Certificate Of Permanent Location For A Manufactured Home

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CERTIFICATE OF PERMANENT LOCATION FOR A MANUFACTURED HOME
Effective July 1, 2008, the owner(s) of a manufactured home that is permanently affixed to the ground so that it is no longer capable
of being drawn over the public highways shall record a Certificate of Permanent Location for a Manufactured Home (Certificate of
Permanent Location) in the office of the county clerk and recorder. For a manufactured home that is titled, the Certificate of
Permanent Location must include an application to purge the Certificate of Title. For a new manufactured home, the Certificate of
Permanent Location must include a copy of the Bill of Sale and the Manufacturer’s Certificate or Statement of Origin,§ 38-29-202,
C.R.S. For manufactured homes that are subject to a long-term land lease of at least 10 years, a Certificate of Permanent Location
for a Manufactured Home Subject to a Long-Term Land Lease must be used.
Please print or type.
___________________________________________________________________________________________________
____
1.
Recorded Certificate of Permanent Location should be returned to:
(Name and mailing address)
___________________
__________________________________________________________________________
_______
2.
Name(s) and mailing address(es) of owner(s)/debtor(s):
______________________
________________________________________________________________________
___
___
3.
Name(s) and mailing address(es) of security interest/lien holder(s):
_________________________________________________________________________________________________
_ _____
4.
This Certificate of Permanent Location pertains to the manufactured home identified below:
Serial No.: _____________________________________
Certificate of Title/Origin No.:__________________________
Manufacturer/Make: _____________________________
Length/Width: _____________________________________
Year: _________________________________________
HUD No.: _________________________________________
_________________________________________________________________________________________________
_
____
5.
Legal description of land to which the manufactured home identified in section 4 will be permanently affixed (include county
name):
Property Address:
Parcel/Schedule No.:
___________________________________________________________________________________________________
___
6.
Name of record owner(s) of land identified in section 5 - must include at least one owner/debtor listed in section 2:
___________________________________________________________________________________________________
___
7.
Tax authentication:
Attach to this form a Certificate of Taxes Due or a manufactured home Authentication of Paid Ad Valorem Taxes (Authentication)
issued by the county treasurer of the county in which the manufactured home is located. (It is not necessary to record the
Certificate of Taxes Due or the Authentication form.)
_____________________________________________________________________________________________________
__
8.
Verification that the manufactured home is on a permanent foundation in accordance with any applicable city and/or county
codes or requirements.
Authorized Signature and Title ___________________________________________Date_______________________________
_____________________________________________________________________________________________________
__
9.
The titled manufactured home identified herein was “Purged Ad Valorem” as indicated on the attached letter from the State
Division of Motor Vehicle dated: _______________________________
_____________________________________________________________________________________________________
__
10. Consent and lien release:
The undersigned security interest/lien holder(s) consent to permanent location and hereby release any lien on the manufactured
home. (Attach additional sheets if necessary):
Authorized agent of security interest/lien holder
Title
Authorized agent of security interest/lien holder
Title
Signature
Date
Signature
Date
State of Colorado
State of Colorado
County of ________________________________________
County of ________________________________________
The foregoing was acknowledged before me this _____ day
The foregoing was acknowledged before me this ______day
of _____________, 2_____, by the authorized agent of the
of ____________, 2_____ , by the authorized agent of the
security interest/lien holder named above.
security interest/lien holder named above.
Witness my hand and official seal:
Witness my hand and official seal:
My commission expires: ______________________ ___
My commission expires: ________________________
_____________________________________________
____________________________________________
Notary Public
Notary Public
Under penalty of perjury in the second degree, § 18-8-503, C.R.S., the undersigned owner(s)/debtor(s) hereby certify that all
security interest/lien holder(s) are identified on this Certificate of Permanent Location or any attachments hereto. All owners/debtors
consent to affixation of the manufactured home to the real property described herein and acknowledge that upon affixation, the
manufactured home will become a part of the real property and ownership shall be vested only in the title owners of the real
property. Any owner shown on the Certificate of Title of the manufactured home who is not also an owner of the real property to
which the manufactured home is to be permanently affixed relinquishes all rights in the manufactured home, § 38-29-202(2)(l).
_________________________________________________
_________________________________________________
Signature of owner/debtor
Date
Signature of owner/debtor
Date
Print name __________________________________
Print name __________________________________
Address ____________________________________
Address _____________________________________
State of Colorado
State of Colorado
County of _________________________________________
County of _________________________________________
The foregoing was acknowledged before me this _____ day of
The foregoing was acknowledged before me this _____day of
____________, 2______, by the owner/debtor named above.
____________, 2______, by the owner/debtor named above.
Witness my hand and official seal:
Witness my hand and official seal:
My commission expires: __________________________
My commission expires: _________________________
______________________________________________
_____________________________________________
Notary Public
Notary Public
15-DPT-AR
MH 301-08/09

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