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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 />Erin Romans <br />Printed Name of Mobile Home Owner <br />e of Mob a Home Owner <br />State of ki <br />County of 140),, ( ` <br />The foregoing siprattue of they fit was acknowledged <br />before me this b + t^ day of DAJ UEfvl6E� , 2 <br />Notary or Designated County Official <br />LIBERAL NOTARY - State of Nebraska <br />SANDRA BURRIS <br />My Comm. Exp. AprA 27, 2015 4 <br />All owners must sign and signatures must be notarized <br />S eal <br />Traci Romans <br />Signature of Mobile Home Owner <br />State of 1\/`i+ <br />County of +40.. t 1 <br />Notary or Designated County Official <br />GENERAL NOTARY- State of Nebraska <br />SANDRA BURRIS <br />*Comm. Exp. April 27, 2015 <br />3 of 3 <br />Affidavit of Afflictive Fora Mobile Home With a Nebraska Certificate of Tide <br />The foregoing signature of the ffant vas acknowledged <br />before me this day of modernM4 2.0 I 3 <br />,<ELtA,‘ )6t,t)„io <br />201308930 <br />Seal <br />7/2012 <br />