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.
(4) Check whichever is applicable:
___The above described manufactured home is located in a jurisdiction with locally enforced building and safety codes adopted pursuant to Title 6, Chapter 9 and attached to this form is written evidence of compliance with the applicable codes as of the date the manufactured home was permanently affixed to the above described real property. Written evidence of compliance includes, but is not limited to, a copy of a certificate of occupancy, a statement from the code enforcement office, an inspection report, or any documentation of similar effect from the local code enforcement office having the appropriate jurisdiction. Only one document should be attached to this form.
___The above described manufactured home is not located in a jurisdiction with locally enforced building and safety codes adopted pursuant to Title 6, Chapter 9 applicable to manufactured homes.
(6) 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 ___
(8) 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.
(9) 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 OF TITLE
COUNTY OF ______________
)
CERTIFICATE
HISTORY: 2003 Act No. 88, Section 2; 2005 Act No. 12, Section 4, eff upon approval (became law without the Governor's signature on January 13, 2005).