Prepared by/Return to: Page 1 of ______ ______________________________________________________________________________ AFFIDAVIT OF MOBILE HOME OWNER(S) TO RETIRE MOBILE HOME TITLE(S) STATE OF __________________ COUNTY OF ________________ I hereby certify that on this day personally appeared before me, an officer authorized to administer oaths and take acknowledgements, __________________________________________________, who after being duly sworn and cautioned, upon oath states as follows: 1. Affiant(s) own(s) a parcel of real property commonly known as: __________________________________ , __________________________, _____________ Street Address State Zip Code The following described land, situate, lying and being in ____________________ County, Florida, to-wit: LEGAL DESCRIPTION: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ ________________________, _________________ County, Florida, together with that certain BAR FORM NO. R-8.7 © Florida Lawyers Support Services, Inc. 2008 American LegalNet, Inc. www.FormsWorkflow.com (Year) __________ (Make) ___________ Mobile Home, VIN# (s) _______________________________________________________________, Title # (s) _______________________________________________________________, permanently attached thereto and made a part hereof. 2. Affiant(s) hereby desire(s) to retire the title to the Affiant(s) mobile home located thereon pursuant to §319.261, Florida Statues, because it is permanently attached to Affiant(s) real property. 3. Affiant(s) is/are the owner(s) of a (Year) __________ Make _________ Mobile Home, VIN# (s) _______________________________________________________________, Title # (s) _______________________________________________________________. 4. Affiant(s) Mobile Home is permanently affixed to the real property in accordance with state law. 5. The Original Florida Motor Vehicle Title Certificate to Affiant(s) Mobile Home located on the above described real property, see attached EXHIBIT "A and/or B". 6. If Affiant(s) interest in the property described in the above written Legal Description is in the form of a recorded leasehold interest in the real property for a term of 30 years or more, a copy of the lease agreement is attached hereto as EXHIBIT " " 7. Affiant(s) is/are familiar with the nature of an oath and with penalties provided by the laws of the State of Florida for falsely swearing to statements made in an instrument of this nature. BAR FORM NO. R-8.7 © Florida Lawyers Support Services, Inc. 2008 American LegalNet, Inc. www.FormsWorkflow.com FURTHER AFFIANT(s) SAYETH NAUGHT. Signature - Required Jurat - Required BAR FORM NO. R-8.7 © Florida Lawyers Support Services, Inc. 2008 American LegalNet, Inc. www.FormsWorkflow.com