Loading...
HomeMy WebLinkAbout974197208178 r E L CO CO >5 Q MANUFACTURED HOME AFFIDAVIT OF AFFIXATION Record and Retum by Mad 11 by Pickup to: FINAL DOCS N0012 -01B 6200 PARK AVENUE DES MOINES, IA 50321 This Instrument Prepared By: CARMEN MARIA MENA Preparer's Name 10421 WATERIDGE CR, 2ND FLOOR Preparers Address 1 SAN DIEGO, CA 921215781 Preparers Address 2 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) Rea✓2/4/2008 RECEIVED 11/15/2013 at 3:40 PM RECEIVING 974197 BOOK: 824 PAGE: 211 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 111 101 0211 Q2 AARON D. DOCKSTADER KAYLE D. DOCKSTADER (type the name of each Homeowner signing this Affidavit): being duly swom, on his or her oath state as follows: 1. Homeowner owns the manufactured home "Home described as follows: USED 2001 CHAMPION New /Used Year Manufacturer's Name 170155501388A 170155501388B 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 79 TUMBLEWEED LANE. THAYNE. LINCOLN. WY 83127 Street or Route, City, County, State Zip Code 5. The legal description of the Property Address "Land is: ,QFR LFMAT, nrsrnTPTTAN ATTACLlF:n HF.RF.TA Awn MAnF. A PART NFRRAF. THIS IS A PURCHASE MONEY SECURITY INSTRUMENT. 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 is 'shall be anchored to the Land by attachment to a permanent foundation, constructed in accordance with applicable state and local budding 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) 2/4/2008 NA NA 060 x 027 Model Name or Model No. Length x Width 0212 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 govemmental 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 completioninstructioni: 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. 1 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) 2/4/2008 IN WITNESS WHEREOF, Homeowner(s) has executed this Affidavit in my presence and in the presence of the undersigned witnesses on this day of b 4cev Homeowner #1 (SEAL) witness AARON D. DOCKSTADER le 0. DocAcs-f-i A Hbrheownet' #2 (SEAL) Witness KAYLE D. DOCKSTADER Homeowner #3 (SEAL) Witness Homeowner #4 (SEAL) Witness STATE OF ss.: COUNTY OF On the day of in the year before me, the undersigned, a Notary Public in and for said State, personally appeared 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 Notary Printed Name Notary Public, State of Qualified in the County of My Commission expires: Official Seal: 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 4 NMFL 7111 (MAHA) Rev 2/4/2008 u 14 This page for use by California Notaries Public only. State of California County of ©cetani9' On Ili o� I6-01S-0 cV WITNESS my hand and official seal. PHUONG D. DANG Commission 1910701 1 Notary Public California z Orange County a M Comm. Ex Tres Oct 28, 2014 NMFL 1315 (CANO) Rev 2/4/2008 SS. before me, si Gcv` 1 ,t_e__ personally appeared r1), D who proved to me on the basis of satisfactory evidence to be the perso s whose namea act+ subscribed the within instrument and acknowledged t i Ile that a xecuted the same in authorized capaci i and that by s.. t ignature bn the instrument the perso r or the entity upon behalf of which the perso ,E acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. (Seal) 0215 208178 EXHIBIT "A" Uz1L6 Lot 104 of Star Valley Ranch Plat 5, Lincoln County, Wyoming as described on the official plat filed on June 30, 1971 as Instrument No. 431709 of the records of the Lincoln County Clerk.