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HomeMy WebLinkAbout964758136680 !alliance Title Escrow PO Box 1367 Ker nrn4;rpr WY S310y Record and Return by Mail 1 by Pickup to: FINAL DOCS T7408 -01F 4101 WISEMAN BLVD BLDG 108 SAN ANTONIO, TX 78251 -4200 This Instrument Prepared By: MICKIE CAMERON Preparer's Name 3900 EAST MEXICO AVE., SUITE 800 Preparer's Address 1 DENVER, CO 802100000 Preparers Address 2 Page 1 Initial: NMFL 7111 (MAHA) Rev 2/4/2008 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 tiled for record to the records where conveyances of real estate are recorded. 00724 RECEIVED 5/25/2012 at 11:13 AM RECEIVING 964758 BOOK: 786 PAGE: 724 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY /7'( s GARY A SMITH MARCIA L SMITH [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 1993 KIT MANUFACTURING New /Used Year Manufacturer's Name L9376K20SN13832A L9376K20SN13832B 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 462 6TH STREET. LA BARGE. LINCOLN. WY 83123 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address "Land is: T.T.QTR 99, an, 31 ANfl 19 RTd1CK 9f AF FTRST AflflTTTON MO THR TfWN AF T.ARARCF., Fr)RMF!RT,Y TUT.QA, T.TNCr)T.N mummy. W rnmila AA nwArRTRRT) AN THF: APPTCTAT, PLAT mummor 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 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 2/4/2008 LIMITED NA 056 x 027 Model Name or Model No. Length x Width 2 5 gfr 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 govemmental 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 SupplementalClosinq 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 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. 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 in the records where conveyances of real estate are recorded. Page 3 Initial: NMFL 7111 (MAHA) Rev 2/4/2008 00726 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersigned witnesses on this /ems' day of f L- r Homeowner (SEAL) Wtness GARY A SMITH Homeowner #2 (SEAL) MARCIA L SMITH Notary'Signature Notary Public, State of My Commission expires: Official Seal: Homeowner #3 (SEAL) Wtness Homeowner #4 (SEAL) Witness STATE OF yG)slti:e COUNTY OF /ire Page 4 NMFL 7111 (MAHA) Rev 2/4/2008 Wtness ss.: yC ``//7 On the day of //(4"4 in the year ,04- befor9 me, the undersigned, a Notary Public in and fo d State, pef sonally appeared personal 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. )1 1f(- Notary Pu.lbtic State of Wym;iiiio ,'ry i i lun flop pir 2r6/2.015 Notary Printed Name It Qualified in the County of �rr� 00727 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.