Affidavit of Real Property for a Manufactured Home

A person who owns a fixed manufactured home can execute this affidavit if he is the affiant in a case related to that home.

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AFFIDAVIT OF REAL PROPERTY FOR A MANUFACTURED HOME 	
 
Effective July 1, 2008, the owner(s)/debtor(s) of a manufactured home that is permanently affixed to the land so that it is no 
longer capable of being drawn over the public highways must record a Certificate of Permanent Lo cation for a Manufactured 
Home. If a manufactured home was permanently affixed to th e land per §§ 38-29-114(2) or 38-29-118(2), C.R.S., prior to 
July 1, 2008, and no Certificate of Title was issued or a  Certificate of Title was purged for ad valorem taxation, the Affidavit of 
Real Property for a Manufactured Home (Affidavit) may be us ed as proof that the manufactured home was permanently affixed to the land.	  The Affidavit must be recorded with the clerk and recorder in the county in which the manufactured home 
is located, § 38-29-208, C.R.S.  If, prior to July 1, 2009, the manufactured home was permanently affixed to land that was 
subject to a long-term lease of at least 10 years, attach a copy of the lease to this form, § 38-29-208(2), C.R.S. 	
  	Please print or type. 
 
Part A – Manufactured Home Description and Acknowledgment 	
The manufactured home described below is perman ently affixed to the land described below: 
 
 
_______________________     ________________________    _______     __________________     _______________ 
Serial  No.                                          HUD No. (If known)                             Year             Manufacturer/Make                   Length/Width
  
 
__________________________________________________________________________________________________	
 
Name(s) of all owner(s) of the land to which  the manufactured home is permanently affixed. 
 
 
 	
                                                                                                                   ______________ ______	         	 	Book and page number or reception number of most current deed(s) vesting title of the real property in the owners(s) 
shown above. 
 
 
           	
                    ______   	Legal description of the land to which this home  is permanently affixed (include county name) 
 
 
         	
                                  ______	 
Real property address 
 
Acknowledgment  
The undersigned owner(s) of the manufactured home described he rein affirm(s) that the manufactured home is affixed to a 
permanent foundation located on the land id entified herein in accordance with any applicable city and/or county codes or 
requirements, § 38-29-208, C.R.S.  The undersigned owner(s) un derstand(s) that the manufactured home described herein 
is real property as defined in § 39-1-102(14), C.R.S.  Under  penalty of perjury, the undersigned owner(s) hereby certify 
that the statements contained herein are true and complete, § 18-8-503, C.R.S.   
 
 
_______________________________________________ _______________________________________________ 
Signature of Owner                                                  Date      Signature of Owner                                                   Date 
 
Print Name __________________________________              Print Name __________________________________ 
 
 
State of Colorado                                                                    State of Colorado 
County of ___________________________________               County of ___________________________________ 
 
The foregoing was acknowledged before me this _______          The foregoing was acknowledged before me on this _____  
 
day of __________________, 2______, by the owner               day of  ___________________, 2______, by the owner  
named above.                                                                         named above.    
 
 
  Witness my hand and official seal:                                            Witness my hand and official seal: 
  My commission expires:___________________                        My commission expires:_____________________ 
 
 
  ______________________________________                        ________________________________________ 
  Notary Public                                                                          Notary Public 
 	
Part B – Certification by Colorado County Officials § 38-29-208, C.R.S.  	
The manufactured home listed on this Affidavit of Real Property for a Manufactured Home has been valued together with 
the land to which it is affixed.  If the manufactured home was, prior to July 1, 2009, affixed to land that is subject to a lon g-
term lease of at least 10 years, see in structions for additional information. 
 
 
      	
                                                 	 
Signature of Assessor                                    Date                Assigned Parcel or Schedule Number                               
__________________________________________________________________________________________________	
 
Taxes have been paid on the manufactured home and the land up on which it is affixed as real property in the same manner 
as other real property, as defined in  § 39-1-102(14), C.R.S.  If the manufactured home was, prior to July 1, 2009, affixed to 
land that is subject to a long-term lease of at least  10 years, see instructions for additional information. 
 
 
      	
                                                  	 
Signature of Treasurer                                   Date                Assigned Parcel or Schedule Number                               
__________________________________________________________________________________________________	
 
No active Certificate of Title for the ma nufactured home was found in the records  of  the Division of Motor Vehicles,  
Department of Revenue pursuant to § 42-1-206, C.R.S. 
 
  
      	
  
Signature of Authorized Agent                       Date 	
Attach additional sheet(s) if necessary. 	
 
15-DPT-AR 
MH 300-08/11

Instructions for Completing 
Affidavit of Real Property  for a Manufactured Home 	
 
Effective July 1, 2008, the owner(s)/debtor(s) of a manufactured home that is permanently affixed to the land so 
that it is no longer capable of being drawn over the  public highways must record a Certificate of Permanent 
Location for a Manufactured Home.  If a manufacture d home was permanently affixed to the land per  
§§ 38-29-114(2) or 38-29-118(2), C.R.S., prior to July 1, 2008, and no Certificate of Title was issued or a 
Certificate of Title was purged for ad valorem taxation,  the Affidavit of Real Property for a Manufactured Home	
 
(Affidavit) may be used as proof that the manufac tured home was permanently affixed to the land.	  The Affidavit 
must be recorded with the clerk and recorder in the  county in which the manufactured home is located,  
§ 38-29-208, C.R.S.  If, prior to July 1, 2009, the manufactured home was permanently affixed to land that was 
subject to a long-term lease of at least 10 years, attach a copy of the lease to this form, § 38-29-208(2), C.R.S. 
 	
 
Part A	:   Describe the manufactured home that is permanently affixed to the land.  Include the serial number, 
HUD number, if known, year, manufacturer/make, and the length and width of the manufactured home. 
 
Include the name(s) of all owner(s) of the land to whic h the manufactured home is permanently affixed.  For a 
manufactured home that was, prior to July 1, 2009, permanently affixed to land that is subject to a long-term lease 
of at least 10 years, the land owner(s) and the manufactured homeowner(s) must be listed.  Attach additional 
sheets as necessary. 
 
Include the book and page or reception number of the most  current deed(s) vesting title of the real property in the 
land owner(s) name(s) shown above.  If the manufactured home was, prior to July 1, 2009, permanently affixed to 
land that is subject to a long-term lease of at least 10 ye ars; include any documentation used to vest title in the 
manufactured home.  
 
Include the legal description of the land to which this manufactured home is permanently affixed, including the 
county name. 
 
Include the property address assigned  to the above legal description.  Include the mailing address if different from 
the assigned property address. 
 
Acknowledgment:   Owner(s) of the manufactured home and the re al property must sign under penalty of perjury 
that the above-described manufactured home is permanently affixed to the land identified on this document and is 
affixed in accordance with any applicab le city and/or county codes or requirements.  Attach additional sheets as 
necessary. 
 	
Part B:	  Signatures required of the following Colorado County Officials. 
 
Assessor  or his/her designee lists the parcel or schedule numb er applicable to the property described in Part A. 
The signature of the assessor or his/her designee certifies that the manufactured home described in Part A was 
valued together with the land to which it is affixed.  For a manufactured home that was, prior to July 1, 2009, 
permanently affixed to land that is subject to a long-term lease of at least 10 years, two parcel or schedule 
numbers should be listed, and the signature of the assessor or his/her designee certifies that the manufactured 
home and the land to which it was affixed prior to July 1, 2009, were valued separately.   
 
Treasurer  or his/her designee  lists the applicable parcel or schedule number	
 for the manufactured home and land 
stated in Part A of this form.  By si gning this form, the treasurer or his/her designee only certifies that taxes for the 
manufactured home and the land upon which it is affixe d are/were collected in the same manner as other real 
property in the county.  For a manufactured home that was,  prior to July 1, 2009, permanently affixed to land that 
is subject to a long-term lease of at least 10 years, two parcel or schedule number s should be listed, and the 
signature of the treasurer or his/her designee certifies th at the taxes were paid separately on the manufactured 
home and on the land to which it is affixed.    
 
Authorized Agent’s  signature certifies that no active Certificate  of Title for the manufactured home was found in 
the records of the Division of Motor Vehi cles, Colorado Department of Revenue. 
 
Attach any additional information, such as a Letter of Pu rged Ad Valorem, that proves that the manufactured home 
was permanently affixed to the land prior to July 1, 2008.  For a manufactured home that was permanently affixed 
to land that is subject to a long-term lease of at least 10  years, attach any additional information that proves that 
the manufactured home was permanently affixed to the land prior to July 1, 2009. 
Notes:   It may be necessary to verify that the manufactured  home is on a permanent foundation in accordance 
with any applicable county or city and county codes or requirements, § 38-29-208(1)(e), C.R.S.