Laserfiche WebLink
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 />Judith Rae Meester <br />Printed Name of Mobile Home Owner <br />� 1- ' .M <br />Signature of Mobile Home Owner <br />State of>( Q I <br />County of 191 s <br />The foregoing signature of the ffiant was acknowledged <br />before me this _a aay of , aC <br />Notary . Designated County Official <br />GENERAL NOTARY - State of Nebraska <br />REBECCA A. NELSON <br />My Comm. Exp. July 6, 2015 <br />All owners must sign and signatures must be notarized. <br />7 <br />Seal <br />Curtis Meester <br />Signature of Mobile Home Owner <br />State of <br />County of <br />�YCS� <br />Y liuY�7 <br />V <br />Ateedok <br />Nota or Designated County Official <br />GENERAL NOTARY - State of Nebraska <br />REBECCA A. NELSON <br />My Comm. Exp. July 6, 2015 <br />201310045 <br />Printed Name of Mobile Home Owner <br />x' el <br />The foregoing 4Rday are of the ffiant was acknowledged <br />before me this of , . <br />Seal <br />ate of filin <br />Fee paid: <br />The Designated County Official shall forward the original to the Register of Deeds in the county where the real property is <br />located an provide copies to the Department of Motor Vehicles, County Assessor, owner and to each financial institution <br />listed on this Affidavit as notice of the cancellation of the Certificate of Title. <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />7/2012 <br />