HomeMy WebLinkAbout966098After recording, return recording
information to:
American Title, Inc.
PO Box 641010
Omaha, NE 68164 -1010
A 4P: 2012.06 21026b
00302
RECEIVED 8/10/2012 at 3:26 PM
RECEIVING 966098
BOOK: 791 PAGE: 302
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
[Space Above This Line For Recording Data]
Reference Number: 20121649900008 Account Number: 682 682 0979260 -0xxx
SHORT FORM MORTGAGE
DEFINITIONS
Words used in multiple sections of this document are defined below. The Master Form Mortgage includes other
defined words and rules regarding the usage of words used in this document.
(A) "Security Instrument" means this document, which is dated July 23, 2012, together with all Riders to this
document.
(B) "Borrower" is DANIEL J. KRUCKENBERG AND TINA M. KRUCKENBERG, HUSBAND AND WIFE
AS TENANTS BY THE ENTIRETIES. Borrower is the mortgagor under this Security Instrument.
(C) "Lender" is Wells Fargo Bank, N.A.. Lender is a National Bank organized and existing under the laws of
the United States of America. Lender's address is 101 North Phillips Avenue, Sioux Falls, SD 57104. Lender is
the mortgagee under this Security Instrument.
(D) "Debt Instrument" means the promissory note signed by Borrower and dated July 23, 2012. The Debt
Instrument states that Borrower owes Lender THIRTY THOUSAND AND 00 /100THS Dollars (U.S.
30,000.00) plus interest. Borrower has promised to pay this debt in one or more regular Periodic Payments and to
pay the debt in full not later than seven (7) calendar days after August 01, 2019.
(E) "Property" means the property that is described below under the heading "Transfer of Rights in the
Property."
(F) "Loan" means all amounts owed now or hereafter under the Debt Instrument, including without limitation
principal, interest, any prepayment charges, late charges and other fees and charges due under the Debt
Instrument, and also all sums due under this Security Instrument, plus interest.
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(G).. "Riders means all Riders to this Security Instrument that are executed by Borrower. The following Riders
are to be executed by Borrower [mark as applicable]:
N/A Leasehold Rider
N/A Third Party Rider
N/A Other(s) [specify] N/A
(H) "Master Form Mortgage" means the Master Form Mortgage dated August 14, 2007, and recorded on
August 30, 2007, as Instrument No. 932652, Book 670 at Page 000610 000620 of the Official Records in the
Office of the Recorder of Lincoln County/City, State of Wyoming.
TRANSFER OF RIGHTS IN THE PROPERTY
This Security Instrument secures to Lender: (i) the repayment of the Loan, and all renewals, extensions and
modifications of the Debt Instrument; and (ii) the performance of Borrower's covenants and agreements under
this Security Instrument and the Debt Instrument. For this purpose, Borrower does hereby mortgage, grant and
convey to Lender and Lender's successors and assigns, with power of sale, the following described property
located in the
County
of Lincoln
[Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
ALL THAT CERTAIN TRACT, LOT, PIECE, AND PARCEL OF LAND SITUATED IN THE COUNTY OF
LINCOLN, STATE OF WYOMING, AND DESCRIBED AS FOLLOWS TO- WIT:LOT 23 OF BLOCK 4 OF
THE LINCOLN HEIGHTS 3RD SUBDIVISION TO THE TOWN OF KEMMERER, LINCOLN COUNTY,
WYOMING, AS DESCRIBED ON THE OFFICIAL PLAT THEREOF.
which currently has the address of
1336 UINTA DRIVE
[Street]
KEMMERER Wyoming 83101 "Property Address
[City] [Zip Code]
TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements,
appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be
covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the
"Property." The Property shall also include any additional property described in Section 20 of the Master Form
Mortgage.
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BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the
right to mortgage, grant and convey the Property and that the Property is unencumbered, except for
encumbrances of record as of the execution date of this Security Instrument. Borrower warrants and will defend
generally the title to the Property against all claims and demands, subject to any encumbrances of record.
MASTER FORM MORTGAGE
By the execution and delivery of this Security Instrument, Borrower agrees that all of the provisions of the
Master Form Mortgage are hereby incorporated in their entirety into this Security Instrument. Borrower agrees
to be bound by and to perform all of the covenants and agreements in the Master Form Mortgage. A copy of the
Master Form Mortgage has been provided to Borrower.
BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security
Instrument and in any Rider executed by Borrower and recorded with it. Borrower also acknowledges receipt of
a copy of this document and a copy of the Master Form Mortgage.
D IEL J KRUC NBERG
TINA M KRUCKENBERG
J 3 0 4
Borrower
r)(5P-6
Borrower
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For An Individual Acting In His /Her Own Right:
State of W 0
County of U y+-o
Thi instrument was acknowledged before me on 1 a 1 (date)
b y h j �.�>,C.K� vl lo e,9 YA M i(YI )L e-a) Wedroi
(n e(s)
of persons)
(Seal, if any)
Notary Publ
KRIS`Y A A ('ADO
My Commission Expires: a. 1 121`_) I
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