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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 />Gx/ / <br />ed Name o �'• . ile Home Owner <br />ignature of M <br />County of Ha <br />o rile Home Owner <br />State of � eb t 5 Y, r;. <br />The foregoing signature of the affiant was acknowledged <br />before me this (9 ( day of Nokkmbec , 90 f 7 <br />Notary or Designated County Official <br />j IIN GENERAL NOTARY - State of Nebraska <br />SARAH M. WILES <br />My Comm. Exp. June 19, 2019 <br />All owners must sign and signatures must be notarized. <br />Seal <br />ELI/ / � � -e-- /7 Lc/ -A r ' <br />Printed Name of Mobile me Owner <br />Signature of Mobile Home Owner <br />State of Net) re. S I(c� <br />County of Ha 1 1 <br />The foregoing signature of the affiant was acknowledged <br />before me this? day of ."o vein hak ,a017 . <br />}4Azki) rh. U...2;180 <br />Notary or Designated County Official <br />on this Affidavi <br />201708109 <br />A GENERAL NOTARY - State of Nebraska <br />III SARAH M. WILES <br />My Comm. Exp. June 19, 2019 <br />Seal <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 6/2017 <br />