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20150471'd <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 />James L Fero <br />Printed Name of Mobile Home Owner <br />State of Pfeetts Kk <br />County of k k <br />The foregoing signature of the affiant was acknowledged <br />before me this day of mkt , 2d / ' <br />Notary or Designated County Official <br />GENERAL NOTARY - State of Nebraska <br />KEVIN R WERNER <br />My Comm. Exp. September 23, 2017 <br />All owners must sign and signatures must be notarized. <br />Seal <br />Rhonda C Fero <br />Printed Name of Mobile Home Owner <br />Signature of Mobile Home Owner <br />State of <br />County of <br />The foregoing st ature of the affiant was acknowledged <br />before me this day of Mk/ , 7 If <br />Notary or es" ated County Official <br />GENERAL NOTARY - State of Nebraska <br />KEVIN R WERNER <br />My Comm. Exp. September 23, 2017 <br />Seal <br />aunty o g <br />e offiling <br />The Designated County Official shall forward the original to the Register of Deeds in the county where the real property is <br />located and provide copies to the Department, of Motor Veh County Assessor, owner and to each financial i nstitution <br />listed on this Affidavit as notice of the cancellation of the Certiftcate'of Title, <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />5/2006 <br />