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Home My WebLink About9646060106761026 Record and Return by Mail by Pickup to: WFHM FINAL DOCS X2599 -024 405 SW 5TH STREET DES MOINES, IA 50309 -4600 This Instrument Prepared By: CLOSER I OMAHA Preparer's Name 1919 DOUGLAS, Preparer's Address 1 OMAHA, NE 681010000 Preparer's Address 2 0106761026 Loan Number MANUFACTURED HOME AFFIDAVIT OF AFFIXATION 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 of 5 Initial: NMFL 7111 (MAHA) Re ✓2/4/2008 9037.1 RECEIVED 5/17/2012 at 2:40 PM RECEIVING 964606 BOOK: 786 PAGE: 371 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY SCOTT M BASSETT STACEY A BASSETT [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 2001 NASHUA New /Used Year Manufacturer's Name NNID39458A NNID39458B 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 835 E L CLARK LANE, SMOOT, LINCOLN, WY 83126 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address "Land is: SEE ATTACHED LEGAL DESCRIPTION. 064 x 026 Model Name or Model No. Length x Width 00372 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 of 5 Initial: 7111 (MAHA) Rev 2/4/2008 8. The Home shall be assessed and taxed as an improvement to the Land. (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. 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 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. '3" '3 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]: 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 1 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 int e records where conveyances of real estate are recorded. Page 3 of 5 Initial: S NMFL 7111 (MAHA) Rev 2/4/2008 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the ndersigned witnesses on this e day of bu (SEAL) -S'COTT M BASSETT Homeowner #2 (SEAL) Witness STACEY A BASSETT Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) STATE OFthV COUNTY OF LUV,4,11 Notary Signature Notary Public, State of L r� My Commission expires: Official Seal: Page 4 of 5 NMFL 7111 (MAHA) Rev 2/4/2008 io(ie ((9D11 Witness Witness ss.: On the ~9 day of l b U j C 1, 9 in the year V'vZ` c/ befo me tl undersigned, a, Notar Public in nd for said S i, Y ta Wit )k`l a cci;L 4 5 l :s ,personally appeared personally known to or proved to me on th basis of satisfacfor evidence ce 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 Printed Name Qualified in the County of ArJhAPP D ro(1,1? acenu Not r.nPuatatinr;.c�eatKIn4P,, D, Benton Not&ry Public c: fy rn L incoln f" Stole 4.4 1r !rnrning iy I;;onirr 40/ 1/2u('; Pfitiir<RY1f29riliPA,P tygianrftq,Rn4i4!Fdllr 00374 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. EXHIBIT "A" Beginning at the Southwest spike of that tract of record in said Office in Book 389 of photostatic Records on Page 138, on the West line of said GLO Lot 7, South 360.00 feet from the Northwest corner of said Lot 7; Thence North 89°56'12" East 95.00 feet, along the South line of said tract in Book 389 to the Southeast point of said tract identical with the Southerly most Southwest point of Parcel 2 of record in said Office in Book 424 of Photostatic Records on Page 666; Thence continuing North 89°56'12" East 130.00 feet along the South line of said Parcel 2 to the Southeast point thereof, on the West line of Parcel 1 of record in said Book 424; Thence South 700.00 feet along the West line of said Parcel 1, to a point; Thence South 89°56'12" West 60.00 feet to a point; Thence North 425.00 feet along a line parallel with said West line, to a point; Thence South 89 °56' 12" West 165.00 feet to a spike on the West line of said GLO Lot 7; Thence North 275.00 feet along said West line to the point of beginning; The Base Bearing for this survey is the West line of GLO Lot 7 (SW I /4SW 1/4) of Section 6, Township 30 North, Range 118 West, being North; Each "spike" marked by a 3/8" x 12" steel spike referenced by a 5/8" x 24" steel reinforcing rod with 2" aluminum cap inscribed, SURVEYOR SCHERBEL LTD AFTON WY PLS 5368 with appropriate details; Each "corner" found as described in the corner record filed or to be filed in the office of the Clerk of Lincoln County; Each "point" marked by a 5/8" x 24" steel reinforcing rod with a 2" aluminum cap inscribed, SURVEYOR SCHERBEL LTD AFTON WY PLS 5368: with appropriate details; All in accordance with the plat prepared to be filed in the office of the Clerk of Lincoln County titled, "KENNETH D. NEBEKER AND MELEESE C. NEBEKER PLAT OF TRACTS WITHIN LOT 7 (SW1 /4SW1/4) SECTION 6 LOT I (NW 1 /4NW 1/4) SECTION 7 Township 30 North, Range 118 West Lincoln County Wyoming, dated 16 August 2001. 00375