An affidavit of affixation must be in substantially the following form and must contain the following information:
MANUFACTURED HOME AFFIDAVIT OF AFFIXATION IN A COOPERATIVE
PURSUANT TO MINNESOTA STATUTES, SECTION 168A.1411
Homeowner, being duly sworn, on his or her oath, states as follows:
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New/Used | Year | Manufacturer's Name | Model Name or Model No. | Manufacturer's Serial No. | Length/Width |
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Street or Route ................................................................................................. | City ................................................................................................. | County ................................................................................................. | State ................................................................................................. | Zip Code ................................................................................................. |
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Signed and sworn to (or affirmed) before me on ....... (date) by ....... (names of homeowner(s))
................................................................................................................................. | ................................................................................................................................. |
Homeowner Signature | Address |
................................................................................................................................. | ................................................................................................................................. |
Printed Name | City, State |
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Homeowner Signature (if applicable) | |
................................................................................................................................. | |
Printed Name |
This instrument was drafted by, and when recorded return to:
................................................................................................................................. |
................................................................................................................................. |
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Subscribed and sworn to before me this ....... day of ......., .......
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Signature of Notary Public or Other Official |
Notary Stamp or Seal
(optional)
Lender's Statement of Intent:
The undersigned ("lender") intends that the home be immovable and a permanent improvement to the land free of any personal property security interest.
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Lender |
By: ................................................................................................................................. |
Authorized Signature |
STATE OF .................................................................................................................................) |
.................................................................................................................................) ss: |
COUNTY OF .................................................................................................................................) |
On the ....... day of ....... in the year ....... before me, the undersigned, a Notary Public in and for said state, personally appeared
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personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted, executed the instrument.
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Notary Signature |
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Notary Printed Name |
Notary Public, State of ................................................................................................................................. |
Qualified in the County of ................................................................................................................................. |
My commission expires ................................................................................................................................. |
Official seal:
[only if the owner of the land is a Minnesota nonprofit corporation or cooperative]:
The undersigned is the .............................. of .................................., a Minnesota [nonprofit corporation or cooperative], which owns the land described above. I hereby certify that the homeowner described above is a member of the [nonprofit corporation or cooperative] whose membership entitles the homeowner to occupy [insert legal description of the homeowner's lot or, if the corporation or cooperative has filed a scaled drawing as permitted by Minnesota Statutes, section 168A.1411, subdivision 5, Lot ................. shown on such scaled drawing].
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Signature block for nonprofit or cooperative |
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Acknowledgment of officer of nonprofit or cooperative |
The department may not cancel a certificate of title if, under this chapter, a security interest has been perfected on the manufactured home. If a security interest has been perfected, the department must notify the owner that each secured party must release or satisfy the security interest prior to proceeding with surrender of the manufacturer's certificate of origin or certificate of title to the department for cancellation. Permanent attachment to real property or the recording of an affidavit of affixation does not extinguish an otherwise valid security interest in or tax lien on the manufactured home, unless the requirements of subdivisions 1 to 3, including the release of any security interest, have been satisfied.
When a perfected security interest exists, or will exist, on the manufactured home at the time the manufactured home is affixed to real property, and the owner has not satisfied the requirements of subdivision 1, the owner of the manufactured home, or its secured party, may record a notice with the county recorder, or with the registrar of titles, if the land is registered, stating that the manufactured home located on the property is encumbered by a perfected security interest and is not an improvement to real property. The notice must state the name and address of the secured party as set forth on the certificate of title, the legal description of the real property, and the name and address of the record fee owner of the real property on which the manufactured home is affixed. When the security interest is released or satisfied, the secured party must attach a copy of the release or satisfaction to a notice executed by the secured party containing the county recorder or registrar of titles document number of the notice of security interest. The notice of release or satisfaction must be recorded with the county recorder, or registrar of titles, if the land is registered. Neither the notice described in this subdivision nor the security interest on the certificate of title is deemed to be an encumbrance on the real property. The notices provided for in this subdivision need not be acknowledged.
Minn. Stat. § 168A.1411