Fillable TENNESSEE DEPARTMENT OF REVENUE Affidavit Of Affixation For (State of Tennessee)

Fill Online, Printable, Fillable, Blank TENNESSEE DEPARTMENT OF REVENUE Affidavit Of Affixation For (State of Tennessee) Form

Use Fill to complete blank online STATE OF TENNESSEE (TN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

TENNESSEE DEPARTMENT OF REVENUE Affidavit Of Affixation For (State of Tennessee)

On average this form takes 10 minutes to complete

The TENNESSEE DEPARTMENT OF REVENUE Affidavit Of Affixation For (State of Tennessee) form is 2 pages long and contains:

  • 0 signatures
  • 3 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Tennessee

BROWSE STATE OF TENNESSEE (TN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
STATE OF TENNESSEE
DEPARTMENT OF REVENUE
VEHICLE SERVICES
500 DEADERICK STREET
NASHVILLE, TN 37242
TENNESSEE DEPARTMENT OF REVENUE
Affidavit Of Affixation For Manufactured Or Mobile Home
THIS INSTRUMENT WAS PREPARED BY:
Individual or Business Name
Address City State Zip
County
BEFORE ME, the undersigned notary public, on this day personally appeared
Name(s) of each homeowner signing this affidavit
Known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed below (each a “homeowner”),
and who, being by me first duly sworn, did each by personal oath state as follows:
1. Homeowner(s) owns the manufactured home (“home”) described as follows:
New/Used Year Manufacturer’s Name
Model Name and No.
Length/Width Manufacturer’s Serial No.
2. The home is or will be located at the following “property address”:
Street or Route City County Zip Code
3. The legal description of the real property where the home is or will be permanently affixed (“land”) is:
(attach additional pages if necessary)
4. The homeowner(s) executing below is/are all the legal owner(s) of the real property to which the home has become
permanently affixed.
5. The home shall be assessed and taxed as an improvement to the land.
6. (A) All permits required by applicable governmental authorities have been obtained;
(B) The foundation system for the home complies with all laws, rules, regulations and codes and manufacturer’s
specifications applicable to the manufactured home becoming a permanent structure upon the real property; and
(C) The wheels and axles have been removed.
7. The home is permanently connected to a septic or sewer system and other utilities such as electricity, water and gas.
RV-F1322101 (Rev. 9-20)
STATE OF
COUNTY OF
)
) ss.:
State
9. The home is subject to the following security interests (each, a “security interest”):
Name of Lienholder: Name of Lienholder:
Address:
Address:
Original Principal Amount Secured:
Original Principal Amount Secured:
10. Other than those disclosed in this affidavit, the homeowner is not aware of:
(i) any other claim, lien or encumbrance affecting the home;
(ii) any facts or information known to the homeowner that could reasonably affect the validity of the homeowner’s
title to the home or the existence or non-existence of security interests in the home.
This affidavit is executed by homeowner(s) pursuant to applicable state law and shall be recorded in the real property records in the
county which the home is located.
Further affiant(s) sayeth naught.
Homeowner #1
Printed Name
Homeowner #2 (If more than one homeowner)
Homeowner #3 (If more than two homeowners)
Printed Name
Printed Name
STATE OF
COUNTY OF
Personally appeared before me,
, a notary public in and for the state and county
, the within named person(s), with whom I am personally
acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such person was the one who
executed the foregoing instrument for the purposes therein contained.
WITNESS my hand and seal at office, on this
day of
, 20
.
aforesaid,
Notary Public
My Commission Expires:
ATTENTION COUNTY REGISTER OF DEEDS: This instrument covers goods that are or are to become fixtures on or improvements to
the property described in this instrument and is to be filed for record in the real estate records.
8. Check one:
(A) ______ The manufactured home is covered by a certificate of title that the owner shall surrender to the department;
(B) ______ The manufactured home is covered by a manufacturer’s statement or certificate of origin that the owner shall
surrender to the department; or
(C) ______ The manufactured home is not covered by a certificate of title and the owner of the manufactured home, after
diligent search and inquiry, is unable to produce the original manufacturer’s certificate of origin for the
manufactured home;
RV-F1322101
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

TENNESSEE DEPARTMENT OF REVENUE Affidavit Of Affixation For (State of Tennessee)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 March 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document