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Home My WebLink About972753Record and return to: Wells Fargo Home Mortgage Attn: Sandy Thow 2701 Wells Fargo Way MAC: X9998 -01L Minneapolis, MN 55467 Page 1 of*, Preparer's Signature Homeowner /Borrower Name(s): Elizabeth C. Spomer Borrower #1 RECEIVED 8/20/2013 at 2:11 PM RECEIVING 972753 BOOK: 818 PAGE: 362 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY MANUFACTURED HOME AFFIDAVIT OF AFFIXATION ,20 )3 Dat Legal Description: Ca lA, Tax Parcel Number: Place of Recording Legal Description at Page 6. Instrument Prepared By: Sandy Thow Loan Servicing Specialist 2701 Wells Fargo Way Minneapolis, MN 55467 651 -6 867 Lot Township Range Borrower #2 Borrower #3 Borrower #4 0362 Block Plat or Section Quarter Quarter Section ATTENTION COUNTY CLERK: This instrument covers good that 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. Elizabeth C. Spomer [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 2002 Oakwood x New Used Year Manufacturer's Name Model Name or Number Length Width GWOR23N25610A /B Serial Number Serial Number See Attached Page 2 of Serial Number Serial Number 03G3 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 549 Forest Circle Alpine Lincoln WY 83128 Street or Route City County State Zip Code 5. The legal description of the Property Address "Land is typed below or please see attached legal description: 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 is 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 t hat the Home be an immoveable fixture and a permanent improvement to the Land. 8. The Home shall be assessed and taxed as an improvement to the Land. [Closing 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 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. Page 3 of l 0364 9. Homeowner agrees that as of today, or if the Home is not yet located athe 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 stat 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, placed on the Property Address; and (d) The Home is (k) Permanently Affixed to a foundation, (ii) has the characteristics of sit -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 on 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 the title to the Home: 03G5 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and the presence of the un e, sig witnesses on this day of 20 -S- Borrower \€Iizabet Borrower #2 Borrower #3 Witness Borrower #4 STATE O ∎4, 1 NkWi\\i&ss.: COUNTY OF On the day of (Ni1M. in the year ca(') 1 before me, the undersigned, a Notary Public in and for said State, personally appeared Elizabeth C. Spomer 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 Signature C> VN`f C‘OG--sR- Notary Printed Name Notary Public; State of Qualified in the County of My comm Sion expires: ni 4 f 0 0 4 7 i 1 1 31 (SEAL) (SEAL) (SEAL) (SEAL) Witness Witness Witness 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 By: Seblewon :el Molla Witness Its: Vice President Loan Documentation STATE OF MINNESOTA COUNTY OF DAKOTA On the 2 day of LA-Cwy in the year ',?O (3 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 Signature Page 5 of 5 Travis S. Barrick Notary printed Name ss.: Notary Public; State of: Minnesota Qualified in the County of: NA My commission expires: /-3/ —/8 SEAL Witness TRAVIS S. BARRICK NOTARY PUBLIC MINNESOTA My Commission Expires January 31, 2018 0366 Exhibit A PROPERTY DESCRIPTION The legal description of the Property Address "Land is typed below: The land referred to herein is situated in the State of WY, County of Lincoln, City of ALPINE and described as follows: Lot 4 Forest Meadow Subdivision, Lincoln County, Wyoming as described on the Official Plat filled on September 17, 1981 as Intrument No. 565472 of the Records of the Lincoln County Clerk. Assessor's Parcel No: 12- 3718- 28 -3 -01- 005.00 Street Address: 549 FOREST CIRCLE ALPINE, WY, 83128 Page 40f6 0367