Affidavit of Affixture Template

State of [State]
County of [County]

Before me, the undersigned authority, personally appeared [Owner Full Name], who, being duly sworn, states as follows:

1. Affiant Information

My name is [Owner Full Name]. I reside at [Owner Address], [City, State, ZIP Code].

I am the lawful owner or authorized owner of the manufactured home described in this Affidavit and the owner, purchaser, or lawful holder of rights to the real property identified below.

2. Property Information

The real property to which the manufactured home is affixed is located at:

Property Address: [Property Address]
City, State, ZIP Code: [City, State, ZIP Code]

Legal Description of the Property:

[Insert full legal description of the land]

Parcel Number / Tax ID Number: [Parcel Number]

3. Manufactured Home Information

The manufactured home covered by this Affidavit is described as follows:

Manufacturer: [Manufacturer Name]
Model: [Model Name or Number]
Year: [Year]
Width / Length / Size: [Description]
HUD Label Number(s), if applicable: [Number(s)]
VIN / Serial Number(s): [Number(s)]
Title Number(s), if applicable: [Number(s)]

If the home consists of more than one section, all section numbers are as follows:

[Insert section or unit identification details]

4. Ownership Statement

I state that the manufactured home described above is owned by:

[Owner Name(s)]

The real property described above is owned by:

[Owner Name(s)]

☐ The manufactured home owner and the landowner are the same
☐ The manufactured home owner and the landowner are different, as explained below:

[Explain ownership arrangement if different]

5. Statement of Affixture

The manufactured home described in this Affidavit has been permanently attached and affixed to the real property identified above.

The home is installed on a permanent foundation or other permanent supporting structure and is intended to remain in place as a permanent improvement to the land.

The wheels, axles, towing hitch, and any similar transport components have been removed or are no longer being used for transportation, to the extent applicable.

6. Intent to Treat Home as Real Property

I declare that the manufactured home is intended to be treated as part of the real property and not merely as movable personal property.

This Affidavit is made for the purpose of confirming the permanent affixture of the home to the land and supporting any related recording, title, lending, tax, transfer, or property documentation requirements.

7. Title and Registration Information

With respect to the certificate of title or registration for the manufactured home:

☐ Title has been surrendered, canceled, retired, or converted as required
☐ Title remains outstanding and will be addressed separately
☐ No separate title information is available, as explained below

Explanation:

[Insert title status details]

8. Lienholder or Secured Party Information

The following lienholder, secured party, or lender has or may have an interest in the manufactured home or real property:

Name: [Lienholder Name]
Address: [Lienholder Address]

☐ Consent has been obtained
☐ Consent is attached
☐ No lienholder consent is required
☐ Lienholder information is described below

Additional details:

[Insert lien or consent information]

9. Supporting Documents

The following supporting documents are attached, if applicable:

☐ Copy of certificate of title
☐ Title surrender or retirement documentation
☐ Foundation or installation documentation
☐ Deed or proof of land ownership
☐ Lienholder consent
☐ Photographs of affixture
☐ Other: [Describe document]

10. Declaration

I declare under oath that the statements made in this Affidavit of Affixture are true and correct to the best of my knowledge and belief.

I understand that this document may be relied upon by lenders, title companies, assessors, purchasers, recorders, or other government or private parties in connection with the property and manufactured home described above.

11. Signature

Affiant Signature: __________________________

Printed Name: [Owner Full Name]
Date: [Date]

If there is more than one owner, additional signatures may be added below:

Owner Signature: __________________________
Printed Name: [Owner Full Name]
Date: [Date]

12. Notary Acknowledgment

Subscribed and sworn to before me on this [Day] day of [Month], [Year], by [Owner Full Name].

Notary Public Signature: __________________________

Printed Name of Notary: [Notary Name]
My Commission Expires: [Date]
Notary Seal: __________________________

13. Optional Recorder Use Section

Prepared By: [Name]
Return To: [Name and Address]

Recording Reference, if applicable:

[Book / Page / Instrument Number / Filing Reference]