S.C. Code Ann. § 56-19-550
(C) The Manufactured Home Severance Affidavit 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 will be removed from its current location and will not be permanently affixed in a new location.
_____ The above described manufactured home will be removed from its current location and will be permanently affixed in a new location.
(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 initial manufactured home affidavit was recorded on ____________________, in book ___________, at page _____________________, in the County of ___________________.
(1) Names and mailing address of all parties with a security interest in the manufactured home:
________________________________________________________
________________________________________________________
(2) Consent to sever. This section must be completed by each secured party and the signature of each must be notarized. By my (our) signature(s) affixed hereto I (we) consent to the severance of the within described manufactured home from the real property identified herein.
Date: _____________________________ ___________________________________
Signature of secured party
Witness: __________________________ ___________________________________
Signature of secured party
Witness: __________________________ ___________________________________
Print or type name of secured party
___________________________________
Print or type name of secured party
Date: _____________________________ ___________________________________
Signature of secured party
Witness: __________________________ ___________________________________
Signature of secured party
Witness: __________________________ ___________________________________
Print or type name of secured party
___________________________________
Print or type name of secured party
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 consent to sever and that he, together with ____________________________ witnessed the execution thereof.
____________________________
SWORN to before me this
_________ day of _______________
Notary Public for__________________(L.S.)
My Commission Expires:________
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:________
SECURED PARTY Section
STATE OF SOUTH CAROLINA )
) MANUFACTURED HOME
) SEVERANCE AFFIDAVIT
COUNTY OF _______________ )
OWNERS Section
(E) The attorney's affidavit required by subsection (D) must be in the following form:
(2) The undersigned has conducted an examination of the real property records in the office of the Register of Deeds or Clerk of Court in the county of ____________________, and states that the following security interests listed below in their order of priority are recorded and in the undersigned's opinion are perfected as to the manufactured home identified in the attached Severance Affidavit. The parties are listed by name and address in order of priority of security interest:
Date: _____________________________ ___________________________________
Signature of attorney
___________________________________
Printed name of attorney and
Bar Number
___________________________________
Street Address
___________________________________
City, State, Zip Code
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 ) ATTORNEY AFFIDAVIT OF
) SECURITY INTERESTS OF
COUNTY OF ________________ ) RECORD
The undersigned on oath, being duly sworn, hereby certifies as follows: