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Wediraska <br />D <br />Department of Motor Vehicles <br />Mobile Home Owner #1 <br />Name James L Fero <br />Address 576 E 18th St <br />City, State Zip Grand Island, NE 68801 <br />Affidavit of Affixture <br />For a Mobile Home With a <br />Nebraska Certificate of Title <br />Attach additional Affidavit(s) if more than 2 owners. <br />m Owner of real estate <br />Mobile Home Owner #2 <br />Name Rhonda C Fero <br />Address 576 E 18th St <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />City, State Zip Grand Island, NE 68801 <br />❑ Leasing real estate <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 Designated County Official, along with the Certificate of <br />Title, in the county where the Certificate of Title was issued for cancellation of the existing Certificate of Title to occur. <br />A filing fee is required per §33 -109 and §33 -112. <br />Mobile Home Description: Year 1995 Make Westwind <br />Vehicle Identification Number 4795700N5207 <br />Model <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 James L Fero <br />Address 576 E 18th St <br />City, State, Zip Grand Island, NE 68801 <br />Attach additional Affidavit(s) if more than 2 entities are to be notified. <br />Real Estate Owner #2 <br />Name Rhonda C Fero <br />Address 576 E 18th St <br />City, State, Zip Grand Island, NE 68801 <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institution(s): <br />Name Wells Fargo Home Mortgage- Chia -Neng W. <br />Address 1000 Blue Gentian Road, N9287 -011 <br />City, State, Zip Eagan, MN 55121 <br />Name <br />Address <br />City, State, Zip <br />Attach additional Affidavit(s) if more than 2 entities are to be notified <br />5/2006 <br />