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p z <br />NI 30 le <br />ul <br />Mobile Home Owner #1 <br />Name Bank of America, N.A. <br />Address 7105 Corporate Dr. <br />City, State Zip Plano, TX 75024 <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 />Owner of real estate <br />Mobile Home Owner #2 <br />Name N/A <br />Address N/A <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />C <br />— <br />cr) <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 County Treasurer along with the Certificate of Title in the <br />county where the real property is located for cancellation of the existing Certificate of Title to occur. <br />A filing fee is required per §33 -109 and §33 -112. <br />City, State Zip N/A <br />Mobile Home Description: Year 1996 Make Champion <br />Vehicle Identification Number 05965600313AB <br />Model Northbrook I Plus <br />Title Number 16110080087 <br />If two Vehicle Identification Numbers are present, an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name Bank of America, N.A. <br />Address 7105 Corporate Dr. <br />City, State, zip Plano, TX 75024 <br />Real Estate Owner #2 <br />Name N/A <br />Address N/A <br />City, State, Zip N/A <br />Attach additional Affidavit(s) if more than 2 entities are to be notified. <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institution(s): <br />Name Kozeny & McCubbin, L.C. (KM File: CASABBAC) Name N/A <br />Address 12400 Olive Blvd., Suite 555 <br />City, State, Zip St. Louis, MO 63141 <br />Address N/A <br />City, State, Zip N/A <br />Attach additional Affidavit(s) if more than 2 entities are to be notified <br />6/2014 <br />