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201 400499 <br />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 />All owners must sign and signatures must be notarized. <br />v l <br />a ► d 111►chap �, e L a <br />Primed Name of,Mobile Home Owner Printed . me of Mobile He <br />Signature of Mobile Home Owner <br />State of Ke.-6V GCS (C_LL_ <br />County of - U, <br />The foregoing si nature of tffiant was acknowledged <br />before me this ? of the <br />O. L WA IA 7A I . <br />Notary or Designated County Official <br />GENERAL NOTARY- State of Nebraska <br />KARMIN MAUL <br />My Comm. Exp. June 24, 2016 <br />Seal <br />ai1 <br />e Owner <br />ignature of o . Home Owner <br />State of k'? k <br />County of � ." 6t-Le <br />The foregoin 1 atre of the affiant was acknowledged <br />before me this day of �/.14. (Aft <br />Notary or Designated County O f cial <br />GENERAL NOTARY - State of Nebraska <br />KARMIN MAUL <br />My Comm. Exp. June 24, 2016 <br />Seal <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 7/2012 <br />