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_...:•:.:.:.."_ _:.:.•:•:..-_ _..:•1:.:...-_ _... IIIII Ills IIIII II II III IIII IIIII IIII Illli IIII11.1illio III IIII ;•;•;•;•.;. .. EBRASKA CERTIFICATE OF TITLE • •.. ..//�...,..iii». _ _ w►�Vehicle Identification Number Year Make Body S#yle», NTA1004704 2001 DUTCHHOUSE MOBILE ME
<br /> ..»
<br /> MANUFACTURED HOME
<br /> 4 Purchase Date Issue Irate Previous Title Number/State Title Type
<br /> ►s 1/28/2014 1/28/2014 AFFIDAVIT ORIGINAL mss%
<br /> -�l�, Color
<br /> '1'" TAN ".�.
<br /> G V W R Capacity_ Odometer «:�"
<br /> 31 X88 Legends i
<br /> EXEMPT "
<br /> �.�:
<br /> ���» Owner Name(s)And Address «
<br /> e'l DAVID MICHAEL BAILEY AND/OR
<br /> STACY JEAN BAILEY W-RO
<br /> * 605 SATURN ST « :
<br /> ALDA . ..
<br /> », NE 88810
<br /> i d If/ , Previobs Owner(s)
<br /> _ >'7 D MICHAEL&STACY JEAN BAILEY ..,.s
<br /> �"; 4'` ALDA NE.68810 «�
<br /> ►.1M,
<br /> »`; 1ST Lien =5
<br /> ��; LIEN RELEASES' ;,;—
<br /> :5�: 1st Release By: .�,:�.,
<br /> ►��» *S•,
<br /> ��-M, Title: bate:
<br /> :�! county date:
<br /> ...
<br /> "4 2ND Lien :3=
<br /> #.t 2nd Release By:
<br /> �� Title: Date: j%
<br /> CL� subsequent „ounty• bate: ��)
<br /> ii Liens Fled � ���
<br /> �' SELLER MUST COMPLETE PURCHASER'S INFORMATION
<br /> Federal and State law requires that the seller state the mileage in connection with the transfer of ownership.Failure'to complete or providing a false statement may result in fines and/or J
<br /> ,�.» imprisonment.(RETAIN COPY FOR 5 YEARS.} >�%
<br /> • �� The undersigned,being the owner of the vehicle described within the Certificate of Title,hereby sells and assigns all right,title and interest in and to said Certificate of Title and the vehicle ,-��
<br /> ►��y described therein to the fotowing named purchasers. ;r��
<br /> :�.1'I certify to the best of my knowledge the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked: +�
<br /> »
<br /> CAUTION 0 1. The mileage stated is in excess of its mechanical limits. :►ice
<br /> NO READ CAREFULLY g - - ��!
<br /> ...040,.'.7....‘....i.. TENTHS BEFORE YOU 0 2.The odometer reading is not the actual mileage, WARNING—ODOMETER DISCREPANCY. 'wi:
<br /> 4��+, ODOMETER READING CHECK A BLOC 9 w►�',
<br /> • "'` ALL OWNERS WHOSE NAMES APPEAR PRINTED NAME OF PURCHASER(S) '►
<br /> ON THE FACE OF THIS TITLE MUST SIGN. «Z
<br /> .--.74 SIGNATURE OF SELLER ADDRESS :74
<br /> ►�iM1�� ice.
<br /> ►� �,• SIGNATURE OF SELLER CITY STATE ZIP ��
<br /> 1 SIGNATUREOFSELLER I AM AWARE OF THE ODOMETER STATEMENTS «":.
<br /> GSM MADE BY THE SELLER(S)
<br /> '��+;PRINTED NAME OF SELLER(ONLY ONE PRINTED NAME REQUIRED) SIGNATURE OF PURCHASER
<br /> X11/% :.4.:tter.‘'�,0,DATE OF SALE - SIGNATURE OF PURCHASER
<br /> ow,►��w;INVENTORY CONTROL NUMBER •�i�
<br /> ..,. County Title Number .���
<br /> F ')O r V f� HALL 14028080021 ;«
<br /> �S,w Witness My Hand And Official Seat The Date S∎•. f• bove ..
<br /> »;
<br /> :�:? County Official
<br /> s:. PEGGY L PESEK :.
<br /> ►,a By:
<br /> .�» CT
<br /> (County Official`s Seal) ; r
<br /> M►�.
<br /> I'i F00280264 $ 10 00
<br /> :.. 4,t...
<br /> *ltf:,, -`- -- ,.�___,.... ,,, ,.....�__�.,,-- tl.2a': ttts•' `!!1�` itt1:. iits.,.�yi
<br /> s-::I4,,�iii�Il,11'1 t itil 1•�t,,,1i%i),-fe1t�%„-r„i1'1��1•�ve,-(f OID IF ALTERED OR DUPLICATE ISSUED X11#:∎);et4Q•4/3/•tr41A.ti���11�-44.144�11•64/41�.4.4.44-4.4.4.4" ��
<br /> ...• 4�.��i�1�1,1,1� .�LI�I�ili,i� t,.•.i�i�1�j�1.w� 4 .:r�:r... l71 .:��:•:.- ...I�jl!ih�. •.��i�j�j�� ��IIIh1�•. �.li�lLN
<br /> REV.07/2013
<br /> VTITLE1 V1R0 07082010
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