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201801653 <br /> LOAN#:063160 <br /> 10.The Home is subject to the following security interests(each,a"Security Interest"): <br /> Name of Lienholder Name of Lienholder <br /> Address: Address: <br /> Original Principal Original Principal <br /> Amount Secured: $ Amount Secured:$ <br /> 11. Homeowner agrees that as of today,or if the Home is not yet located at the Property <br /> Address, upon the delivery of the Home to the Property Address: <br /> (a)All permits required by governmental authorities have been obtained; <br /> (b)The foundation system for the Home was designed by an engineer to meet the <br /> soil conditions of the Land.All foundations are constructed in accordance with <br /> applicable state and local building codes, and manufacturer's specifications in <br /> a manner sufficient to validate any applicable manufacturer's warranty; <br /> (c) If piers are used for the Home,they will be placed where recommended by the <br /> Home manufacturer; <br /> (d)The wheels, axles,towbar or hitch were removed when the Home was placed <br /> on the Property Address;and <br /> (e)The Home is(i) Permanently Affixed to a foundation,(ii) has the characteristics <br /> of site-built housing,and (iii) is part of the Land. <br /> 12.If the Homeowner is the owner of the Land, any conveyance or financing of the <br /> Home and the Land shall be a single transaction under applicable state law. <br /> 13.Other than those disclosed in this Affidavit,the Homeowner is not aware of(i)any <br /> other claim, lien or encumbrance affecting the Home, (ii) any facts or information <br /> known to the Homeowner that could reasonably affect the validity of the title of the <br /> Home or the existence or non-existence of security interests in it. <br /> 14.The Homeowner hereby initials one of the following choices, as it applies to title to <br /> the Home: <br /> ❑A.The Home is not covered by a certificate of title.The original manufacturer's <br /> certificate of origin,duly endorsed to the Homeowner,is attached to this Affidavit, <br /> or previously was recorded in the real property records of the jurisdiction where <br /> the Home is to be located. <br /> ❑B. The Home is not covered by a certificate of title.After diligent search and inquiry, <br /> the Homeowner is unable to produce the original manufacturer's certificate of <br /> origin. <br /> C.The manufacturer's certificate of origin and/or certificate of title to the Home <br /> 6Q shall be ❑has been eliminated as required by applicable law. <br /> ❑D. The Home shall be covered by a certificate of title. <br /> 15.This Affidavit is executed by Homeowner pursuant to applicable state law. <br /> ATTENTION COUNTY CLERK:This instrument covers goods that are or are to become fixtures on the Land <br /> described herein and is to be filed for record in the records where conveyances of real estate are recorded. <br /> Ellie Mae,Inc. Page 3 of 5 AN u 11GM AR (CLS) <br /> 03/12/2018 01:09 PM PST <br /> • <br />