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201309606
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Last modified
8/19/2014 2:24:59 PM
Creation date
12/11/2013 4:20:24 PM
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DEEDS
Inst Number
201309606
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Appendix A -35c <br />Under penalty of law, the undersigned affirms that the information contained in this Affidavit of Affxture 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 m this affidavit shall be <br />°uilty of perjury, a Class .III Felony. <br />Printed Name of Mobile <br />074 Home O wner <br />'o' �a tzi� <br />Sign e o Mobile Home Owner <br />State of N o('l t C151C.e <br />Count of i- Ak <br />The foregoing signature of the a Hint was acknowledged <br />before me this _ s/ day <br />Not <br />All owners must sign and signatures must be notarized. <br />ea <br />I <br />e v n Y l ■c C \ s�'c+YI 9U Z . <br />Printed Name of Mobile Home Owner <br />0 <br />Signature of Mobile <br />Notary or Designate <br />State of e \ 0 Y 06 V -6-1 <br />Cotuty of \`l ( Akk <br />The-foregoing signature of the a <br />before me this day of <br />3of3 <br />Affidavit of Al fixture For a Mobile Home With a Nebraska Certificate of Title <br />ri igr 2 c7 <br />ome Owner <br />20130960G <br />nt was acknowledged <br />• 2'6: <br />Seal <br />52006 <br />
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