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201403627
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201403627
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Last modified
8/19/2014 2:26:13 PM
Creation date
6/17/2014 4:05:25 PM
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DEEDS
Inst Number
201403627
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201403627 <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 />Cruz Ramos, Sr <br />Printed Name of Mobile Home Owner <br />Pc/Avec, 5- R_ <br />Signature of Mobile Home Owner <br />State of J r <br />County of 14,11 <br />The foregoing signature of the affiant was acknowledged <br />before me this / 7 / of Ja ✓1 e_ , a2o i L/ . <br />Notary or Designated County Official <br />GENERAL • State of Nebraska <br />HOLLY NOTT <br />My Comm. Exp. October 27, 2016 <br />All owners must sign and signatures must be notarized. <br />Seal <br />Minerva M Ramos <br />Printed Name of Mobile Home Owner <br />Signature of Mobile Home Owner <br />W State of E <br />County of 11a / <br />The foregoing signature of the affiant was acknowledged <br />before me this 71h day of 6/ f'i ?O f . <br />Notary or Designated County Official <br />GENERAL NOTARY - State of Nebraska <br />HOLLY NOTT <br />My Comm. Exp. October 27, 2016 <br />Seal <br />Deeds to the county 'herd <br />;lessor, owner "and to each <br />The Desi d o my Offcial shall fo rward, <br />located and provide " copes to the Department <br />listed on this Affdavit.as notice of the cancella <br />riginal <br />otor Vehicles County A <br />n: of the Certificate of Title <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 7/2012 <br />
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