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Manufactured Home Affidavit For Retirement Of Title Certificate Form. This is a South Carolina form and can be use in Lexington Local County.
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Tags: Manufactured Home Affidavit For Retirement Of Title Certificate, South Carolina Local County, Lexington
STATE OF SOUTH CAROLINA )
COUNTY OF ______________
)
MANUFACTURED HOME
AFFIDAVIT FOR
RETIREMENT OF TITLE
CERTIFICATE
(1) Name of Owner:______________________________
(2) Description of Manufactured Home:
Date of Manufacture: ________________________
Manufacturer: ____________________________
Model year: ______________________________
Make: ____________________________________
Width: __________________________________
Length: __________________________________
Identification Number (VIN): __________________
(3) Check whichever is applicable:
_____The above described manufactured home is not subject to a security lien.
_____The above described manufactured home is subject to a security lien and a separate
affidavit, as required by law, will be filed naming the secured parties.
(4) Check whichever is applicable:
_____The above described manufactured home is located in a jurisdiction with locally
enforced building and safety codes adopted pursuant to Title 6, Chapter 9 and attached to this
form is written evidence of compliance with the applicable codes as of the date the manufactured
home was permanently affixed to the above described real property. Written evidence of
compliance includes, but is not limited to, a copy of a certificate of occupancy, a statement from
the code enforcement office, an inspection report, or any documentation of similar effect from
the local code enforcement office having the appropriate jurisdiction. Only one document should
be attached to this form.
_____The above described manufactured home is not located in a jurisdiction with locally
enforced building and safety codes adopted pursuant to Title 6, Chapter 9 applicable to
manufactured homes.
(5) Full legal description of the property to which the manufactured home is currently, or is to
be, affixed using metes and bounds or reference to recorded plat by book and page. (A separate
sheet identified as ‘Exhibit A’ may be attached.)
(6) Derivation: This being the identical or a portion of property conveyed or leased to the
owner by deed or lease from ___________________________________________ and recorded
____________ in Book _____________ at page _________________.
Tax map number ________________________
Tax billing address ______________________
(7) The above-described manufactured home is permanently affixed or is to be permanently
affixed to the above-described real property and the title certificate is to be retired in accordance
with applicable law.
(8) Check if applicable:
______The owner of the manufactured home owns or has a leasehold estate of thirty-five or
more years in the real property to which the manufactured home is affixed.
(9) WARNING: the execution and filing of this affidavit transfers ownership of the
manufactured home to the lawful owner of the real property to which it is affixed.
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The owner certifies that the above information provided by the owner is true and correct to the
best information and belief of the owner.
Date: ____________________________________________
Signature of owner: ________________________________
Type or print name of owner __________________________
Witness: _____________________________
Witness: _____________________________
STATE OF SOUTH CAROLINA
)
COUNTY OF ________________ )
PROBATE
Before
me,
the
undersigned
Notary
Public,
personally
appeared
______________________________, who, being duly sworn, deposed and said that (s)he saw
___________________________________, sign, seal, and deliver the foregoing Affidavit and
that (s)he, together with ____________________________ witnessed the execution thereof.
___________________________________
SWORN to before me this
___ day of _______________
Notary Public for_________________(L.S.)
My Commission Expires:_____________”
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