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�� <br />� <br />� <br />N � <br />0 <br />� s <br />N �� <br />A - <br />� �� <br />� � <br />- <br />� <br />� <br />� <br />� <br />� <br />� <br />. � <br />� <br />� <br />� <br />� <br />?v <br />� <br />� <br />:�• �. `� 9 � ., :r � <br />� � � '€ fi<� <br />- � 3 ' nt <br />! <br />.? ' 1 � , J , <br />��` <br />' 4 � <br />I <br />i <br />a� <br />D <br />r <br />r <br />c� � _. <br />Q �. <br />� � ... <br />t� � �._- <br />n � <br />�� <br />� <br />r+� <br />� � <br />r4, 'J ' . <br />� <br />� �� _ <br />N <br />r �.� <br />c_. : <br />ti <br />� <br />� <br />r <br />h--► <br />C--o <br />� <br />o--� <br />�"� <br />{"' � <br />�� <br />C7 Cf� <br />Q '�'� <br />C � <br />� rn <br />� <br />� o <br />O �1 <br />� Z <br />„ rTt <br />D D� <br />r � <br />r D <br />cn <br />� �. <br />� <br />C!') <br />N <br />0 <br />F- <br />i'�9 <br />� <br />C.!'1 <br />� <br />U1 <br />� <br />���s� � Affidavit of Affixture ��° � �= <br />'�'"� ( ���' For a Mobile Home With a �� <br />��� ��l.���f/��� . . ' -�`°� <br />��,� Nebraska Certificate of Title <br />Written consent for release of lien and cancellation of Certificate of Title from each lien holder must be attached to this <br />Affidavit. This completed Affidavit must be presented to the Designated County Official, along with the Certificate of <br />Title, in the county where the Certificate of Title was issued for cancellation of the existing Certificate of Title to occur. <br />A filing fee is required per §33-109 and §33-112. <br />Mobile Home Owner #1 <br />Name BRIAN BAKER <br />Address 1119 E 6TH ST <br />Mobile Home Owner #2 <br />Name TONYA BAKER <br />Address 119 E 6TH ST <br />City, State Zip GRAND ISLAND, NE 68801 I City, State Zip GRAND ISLAND, NE 68801 <br />Attach additional ASidavit(s) if more than 2 owners. <br />� Owner of real estate ❑ Leasing real estate <br />Mobile Home Description Year 1997 Make DUTCH HOMES Model FOLT_R_ SEASON <br />Vehicle Identification Number FS204400 Title Number <br />If two Ve I Nu are prese an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name BRIAN BAKER <br />Address 1110 E 6TH ST <br />City, State, Zip GRAND ISLAND, NE 68801 <br />Attach additional Affidavit(s) if <br />be notified. <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institurion(s): <br />Name JONATHAN KASAI/WELLS FARGO BANK I Name <br />Address 2801 4TH AVE S, MAC: X9902-019 <br />City, State, Zip MINNEAPOLIS, MN 55408 <br />Attach additional <br />Real Estate Qwner #2 <br />Name TONYA BAKE <br />Address 1110 E 6TH ST <br />City, State, Zip GRAND ISLAND, NE 68801 <br />Address <br />City, State, Zip <br />if more than 2 entities <br />F .� <br />p� <br />�, � <br />� <br />;:� <br />:.� <br />� <br />� <br />° �� <br />'-''� <br />,_� <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Tide 5/2006 <br />