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HomeMy WebLinkAbout907256/7 RECEIVED 3/25/2005 at 3:02 PM RECEIVING # 907256 BOOK: 581 PAGE: 467 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Record and Return [] by Mail [] by Pickup to: Wells Fargo Home Mortgage MAC #X4701-022 3601 Minnesota Drive, Suite 200 Bloominqton, MN 55435 STATE OF COUNTY OF MANUFACTURED HOME AFFIDAVIT OF AFFIXATION ) SS.: BEFORE ME, the undersigned notary public, on this day personally appeared Scott Wodskow Melissa Wodskow [type the name of each Homeowner signing this Affidavit]: known to me to be the person(s) whose name(s) is/are subscribed below (each a "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: New 2005 Hiqhland ManufacturerStoney Brook Gold MH3268-2 68' x 32' New/Used Year Manufacturer's Name Model Name or Model No. Manufacturer's Serial No. Length / Width 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": 515 O Street La Barqe Lincoln WY 83123 Street or Route City County State Zip Code 4:00 PMATTENTION 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. © Marc J. Lifsel All rights reserved Page 1 of 4 REV 11.18.2004 The legal description of the Property Address ("Land") is: Lots 1, 2, and 3, of Block 1, of Alleman 2nd Addition to the Town of LaBarqe, Lincoln County, Wyoming as described on the official plat thereof. 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 that 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. 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: [ ] 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 [] 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. The Homeowner designates the following person to record this Affidavit in the real property records of the jurisdiction where the Home is to be located and upon its recording it shall be returned by the recording officer to same: Name: Wells Fargo Bank, NA MAC #X4701o022 Address: 3601 Minnesota Drive, Suite 200, Bloomington, MN 55435 4:00 PMATTENTION 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. © Marc J, Lifset All rights reserved Page 2 of 4 REV 11.18 2004 14. This Affidavit is executed by Homeowner(s) pursuant to applicable state law. :'20469 IN WITNESS WHEREOF, Homep~w, nner(s) has executed this Affidavit in my presence ant, i_n t.be presence of the undersigned witnesses on this ¢¢'..~ day of Homeowner #1 Sco~Wodskow -Homeowner #2 v Melissa Wodskow Pdnted Name (SEAL) (SEAL) Witness Witness Homeowner #2 (SEAL) Witness Pdnted Name STATE OF COUNTY OF ) SS.: ) On the ~ '-~ day of J'~ ~ ~ in the year ¢o0 ~ before me, the ~.~ql?~d, a Notary Public in and for said personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(si 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) Notary Public; State of ,~,.~~ Qualified in the County of . My commission expires: ~0 -'d'~ '~0 '7 NANCY STAFFORD T NOTARY PUBLIC COUNTY OF ~ STATE OF '~g[~l~_~-~]' WYO~G Official Seal: 4:00 PMATTENTION 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. © Marc J Lffset All rights reserved Page 3 of 4 REV 11 18.2004 '.'.0470.. Lender's Statement of Intent: The undersigned ("Lender" improvement to the Land. intends that the Home be an immoveable fixture and a permanent BW Mort.qa.qe, LLC Lender By: Autl~orized ~Si~ature \ STATE OF NORTH DAKOTA ) ) SS.: COUNTY OF CASS ) Onthe ~::~'~ dayof //~,.Jq, intheyear c~Lgd),_..~ before me.,,~he 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(si is(are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/hedtheir signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument. N/~cCry Signat;? ' Notary Printed Name Notary Public: State of /f/J~£~L~ Qualified in the County of My commission expires: Official Seal: Notary Public State of North Dakota _M y_ .C o_~ mjs si_o n_.E,,xp._ire_s O_ct.._6:~20C~6_, Drafted By: Ania N. Kalvoda, BW Mortqaqe, LLC, 808 Third Avenue South, Farqo, ND 58103 4:00 PMATTENTION 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 of 4 © Marc J. Lifset All rights rese,'ved REV 11.18.2004