Form 5312: Missouri Manufactured Home Affidavit of Affixation

Enter the Grantor or Grantee, the Date (MM/DD/YYYY), the Name of Manufactured Homeowner, and the Street Address Where the Manufactured Home is or will be Located with City, State and Zip.

Under Home Information, enter the Manufacturer Name, the Manufacturer's Serial Number of the Manufactured Home, mark the Home is box that applies, and enter the Model Year, Make, Model Name and Dimensions of the Home.

Under Real Estate Information, enter the Legal Description of Real Estate (Attach a separate exhibit if more space is needed).

Place initials in applicable boxes: I am the owner of the real estate described in this affidavit; or, I am in possession of the real estate under the terms of a lease in recordable form that has a term that continues for at least 20 years after the date of execution of this affidavit. If you have initialed the lease box, the Lessor must complete the Consent of Lessor section.

In the Consent of Lessor: I am the owner of the real estate where the manufactured home described in this affidavit has been permanently affixed and the owner of the manufactured home has entered into a lease for such real estate for a period of at least twenty (20) years after the date of the execution of this affidavit, I hereby consent to the affixation of this manufactured home to the real estate.

Enter the Lessor Signature and the Printed or Typed Name of Lessor.

Under Consent of Lessor, subscribed and sworn before me this: the notary fills in the State of Missouri County, the day of, the Notary Signature, the Printed or Typed Name of Notary and My Commission Expires.

Note: License Office notary service - $2.00 (checked November 8, 2026).

Place your initials in the box that applies to the type of ownership document currently in your possession. If you do not possess an ownership document, indicate so in the appropriate area provided.

If you possess a Manufacturer's Certificate of Origin (MCO) or Manufacturer's Statement of Origin (MSO): the manufactured home is currently covered by a MCO or MSO and you are surrendering the original MCO or MSO. Provide the Manufacturer's Serial Number and the MCO or MSO Issue Date (MM/DD/YYYY). The original MCO or MSO must be surrendered to the Director of Revenue with Application for Surrender of Title or Manufacturer's Certificate of Origin (MCO), (Form 5315).

If you possess a Certificate of Title: the manufactured home is currently covered by a certificate of title and you are surrendering the title. Provide the Title Number and the Title Issue Date (MM/DD/YYYY) from the title document. The original title must be surrendered to the Director of Revenue with Application for Surrender of Title or Manufacturer's Certificate of Origin (MCO), (Form 5315).

If you are unable to locate either the MCO, MSO or Certificate of Title: a certificate of title does not exsist, or you are unable to locate the original MCO, MSO or certificate of title after diligently searching for such documents. You must complete an Application for Confirmation of Conversion (Form 5314) and provide it to the director of revenue.

The Designated Agent for Filing will receive written acknowledgement of compliance. Enter the Name of Designated Agent, the Business or Agency Name, and the Street Address, City, State and Zip.

If there is a security interest or lien, provide the security interest or lienholder information (if more than two use an additional sheet): the Lienholder Name, the Original Principal Amount and the Address.

Place your initials in the box(es) that applies: the manufactured home described in this affidavit is subject to one or more security interests or liens which will be released upon satisfaction of the terms of the security agreement entered between the owner and lienholder.

The security interest or lien has been released and a copy of the release of security interest or lien will be attached to the copy of the recorded Affidavit of Affixation that will be filed with the Director of Revenue.

Under penalties of perjury, I hereby affirm that the manufactured home described herein is or shall be permanently affixed to the real estate described herein, the home has the characteristics of site-built housing and is part of the land, the home was built in compliance with the federal Manufactured Home Construction and Safety Standards Act, and the home is or shall be assessed and taxed as an improvement to the land.

I further affirm to the best of my knowledge that the information contained in this affidavit is true and accurate based on the attached documents.

The affiant signs and prints the name on the Affiant's Signature and Printed or Typed Name of Affiant lines. In the Consent of Affiant, subscribed and sworn before me this: the notary fills in the County, the day of, the Notary Signature, the Printed or Typed Name of Notary and My Commission Expires.

Present this completed form to your local license office or mail it with the appropriate fees to: Motor Vehicle Bureau P.O. Box 100 Jefferson City, MO 65105-0100 Phone: (573) 526-3669 E-mail: mvbmail@dor.mo.gov.