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Home My WebLink About9610206011120145 LENDER INTENT "Affidavit BUFFALO FEDERAL SAVINGS BANK TOM PEAVLER "Homeowner" being duly sworn, on his, her or their oath state(s) as follows: 1. Homeowner owns the manufactured home "Home described as follows: New MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Manufacturer /Make NASUAH Model Name or Model No. Serial No. NNID34197AB46282FK RECEIVED 9/16/2011 at 12:43 PM RECEIVING 961020 BOOK: 773 PAGE: 16 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY LOAN 57000113899 Used x Year 1994 Length 37 Width 26 Serial No. Serial No. Serial No. HUD Label Number(s) IDA 141048, 1DA141049 Certificate of Title Number "Lender 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 Homeowner is in receipt of manufacturer's recommended maintenance program regarding the carpets and manufacturer's warranties covering the heating /cooling system, hot water heater, range, etc. 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. Online Documents, Inc. Page 1 of 5 GMANARDU 0908 LOAN 57000113899 5. The Home is or will be located at the following "Property Address 46 E 2ND AVE, Afton (Street or Route, City) Lincoln, WY 83110 (County) (State, Zip Code) 6. 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 HEREOF AS EXHIBIT 7. 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. 8. The Home is or 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. Online Documents, Inc. Page 2 of 5 or f? GMANARDU 0908 000017 LOAN 57000113899 9. The Home shall be assessed and taxed as an improvement to the Land. The Homeowner understands that if the Lender does not escrow for these taxes, that the Homeowner will be responsible for payment of such taxes. 10. 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) If piers are used for the Home, they will be placed where recommended by the Home manufacturer; (d) The wheels, axles, towbar or hitch were removed when the Home was placed on the Property Address; and (e) The Home is (i) Permanently Affixed to a foundation, (ii) has the characteristics of site -built housing, and (iii) is part of the Land. 11. IftheHomeowner 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. 12. 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. 13. The Homeowner hereby initials one of the following choices, as it applies to title to the Home: A. 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. B. 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. C. The manufacturer's certificate of origin and /or certificate of title to the Home shall be I I has been eliminated as required by applicable law. I I D. The Home shall be covered by a certificate of title. 14. This Affidavit is executed by Homeowner 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. Online Documents, Inc. Page 3 of 5 GMANARDU 0908 rP 000018 LOAN 57000113899 IN WITNESS WHEREOF, Homeowner(s) has /have executed this Affidavit in my presence and in the presence of the undersigned witnesses, if applicable, on this 15TH day of SEPTEMBER, 2011. Online Documents, Inc. (Seal) ATTENTION COUNTY CLERK:This instrument covers goods that are or are to becomefixtures 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 GMANARDU 0908 000019 STATE OF WYOMING p ss.: COUNTY OF Trim eWr.0 On the Lc day of At in the year o70/1 before me, the undersigned, a Notary Public in nd for said State, personally appeared TOM PEAVLER 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. otary Signature GLOR// /g! ,2YE/?S Notary Printed Name Notary Public; State of Ucr►'774/Y7 Qualified in the County of My commission expires: 9 /S Official Seal: LOAN 57000113899 GLORIA K. BYERS NOTARY PUBLIC County of Lincoln State of Wyoming My Commisson Expires September 15, 2015 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. Online Documents, Inc. Page 5 of 5 GMANARDU 0908 000020 Exhibit A File 6011120145CG Description 000021 The land referred to in this document is situated in the State of Wyoming, County of Lincoln, and is described as follows: South half of Lot 3 in Block 5 of Afton Townsite as same is platted and of record in the Office of the County Clerk of said County, together with all improvements and water, mineral and oil rights, more particularly described as follows. Beginning at the Southwest Corner of said Lot 3 of Block 5, Afton Townsite, running thence North approximately 10 rods, thence East approximately 20 rods, thence South approximately 10 rods, thence West approximately 20 rods to the Place of Beginning. EXCPETING THEREFROM: A portion of the South one -half of Lot 3 in Block 5 of the Afton Townsite, Lincoln County, Wyoming, as the same is platted and of record in the office of the County Clerk of said County, together with improvements and water rights, the same being further and otherwise described as follows: Beginning at the Southwest Corner of said Lot 3 in said Block 5 of the Afton Townsite and running thence North 10 rods; thence East 15 rods; thence South 10 rods; thence West 15 rods to the Place of Beginning. C��