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ATEC: 199020
Record and Return by Mail by Pickup to:
ILIIV REK PNFRTC SIS NL17_I t CE CZT WV, T T C
15550 LIG3IKAVE IRIVE, SUTIE 200
CT FA0%TF+R, FT C7RT A 337&)
Loan Number: 0007143936
REAL PROPERTY AND MANUFACTURED HOME
LIMITED POWER OF ATTORNEY
(To execute or release title, mortgage or deed of trust, security filing, transfer of equity and insurance documents and proceeds.)
The undersigned borrower(s), whether one or more, each referred to below as "I" or "me," residing at:
355 Lincoln Street
AFTON, WYOMING 83110
City, State, Zip, County
RECEIVED 9/26/2013 at 10:55 AM
RECEIVING 973439
BOOK: 821 PAGE: 268
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Street Address
I am the Buyer /Owner of the following manufactured home (the "Manufactured Home
REAL PROPERTY AND MANUFACTURED HOME LIMITED POWER OF ATTORNEY
04/03/06 Page 1 of 5
"Present Address
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Used 2003 NASHUA
New /Used Year Manufacturer' s Name
NASHUA /2004 IDA208868/IDA208869 75ft x 30ft (L x W)
Model Name /Model No. Manufacturer' s Serial No. Length/Width
permanently affixed to the real property located at 355 Lincoln Street
Street Address
AFTON, WYOMING 83110 "Property Address and as more
City, County, State, Zip
particularly described on Exhibit A attached hereto (the "Real Property I do hereby irrevocably make,
constitute, appoint and authorize with full power of substitution, UNIVERSAL AMERICAN
MORTGAGE COMPANY, LLC, A FLORIDA LIMITED LIABILITY COMPANY
"Lender its successors, assigns or designees as my agent and attorney -in -fact, in my name, place and stead
in any way which I could do, If I were personally present, with full power of substitution and delegation,
(1) to complete, execute and deliver, in my name or Lender's name, any and all forms, certificates,
assignments, designations, releases or other documentation as may be necessary or proper to implement the
terms and provisions of the Security Instrument dated AUGUST 12 2013 executed by me
in favor of Lender, (2) to complete, execute and deliver, in my name or in Lender' s name, any and all forms,
certificates, assignments, designations, releases or other documentation as may be necessary or proper, to
make application for and obtain the certificate of title for the Manufactured Home and to have Lender (or
its designee) designated as lienholder on the certificate of title for the Manufactured Home, (3) to complete,
execute and deliver in my name or Lender' s name, any and all forms, certificates, assignments, designations,
releases or other documentation as may be necessary or proper to have the Manufactured Home treated as
real estate for any and all purposes under state law, including but not limited to the surrender of any
certificate of title, any election to treat the Manufactured Home as real estate for tax purposes or to meet any
other requirements in order for the loan/financing secured by the Manufactured Home and the Real Property
to be eligible for sale on the Federal National Mortgage Association "Fannie Mae" the Federal Home Loan
Mortgage Association "Freddie Mac or any other secondary market purchaser, (4) to receive, complete,
execute or endorse, and deliver in my name or Lender's name any and all claim forms, agreements,
assignments, releases, checks, drafts or other instruments and vehicles for the payment of money, relating
to any insurance covering the Manufactured Home, the indebtedness secured by the Manufactured Home or
the Real Property, and (5) to complete, sign and file, without my signature, such financing and continuation
statements, amendments, and supplements thereto, mortgages, deeds of trust and other documents, including
releases of these items, which I may from time to time deem necessary to perfect, preserve and protect
Lender' s security interest in the Manufactured Home, the Property and any other property sold with it. I
acknowledge that at the time this Power of Attorney and my Security Instrument and any of the forms,
certificates, assignments, designations, releases or other documentation are prepared the serial number of the
manufactured housing unit may not be available or may be inaccurate. The manufactured housing unit may
REAL PROPERTY AND MANUFACTURED HOME LIMITED POWER OF ATTORNEY
04/03/06 Page 2 of 5
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STATE OF WYOMING
COUNTY OF LINCOLN
On the /4 day of in the year 020/3 before me, the
undersigned, a Notary Public in and for said State, personally appeared BRUCE 1-1 WALLACE,
SUSAN J WALLACE
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.
JILL H. LARSON NOTARY PUBLIC
County of,' State of
1
Lincoln r Wyoming
My Commission Expires June 20, 2015
(Official Seal)
ss.:
Not Signature
REAL PROPERTY AND MANUFACTURED HOME LIMITED POWER OF ATTORNEY
04/03/06 Page 4 of 5
of otA4.
•ii /d. tuts o
Notary Printed Name
Notary Public; State of 4A4
Qualified in the County of
My Commission Expires: 6 •,9' 0 -A 0 S
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EXHIBIT A
PROPERTY DESCRIPTION
LOT 7 OF THE FINAL PLAT OF BLOCK 18, 2ND ADDITION TO THE
TOWN OF AFTON, BEING PART OF LOT 3, BLOCK 18, LINCOLN
COUNTY, WYOMING, AS DESCRIBED ON THE OFFICIAL PLAT FILED
FEBRUARY 1, 2013, AS INSTRUMENT NO. 969263, OF THE
RECORDS OF THE LINCOLN COUNTY CLERK.
A.P.N.: 12- 3219- 25 -4 -03- 046.00
REAL PROPERTY AND MANUFACTURED HOME LIMITED POWER OF ATTORNEY
04/03/06 Page 5 of 5
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ATEC: 199020
(To be recorded with Security Instrument)
AFFIXATION AFFIDAVIT REGARDING MANUFACTURED
(AND FACTORY BUILT) HOME
The State of WYOMING
County of LINCOLN
IDA208868 IDA208869
MANUFACTURED HOME LOCATION
355 Lincoln Street
Street
Before me, the undersigned authority, on this day personally appeared BRUCE H WALLACE,
SUSAN J WALLACE
(Borrower(s)) and UNIVERSAL AMERICAN MORTGAGE COMPANY, LLC, A
FLORIDA LIMITED LIABILITY COMPANY
known to me to be the person(s) whose name(s) is /are subscribed below, and who, being by me first dully
sworn, did each on his /or her oath state as follows:
DESCRIPTION OF MANUFACTURED HOME
USED 2003 NASHUA
New /Used Year Manufacturer's Name
2004 IDA208868/IDA208869 75ft x 30ft
Model Name or Model No. Manufacturer's Serial No. Length x Width
HUD Label Number(s): Certificate of Title Number:
AFTON WYOMING
City State
AFFIXATION AFFIDAVIT REGARDING MANUFACTURED
(AND FACTORY BUILT) HOME
03/20/06 Page 1 of 3
Loan Number: 0007143936
LINCOLN
County
83110
Zip Code
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In addition to the covenants and agreements made in the Security Instrument, Borrower covenants and agrees
as follows:
1. The manufactured home described above located at the address above is permanently affixed to a
foundation and will assume the characteristic of site -built housing.
2. The wheels, axles, tow bar, or hitch were removed when said manufactured home was placed on the
permanent site.
3. All foundations, both perimeter and piers for said manufactured home have footings that are located
below the frost line or in compliance with local building codes or requirements.
4. If piers are used for said manufactured home, they will be placed where said home manufacturer
recommends.
5. If state law so requires, anchors for said manufactured home have been provided.
6. The manufactured home is permanently connected to a septic or sewage system and other utilities such
as electricity, water and natural gas.
7. No other lien or financing affects said manufactured home or real estate, other than those disclosed in
writing to Lender.
8. The foundation system of the manufactured home has been designed by an engineer, if required by state
or local building codes, to meet the soil conditions of the site.
9. Borrower(s) acknowledges his or her intent that said manufactured home will become immovable
property and part of the real property securing the security instrument.
10. The Manufactured home will be assessed and taxed as an improvement the real property. I /We
understand that if Lender does not escrow for these taxes, that I /we will be responsible for payment of
such taxes.
11. If the land is being purchased, such purchase and said manufactured home represent a single real estate
transaction under applicable state law.
12. Said manufactured home has been built under the Federal Manufactured Home Construction and Safety
Standards that were established June 15, 1976.
13. This Affidavit is executed by Borrower(s) pursuant to applicable state law.
14. All permits required by governmental authorities have been obtained. Borrower(s) certifies that
Borrower(s) is in receipt of manufacturer' s recommended maintenance program regarding the carpets
and manufactures warranties covering the heating /cooling system, hot water heater, range, etc. and
the formaldehyde health notice.
Borrower BRUCE H WALLACE Date Borrower SUS J WALLACE Date
Borrower
Borrower
Date Borrower
Date Borrower
AFFIXATION AFFIDAVIT REGARDING MANUFACTURED
(AND FACTORY BUILT) HOME
03/20/06 Page 2 of 3
0273
Date
Date
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County of
Lincoln
In Witness Whereof, Borrower(s) and Lender has executed this Affidavit in my presence and in the presence
of undersigned witnesses on this f day of /44,, .7
Witness Witness
STATE OF WYOMING
COUNTY OF LINCOLN
The foregoing instrument was acknowledged before me this q✓ day of /a
c 0 by BRUCE H WALLACE, SUSAN J WALLACE
who is personally known to me or who provided
JILL ti. LARSON NOTARY PUBLIC
Lender
State of
Wyoming
My Commit ion Expire,, s June 20, 2015
AFFIXATION AFFIDAVIT REGARDING MANUFACTURED
(AND FACTORY BUILT) HOME
03/20/06 Page 3 of 3
as identification.
d4--
No/ Public
Print Name
My Commission Expires: 'b a- o
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be a factory order in the process of being constructed. Immediately, upon Lender' s receipt of the serial
number, I understand and agree that the above items may be completed and/or corrected by Lender to
properly disclose all the applicable home identifications, including the serial number. I understand that I will
be provided with a copy of any corrected agreement.
To induce any third party to act hereunder, I hereby agree that any third party receiving a duly executed copy
of facsimile of this instrument may act hereunder, and I for myself and for my heirs, executors, legal
representatives and assigns, hereby agree to indemnify and hold harmless any such third party from and
against any and all claims that may arise against such third party by reason of such third party having relied
on the provisions of this instrument. I have given this Limited Power of Attorney in connection with a
loan/financing to be given by Lender and to induce Lender to make the financing available. It is coupled
with an interest in the transaction and is irrevocable. This Limited Power of Attorney shall not be affected
by my /our subsequent incapacity, disability, or incompetence. I do further grant unto Lender full authority
and power to do and perform any and all acts necessary or incident to the execution of the powers herein
expressly granted, as fully as I might or could do if personally present.
WITNESS my hand and seal this A day of
Witness Witness
4er/41X
Borrower BRUCE H WALLACE
Borrower
Borrower
Date
Date Borrower
Date Borrower
REAL PROPERTY AND MANUFACTURED HOME LIMITED POWER OF ATTORNEY
04/03/06 Page 3 of 5
s/ni
Borrower SU J WALLACE Date
Date
Date
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