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2o��as��� <br />I�ISHA M FiILTNER <br />[type the name of each Homeowner signing this Affidavit]: <br />being duly sworn, on his or her oath state as foilows: <br />1. Homeowner owns the manufactured home ("Home") described as follows: <br />IISED 2001 SCHIILT HOMES NA 512832 Q50 XQ28 <br />New/Used Year Manufacturer's Name Model Name or Model No. Length x Width <br />P305377A P305377B <br />8erial No. Serial No, Serial No. Serial No. <br />2. The Home was built in compliance with the federal Manufactured Home Construction and <br />Safety Standards Act. <br />3. If the Homeowner is the first retail buyer of the Home, Homeowner is in receipt of {i) the <br />manufacturer's warranty for the Home, (ii1 the Consumer Manual for the Home, iiii} the <br />Insulation Disclosure far the Home, and (iv) the formaldehyde health notice for the Home. <br />4. 7he Home is or will be located at the following "Property Address": <br />607 SATURN ST, ALDA, AALL, NE 68810 <br />Street or Route, City, County, State Zip Code <br />5. The legal clescription of the Property Address ("Land"► is: <br />LOT THREE t3) , ELROb ESTATES Si1BDIVISION�ALDA HALL CODNTY, NEBRASRA <br />THIS IS A PURCHASE MONEY SECURITY INSTRIIMENT. <br />TAX STATEMENTS SSOULD BE SENT TO: WELLS FARGO SOME MORTGAGE, P.O. BOX 11701, <br />NEWARR, NJ 0710147Q1 <br />6. The Homeowner is the owner of the Land or, if not the owner of the Land, is in possession of <br />the real property pursuant to a lease in recordable form, and the consenfi of the lessor is <br />att�ched to this Affidavit. <br />7. The Home [,] is [ l shall be anchored to fihe Land by attachment to a permanent <br />foundation, constructed in accordance with applicable state and local building codes and <br />manufacturer's specifications in a manner sufficient to validate any applicable manufacturer's <br />warranty, and permanently connected to appropriate residential utilities {e.g., water, gas, <br />elsctricity, sewer) ("Permanently Affixed"). The Homeowner intends that the Home be an <br />immoveable fixture and a permanent improvement to the Land. <br />ATTENTION COUNTY CLERK: This instrument covers goods thet are or are to become fixtures on the Land described herein <br />and is to be filed for record in the records where conveyances of reaf estate are recorded. <br />Page 2 Initial: � <br />NMFL # 7111 tMAHA1 Rev 2/4/2008 <br />