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Under penalty of law, the undersigned affirms that the information contained in this Affidavit of Affixture is true and correct and that <br />the above - described mobile home has been affixed to the real property described above. The undersigned hereby acknowledges that <br />this affidavit is made with the understanding that any person who misrepresents the information provided in this affidavit shall be <br />guilty of perjury, a Class III Felony. <br />e - e -/ <br />Printed Name of Mobile Home Owner <br />Signature of Mobile me Ovr Signature of Mobile Home Owner <br />State of /0/S5 SS ULr, rt <br />County of <br />the <br />The foregoing signature of the pliant was acknowledged <br />before me this 3D day of fitt u et , Zo/ 3 <br />or Desi u . ted County OffiaiF.1 <br />MEUSSA K.CROSSLAND <br />Notary Pubic Seal Missouri <br />CommissionSta eed for Camden WM <br />My Commission Number:13 13, 17 <br />e County Offctal shay <br />ocated and provide copies t <br />stcu iclavit,as Antic'; <br />All owners must sign and signatures must be notarized. <br />tatio <br />Seal <br />Lo L <br />Printed Name of Mobile Home Owner <br />1 <br />State of <br />County of <br />o Title. <br />53 OA_ if <br />201307847 <br />th de_ <br />The foregoing signature of the affiant was acknowledged <br />before me this 36-' day of yu st ,Z 3 <br />_A Aid <br />icia <br />Notary Public - Notary Seal <br />State of Missouri <br />Commissioned for Camden County <br />My Commission Expires: May 13, 2017 <br />Commission Number: 13782666 <br />Seal <br />1'ent or Vehicles <br />e+tl prope <br />Assessor, owner and to each financial institution <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 7/2012 <br />