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200706821 All permits required by governmental authorities have been obtained; 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. The wheels, axles, towbar or hitch were removed when the Home was, or will be, placed on the Property Address; The Home is (i) permanently affixed to a foundation, (ii) has the characteristics of site-built housing, and (iii) is part of the Land; and 10. If the Homeowner is the owner of the Land, any conveyance or financing ofthe Home and the Land shall be a single transaction under applicable state law. (a) (b) (c) (d) 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 ofthe 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. r ." 1 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 is covered by a certificate oftitle. 13. This Affidavit is executed by Homeowner(s) pursuant to applicable state law. IN WITNESS WHEREOF, Ho11'!~~(s) has exe~ted this Affidavit in my pres~_l1.2.e,.i}nd in the presence of the undersigned witnesses on this ~day of ~r( fI. ht- ' d-..CV J -;:;;:::~ /l-t:c4-: $- c1 ~c/7 B'~w~~OTHY MULLINS Date STATE OF NEBRASKA, ~ County ^ The foregoing instrument was acknowledged before me this. ~day of f-\-tL~~_~CV1 by TIMOTHY MULLINS. ~ - cDe1 ~~.e .ro \ Notary Public ~W\\\ ~. ~w~ V\- ;V~\_, t Name and tj1!e My commission expires: Cf~;l2y aCf.}'O (R&A) RA0191938 - MHAflIdavitofAtfixation.wel- Rev. 06/12/2006 GENERAL NOTARY. Stale of Nebraska BEVERLY S. HEWITT Comm. . Se l23. 2008 Page 2