COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : STATE OF SOUTH CAROLINA ) ) COUNTY OF _______________ ) -against- Index No. Calendar No. : Plaintiff(s) MANUFACTURED HOME JUDICIAL SUBPOENA SEVERANCE AFFIDAVIT : OWNERS SECTION : (1) Name of Owner:___________________________________ : (2) Description of Manufactured Home: Date of Manufacture: _______________ Defendant(s) : . . . . . Manufacturer:_______________________ . . . . . . . . . . . . . . . . . . ............................... Model year: _________________Make: ______________ Width: _____________ Length:________________ Identification Number (VIN):____________________ (3) Check whichever is applicable: THE PEOPLE OF THE STATE OF NEW YORK be removed from its current location and will not be _____ The above described manufactured home will permanently affixed in a new location. TO _____ The above described manufactured home will be removed from its current location and will be permanently affixed in a new location. (4) Full legal description of new property to which manufactured home 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.) _____________________________________________________________________________________________ GREETINGS: _____________________ (5) Derivation: This being the identical or a portion of property conveyed or leased to the owner by deed or lease WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before from ___________________________ and recorded _______________ in Book________ at page___________. , the Honorable number______________ at the Court Tax map located at County ofbilling address__________________________________________ Tax (6) of manufactured home. the in room Name of owner thereal property if different from20 , on of day of , owner , at o'clock in noon, and at any recessed _________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the (7) The initial manufactured home affidavit was recorded on ____________________, in book ___________, at page _____________________, in the County of ___________________. The owner certifies that the above information provided by the owner is true and correct to the best information and belief of the owner. comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure to Date:_________________ ___________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Signature of Owner result of your failure to comply. ___________________________ Type or Print Name of Owner Witness:___________________________ Witness, Honorable , one of the Justices of the Court in Witness:___________________________ STATE OF SOUTH CAROLINA ) ) COUNTY OF ________________ ) County, day of , 20 PROBATE (Attorney must sign above and type name below) Before me, the undersigned Notary Public, personally appeared _____________________________, who, being duly sworn, deposed and said that he saw _________________________________, sign, seal, and deliver the Attorney(s) for foregoing affidavit and that he, together with __________________________ witnessed the execution thereof. ______________________________________ SWORN to before me this _________ day of _______________ Notary Public for_________________(L.S.) My Commission Expires:________ Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) Index No. Calendar No. SECURED PARTY SECTION : JUDICIAL SUBPOENA ____________________________ Signature of secured party Witness:___________________ __________________________ Signature of secured party THE PEOPLE OF THE STATE OF NEW YORK Witness:___________________ _________________________ Print or type name of secured party _____________________________ TO Print or type name of secured party Date:_____________________ ____________________________ Signature of secured party Witness:___________________ __________________________ GREETINGS: Signature of secured party Witness:___________________ _________________________ WE COMMAND YOU, that all business and excuses of secured party you and each of you attend before being laid aside, Print or type name , the Honorable at the Court _____________________________ located at Print or type name of secured party County of Defendant(s) : ...................................................... Date:_____________________ (1) Names and mailing address of all parties with a security interest in the manufactured home: ________________________________________________________ : ________________________________________________________ (2) Consent to sever. This section must be completed by each secured party and the signature of each must be : notarized. By my (our) signature(s) affixed hereto I (we) consent to the severance of the within described manufactured home from the real property identified herein. -against- : in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the STATE OF SOUTH CAROLINA ) COUNTY OF ________________ ) PROBATE Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Before whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained the party on me, the undersigned Notary Public, personally appeared ______________________________, who, being as a duly sworn, deposed and said that he saw ___________________________________, sign, seal, and deliver the result foregoingfailure to comply. that he, together with ____________________________ witnessed the execution of your consent to sever and thereof. Witness, Honorable Court in County, , one of the Justices of the day of , 20 ____________________________ SWORN to before me this _________ day of _______________ Notary Public for__________________(L.S.) My Commission Expires:________ (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsi