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HomeMy WebLinkAbout967595Record and Return by Mail by Pickup to: FINAL DOCS T7408 -01F 4101 WISEMAN BLVD BLDG 108 SAN ANTONIO, TX 78251 -4200 This Instrument Prepared By: LISA HOUSE Preparer's Name 9780 S MERIDIAN BLVD, 2ND FL Preparer's Address 1 ENGLEWOOD, CO 801125910 Preparer's Address 2 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 Initial: NMFL 7111 (MAHA) Rev 2/472008 II 11 0 0©34 RECEIVED 10/29/2012 at 12:02 PM RECEIVING 967595 BOOK: 797 PAGE: 34 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY CHARLES F JONES KIM JONES [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 2005 CHAMPION New /Used Year Manufacturer's Name 17059260319A 17059260319B Model Name or Model No. Length x Width 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 1570 BITTERCREEK RD, AFTON, LINCOLN, WY 83110 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address "Land is: T,R(,AT,__DFSC'RIPTTON ATTACHED HERETO AND MIME A PART HEREOF TAX STATEMENTS SHOULD BE SENT TO: WELLS FARGO HOME MORTGAGE, P.O. BOX 11758, NEWARK, NJ 071014758 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 I 1 is 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 Initial: NMFL 7111 (MAHA) Rev 24 NA NA 058 x 027 0035 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 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 (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 SupplementalClosing Instructionsfor completioninstruction4: 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. U The manufacturer's certificate of origin and /or certificate of title to the Home shall be has been eliminated as required by applicable law. L_] 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 214/2008 0003 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the pre -nce of the undersigned witnesses on this 9 day of b Homeowner #1 (SEAL) 7 Witness CHARLES F JONES Homeowne #2 KIM JONE Homeowner #4 (SEAL) fy�Y ary Signature Notary Public, State of My Commission expires: Official Seal: Page 4 NMFL 7111 (MAHA) Rev 2/4/2008 JILL H. LARSON NOTARY PUBLIC County of Lincoln State of Wyoming My Commission Expires June 20, 2015 Witness Homeowner #3 (SEAL) Witness Witness STATE OF 0 )ss.: COUNTY OF On the 7,9 before me, the undersi ned, a Notary Public in and for said State, personally appeared 2 i f a personally known to e 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. day of in the year Wio e- o ,J 0)5" 0003 Notary Printed Name Qualified in the County of c�v State of I V 4). County of 7- C The for -.oing instrum nt was acknowledged before this day of b r` u d by PRI ar es F. Jones aN Notary Public 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. Lynn Schulz Notary Public State of North Dakota My Commission Expires April 3, 2018 155571 EXHIBIT "A" u it) 03 Part of E' /2NE'/ of Section 35 and that part of the W1/2NW1/4 of Section 36, T31N, R119W of the 6th P.M., Lincoln County, Wyoming being all that tract of record in the office of the Clerk of Lincoln County in Book 391PR on Page 808, and part of that tract of record in Book 391PR on page 810, described as follows: Beginning at the Northeast corner of the SW'/NW' /a of said Section 36; thence South 89 °32'37" West, 86.7 feet, along the north line of said SW'/NW'/, to the approximate thread of Salt River; thence coursing along said approximate thread as follows: North 47 °48'40" West, 158.5 feet; North 21°01'12" West, 104.8 feet; North 39 °14'35" West, 340.9 feet; North 61 °58'36" West, 44.3 feet, and leave said thread; Thence South 63 °15'26" West, 219 feet, more or less, to the northern most point of said tract in Book 391PR on Page 808; thence continuing South 63 °15'26 West, 170.06 feet, to a point at an existing fence corner; Thence South 60 °00'29" West, 208.88 feet, to a point; Thence South 39 °51'06" East, 59.34 feet, to a point on an existing fence line; Thence coursing along said fence as follows: South 43 °36'54" West, 268.76 feet, to a point; North 73 °45'04" West, 118.07 feet, to a point; North 59°30'13" West, 56.28 feet, to a point; South 71 °37'23" West, 57.14 feet, to a point; South 56°22'15" West, 93.68 feet, to a point; South 63 °41'05" West, 90.65 feet, to a point; South 70 °17'58" West, 46.42 feet, to a point, and leave said fence; Thence North 85 °30'00" West, 34.45 feet, to a point on the easterly right of way line of Bitter Creek County Road No. 12 -140; Thence South 85 °07'47" West, 30.00 feet, along the radial line of a circular curve to the left, with a radius of 1112.18 feet, to PC 348 +14.45, on the centerline of said County Road No. 12- 140; Thence Southeasterly, 458.28 feet, along the arc of said circular curve to the left, through a central angle of 23 °36 °33 and a chord bearing South South 16 °40'30" East, 455.05 feet PT 352+72.75; Thence South 28 °28'46" East, 28.88 feet, to a spike and leave said centerline; Thence North 61°31'14" East, 30.00 feet, to a point on said Easterly right of way line; Thence South 89 °33'24" East, 1484.61 feet, to a point on the East line of said SW' %NW' /a; Thence North 00 °00'33" East, 553.72 feet, along said East line to the corner of beginning.