S.C. Code Ann. § 56-19-510
(A) An owner of a manufactured home may affix the home to real property by:
(D) The Manufactured Home Affidavit for the Retirement of Title Certificate must be in the following form:
(2) Description of Manufactured Home:
Date of Manufacture: _______________
Manufacturer: _______________________
Model year: _________________ Make: ___________________
Width: _________________ Length: ______________________
Identification Number (VIN): __________________________
(3) Check whichever is applicable:
_____ The above described manufactured home is not subject to a security lien.
_____ The above described manufactured home is subject to a security lien and a separate affidavit, as required by law, will be filed naming the secured parties.
(5) Derivation: This being the identical or a portion of property conveyed or leased to the owner by deed or lease from ___________________________________________ and recorded ____________ in Book _____________ at page _________________.
Tax map number______________________
Tax billing address_________________________________________
(7) Check if applicable:
______The owner of the manufactured home owns or has a leasehold estate of thirty-five or more years in the real property to which the manufactured home is affixed.
(8) WARNING: the execution and filing of this affidavit transfers ownership of the manufactured home to the lawful owner of the real property to which it is affixed.
The owner certifies that the above information provided by the owner is true and correct to the best information and belief of the owner.
Date: ____________________ ___________________________________
Signature of owner:
___________________________________
Type or print name of owner
Witness: _____________________________
Witness: _____________________________
STATE OF SOUTH CAROLINA )
COUNTY OF ________________ ) PROBATE
Before me, the undersigned Notary Public, personally appeared ______________________________, who, being duly sworn, deposed and said that (s)he saw ___________________________________, sign, seal, and deliver the foregoing Affidavit and that (s)he, together with ____________________________ witnessed the execution thereof.
___________________________________
SWORN to before me this
___ day of _______________
Notary Public for_________________(L.S.)
My Commission Expires:_____________
STATE OF SOUTH CAROLINA ) MANUFACTURED HOME
) AFFIDAVIT FOR RETIREMENT
COUNTY OF ________________ ) OF TITLE CERTIFICATE