STATE OF SOUTH CAROLINA | ) |
) | MANUFACTURED HOME |
) | SEVERANCE AFFIDAVIT |
COUNTY OF _______________ | ) |
OWNERS SECTION
(1) | Name of Owner: |
(2) | Description of Manufactured Home: |
Date of Manufacture: | |
Manufacturer: | |
Model year: _________________ Make: | |
Width: _____________ Length: | |
Identification Number (VIN): |
_____ The above described manufactured home will be removed from its current location and will not be permanently affixed in a new location.
_____ The above described manufactured home will be removed from its current location and will be permanently affixed in a new location.
_________________________________________________________
Tax map number______________
Tax billing address__________________________________________
_________________________________________________________
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 | ) |
) | PROBATE |
COUNTY OF ________________ | ) |
Before me, the undersigned Notary Public, personally appeared _____________________________, who, being duly sworn, deposed and said that he saw _________________________________, sign, seal, and deliver the 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:________
SECURED PARTY SECTION
______________________________________
______________________________________
Date: |
Signature of secured party |
Witness: |
Signature of secured party |
Witness: |
Print or type name of secured party |
Print or type name of secured party |
Date: |
Signature of secured party |
Witness: |
Signature of secured party |
Witness: |
Print or type name of secured party |
Print or type name of secured party |
STATE OF SOUTH CAROLINA | ) | |
COUNTY OF ________________ | ) | PROBATE |
Before me, the undersigned Notary Public, personally appeared ______________________________, who, being duly sworn, deposed and said that he saw ___________________________________, sign, seal, and deliver the foregoing consent to sever and that he, together with ____________________________ witnessed the execution thereof.
____________________________
SWORN to before me this
_________ day of _______________
Notary Public for__________________(L.S.)
My Commission Expires:________
STATE OF SOUTH CAROLINA | ) | ATTORNEY AFFIDAVIT OF |
) | SECURITY INTERESTS OF | |
COUNTY OF ________________ | ) | RECORD |
The undersigned on oath, being duly sworn, hereby certifies as follows:
Date: |
Signature of attorney |
Printed name of attorney and |
Bar Number |
Street Address |
City, State, Zip Code |
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 he saw ___________________________________, sign, seal, and deliver the 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:________
S.C. Code § 56-19-550