S.C. Code Ann. § 56-19-540
(B) The Manufactured Home Lien Affidavit must be in the following form:
(3) The above described manufactured home is subject to a security lien and all secured parties with mailing addresses are listed below:
_
_
(4) Full legal description of new property to which manufactured home is to be affixed using metes and bounds or reference to recorded plat by book and page. (A separate sheet identified as "Exhibit A" may be attached.)
_
(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_
(6) Name of owner of real property if different from owner of manufactured home.
_
(7) The owner of the manufactured home affidavit was recorded on _, in book _, at page _, in the County of _.
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 he saw _, sign, seal, and deliver the foregoing Affidavit and that 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
)
LIEN AFFIDAVIT
COUNTY OF _______________
)
HISTORY: 2003 Act No. 88, Section 2.