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Mobile Home Owner #1 <br />Name Judith Rae Meester <br />Affidavit of Affixture <br />or a Mobile Home With a <br />ebraska <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 County Treasurer along with the Certificate of Title in the <br />county where the real property is located for cancellation of the existing Certificate of Title to occur. <br />A filing fee is required per §33 -109 and §33 -112. <br />Address 15224 S 190th Rd <br />City, State Zip Kenesaw, Ne 68956 <br />Mobile Home Owner #2 <br />Name Curtis Meester <br />Address <br />City, State Zip <br />15224 S 190th Rd <br />Kenesaw, NE 68956 <br />Attach additional Affidavit(s) if more than 2 owners. <br />Owner of real estate ❑ Leasing real estate <br />Mobile Home Description: Year 2000 Make Champion Model Manufactured Home <br />Vehicle Identification Number <br />DH 1 N27836G <br />Title Number <br />If two Vehicle Identification Numbers are present, an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name Judith Rae Meester <br />Address 15224 S 190th Rd <br />City, State, Zip Kenesaw, NE 68956 <br />Real Estate Owner #2 <br />Name Kelly Jo Chastain <br />Address 920 Virginia Ave. <br />City, State, Zip Colton, CA 92324 <br />Attach additional Affidavit(s) if more than 2 entities are to be notified. <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institution(s): <br />Name <br />Address <br />City, State, Zip City, State, Zip <br />Name <br />Attach additional Affidavit(s) if more than 2 entities are to be notified <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />Address <br />b - 1(4 <br />7/2012 <br />