exhibit "A" Legal Description 000409 1 urt of Lot 3 of Bloch IS to the Town of Aft•11, Lin.cola •oaaty, Wyoming beiazg more particularly described as follows: BEGINNING et the Southwest corner of said Lot 3 and running thence North 20 rods; thence Last 10 rods; thence South 230 feet; thence West 4 rods; thence South 100 feet; thence West 6 rods to the R'OI) 1' OIg' BEGI1V1•I•G.