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Home My WebLink About963016to Place of Recording Record and return to: Wells Fargo Home Mortgage Attn: Mandi Baney 2701 Wells Fargo Way MAC: X9998 -01L Minneapolis, MN 55467 Instrument Prepared By: Mandi Baney Loan Servicing Specialist 3 2701 Wells Fargo Way Minneapolis, MN 55467 651 605 -3728 Page 1 of 5 Preparer's Signature MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Homeowner /Borrower Name(s): JOEL W HOOPES Borrower #1 RECEIVED 2/1/2012 at 2:42 PM RECEIVING 963016 BOOK: 780 PAGE: 463 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Ia, 2012 Legal Description: Tax Parcel Number: Legal Description at Page 6. Lot Township Range Borrower #2 Borrower #3 Borrower #4 00463 Block Plat or Section Quarter Quarter Section ATTENTION COUNTY CLERK: This instrument covers good that 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. Joel W Hoopes [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 1992 KIT Manufacturing Company RED M 40' x 27' New Used Year Manufacturer's Name Model Name or Number Length Width 10A 18292 Serial Number 10A 18921 Serial Number Serial Number Serial Number 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 48 N Fairview Rd Fairview Lincoln WY 83119 Street or Route City County State Zip Code 5. The legal description of the Property Address "Land is typed below or please see attached legal description: See Attached 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 n is 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 t hat the Home be an immoveable fixture and a permanent improvement to the Land. 8. The Home shall be assessed and taxed as an improvement to the Land. Page 2 of 5 00464 00465 9. Homeowner agrees that as of today, or if the Home is not yet located athe 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 stat 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, placed on the Property Address; and (d) The Home is (k) Permanently Affixed to a foundation, (ii) has the characteristics of sit -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 on 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 the title to the Home: [Closing Agent: please refer to the Manufactured Home and Land Supplemental Closing Instructions for completion instructions] Page 3 of 5 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 II 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. IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and the presence of the undersigned witnesses on this J al day of 20 1 a yor,/) Borr6wer #1 Joel W Hoopes Borrower #2 Borrower #3 Borrower #4 STATE OF COUNTY OF Notary Printed Name Notary Public; State of Official Seal: Page 4 of 5 ss.: (SEAL) (SEAL) (SEAL) (SEAL) 01) Notary Signature GLOI //9 M JQY 6R Qualified in the Count of Y 1L_ My commission expires: 9 15 /s' Witness Witness Witness Witness 00466 On the 1 a day of in the year .QO/ a before me, the undersigned, a Notary Public in an for said State personally appeared Joel W Hoopes 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. GLORIA K. BYERS NOTARY PUBLIC County of Lincoln State of Wyoming My Commisson Expires September 15, 2015 Lender's Statement of Intent: The undersigned "Lender intends that the Home be an immoveable fixture and a permanent improvement to the Land. Wells Fargo Bank NA der resident o B Ange a M Morgan Its: Angela M Morgan Vice documentation, Wells Fargo STATE OF MINNESOTA COUNTY OF DAKOTA Page 5 of 5 ss.: Sebiewongel Molla loan Notary Signature Notary Public: Notary Public; State of MINNESOTA Qualified in the County of A My commission expires: /A /aDi Official Seal: SEBLEWONGEL MOLLA NOTARY PUBLIC-MINNESOTA My Commission Expires Jan. 31, 2016 v Witness r ^r6J 0046'7 A r Ali Witness Lcor- 6 �c�.�t On the R0 day of in the year at) before me, the undersigned, a Notary Public in and for said State, personally appeared c M morci V r `ce p re,$ r` rif2 /0ao t cf. rYi MO?) r( 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 instr ment. LEGAL DESCRIPTION 00468 A portion of the SE1 /4 SW1 /4 of section 3, T31N, R119W of the 6th P.M., North of Fairview, Lincoln County, Wyoming, being more particularly described as follows: BEGINNING at an iron pipe set at a point in the South line of said SE1 /4 SW1 /4, said point being 344.84 feet N 89 °59'05" W, along said South Line from the BLM type monument (Spike on Surface) marking the Southeast corner of said SE1 /4 SW1 /4, thence N 89 °59'05" W, continuing along said South line, 250.01 feet, to an iron pipe set; thence North 176.68 feet to an iron pipe set; thence S 88 °20'53" E, 253.62 feet to an iron pipe set; thence S 01 °10'57" W, 169.48 feet to the point of beginning.