HomeMy WebLinkAbout968156Record and Return to:
WELLS FARGO BANK, N.A.
FINAL DOCUMENTS X2599 -024
405 SW 5TH STREET
DES MOINES, IA 50309 -4600
MANUFACTURED HOME
AFFIDAVIT OF AFFIXATION
BEFORE ME, the undersigned notary public, on this day personally appeared
JOHN C ORTON EILEEN ORTON
RECEIVED 11/26/2012 at 5:06 PM
RECEIVING 968156
BOOK: 799 PAGE: 78
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
known to me to be the person(s) whose name(s) is /are subscribed below (each as
"Homeowner and who, being by me first duly sworn, did each on his or her oath state as
follows:
1. Homeowner owns the manufactured home "Home described as follows:
USED
New /Used Year
1995 56 X 27 GUERDON
Length /Width Manufacturer's Name
X/8602 G D B I D40958981 A
Model Name Model No. Serial No. 1
GDBID40958981 B
0261235279
Serial No. 2 Serial No. 3 Serial No. 4
2. The I Iome was built in compliance with the federal Manufactured I Iome 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.
4. The I Iome is or will be located at the following "Property Address
641 AUBURN FOREST ROAD, AUBURN, WY 83111
(Property Address)
5. The legal description of the real properly where the Horne is or will be permanently affixed
"Land is: line begins of is:
See Attached Legal Description
(Page 1 of 4) EC228A REV. 04/25/08
0 7
0261235279
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
at l.ached l o this Affidavit..
7. The Horne IS 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 manufactuer'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.
8. The I -Ionne shall be assessed and taxed as an improvement to the Land.
9. Homeowner agrees that as of today, or if the Horne is not yet located at the Property
Address upon the delivery of the llonne to the Property Address:
(a) All permits required by governmental authorities have been obtained;
(b) The foundation system for the Horne was designed by an engineer to meet the soil
conditions of Property Address. 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;
(d) The Home is (i) permanently affixed In a foundation, (ii) has the characteristic of
site -built housing, and (iii) is part of the Land; and
(e) The Home is permanently connected to a septic tank or sewage system and other
utilities such as electricity, water and natural gas.
10. If the Homeowner is the owner of the Land, any conveyance or financing of the Horne
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
applicant that could reasonably affect the validity of the title ofthe Horne 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:
The Horne is not covered by a certificate of title. The original manufacturer's
of origin, duly endorsed to the Homeowner, is attached to this affidavit.
The Home is not covered. by a certificate of title. After diligent search and inquiry, the
th Homeowner is unable to produce the original manufacturer's certificate of origin.
e certificate of title to the Home shall be 42;iitsebeen eliminated as
required by applicable law.
The Home shall be covered by a certificate of title.
13. The Affidavit executed by Homeowners) pursuant Io appicable state law.
EC228C Rev. 04/29/08 (Page 2 of 4)
000i!
0261235279
IN WITNESS WHEREOF, Homeowner(s) has exe used this Affidavit 'n my resence and in
the presence of the undersigned witnesses on this p day of
JOHN C ORTON
STATE OF (A �T`rlt
q `J ss..
COUNTY OF l� NP.SAIN
On the a day of in the year QCKPA before
me,.14.1e Fin�dersi zed a otary Public in an for said a t, personally appeared
C N\IN e l` n 4- °Z 'A l Jd e z 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 capacily(ies), and that by
his /her /their signaturc(s) on the instrument, thc individual(s), or thc person on behalf
of which the individual(s) acted, executed the instrument.
)_-o_cut-,
Nc ry Siocrial ure
Notary Printed Name f R
Notary Public; State of L)
Qualified in the County of
My commission expires
L
APIS
Witness
Witness
00080
My Co
COLLEEN M. BEAR0
Notary Public
Lincoln County
WyomM 9 l do own
fission(
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, N.A.
Lender Witness
By: Seblewong Molla Witness
Its: Vice President Loan Documentation
STATE OF MINNESOTA
COUNTY OF DAKOTA
ss..
On the day of Ov>°V)'1 in the year o (.9 before me, the
Undersigned, a Notary Public in and for said State, personally appeared
Seblewongel Molla, Vice President Loan Documentation, Wells Fargo Bank, N.A., 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.
Notary printed Name
Qualified in the County of:
Page 5of5
Notary Signature
Devetta M. Hollister
Notary Public; State of: Minnesota
/q (SEAL)
a I
My commission expires:
DEVETTA M. HOLLISTER
NOTARY PUBLIC MINNESOTA
4v My Commission Expires
Y P�
January 31, 2017
000
Loan 0261235279
The following described property:
Exhibit A
LEGAL DESCRIPTION
Real Estate, situate in Lincoln County and State of Wyoming, hereby releasing and waiving
all rights under and by virtue of the homestead exemption laws of the State to wit:
Part of Section 23, T33N R119W of the 6th P.M., Lincoln County, Wyoming, more
particularly described as follows:
Beginning at a point 25 feet West and 676 feet North of the Southeast comer of the NW
1/4 NE 1/4 of said Section 23 and running thence North 395 feet;
Thence West 115 feet;
Thence South 395 feet;
Thence East 115 feet to the point of beginning.
Assessor's Parcel No: 12- 3319- 23 -1 -00- 217.00
0