Affidavit Form printable pdf download

ASSESSOR'S PARCEL #____________________________

COUNTY OF _____________________

AFFIDAVIT

CONVERSION OF MANUFACTURED/MOBILE HOME

TO REAL PROPERTY

NRS 361.244

PART I - TO BE COMPLETED BY APPLICANT

MANUFACTURED/MOBILE HOME INFORMATION

1. Owner/Buyer name___________________________________________________________________________

2. Owner of land (if leased) ______________________________________________________________________

3. Physical location of manufactured/mobile home____________________________________________________

4. Manufactured/mobile home description: Manufacturer____________________Model______________________

Model Year____________Serial #_____________________________Length____________Width___________

5. New lienholder:

Name________________________________________________________________________________________

Address_______________________________________________________________________________________

_______________________________________________________________________________________

PART II - LAND OWNER SIGNATURE (If real property is leased in accordance with NRS 361.244.1.B)

As the owner of the real property listed at _______________________________________________, I,

___________________________________ consent to the conversion of the above described manufactured home

from personal property to real property.

___________________________________________

SIGNATURE-OWNER/BUYER

DATE

SIGNATURE-OWNER/BUYER

DATE

___________________________________________

PRINT NAME

DATE

PRINT NAME

DATE

On ______________________, 20____, before me the undersigned, a Notary Public, in and for the State of

Nevada, County of _______________________ personally appeared _________________________________,

________________________________

who

acknowledged

that

__he__

executed

the

affidavit.

__________________________________________ Notary Public

MH Conv-Rev 06/03

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Affidavit Form