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201800371
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Last modified
12/9/2019 6:29:07 PM
Creation date
1/18/2018 3:50:46 PM
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DEEDS
Inst Number
201800371
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2 0 I gi 0 3'71 <br />• <br />= ! NEB CE OF TITLE ��� " !: <br />Vehicle Identification Number <br />12732Z <br />Purchase Date <br />10/19/1995 <br />1ST Lien <br />Owner Name(s) And Address <br />JUAN E SANTOS AND/OR <br />KIMBERLY A SANTOS WROS <br />1107 E HALL <br />GRAND ISLAND, NE 68803 <br />Make Body Style <br />DUTCH HOUSE MFGD HOME <br />Model <br />Previous Owner(s) City /State <br />ATEWAY MOBILE & MODULAR HOMES INC <br />XEARNEY, NE <br />LIEN RELEASES <br />Date: <br />Federal and State law requires that the seller state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in tines and/or <br />imprisonment. (RETAIN COPY FOR 5 YEARS.) <br />The undersigned being the owner of the vehicle described within the Certificate of Title, hereby sells and assigns all right, title and Interest in and to said Certificate otTitle and the vehicle <br />described therein to the following purchasers. <br />I certify to the best of my Knowledge the odometer reading is the actual mileage of the vehicle unless one of the following statements chedred <br />NO ❑ 1. The mileage stated is in excess of its rtmedhahcal Snits. °, <br />0 2. The odometer reading is not the actual mileage. " WARNING - ODOMETER DISCREPANCY. <br />CAUTION <br />READ CAREFULLY <br />BEFORE YOU <br />CHECK A BLOCK <br />ALL OWNERS WHOSE NAMES APPEAR <br />ON THE FACE OF THIS TITLE MUST SIGN. <br />SIGNATURE OF SELLER <br />SIGNATURE OF SELLER <br />S1GNATUREOF PURCIHASER <br />HALL <br />Witness My Hand And Official Seal The Dater�rs <br />18018080058 <br />PRINTED NAME OF SELLER (ONLY ONE PRINTED NAME REQUIRED) <br />DATE SALE <br />I AM AWARE OF THE ODOMETER STATEMENTS <br />MADE BY THE SELLER(S) <br />SIGNATURE OF PURCHASER <br />~iii <br />Aritordi <br />w iotoki <br />! "iii <br />w. <br />M��.. <br />, .. <br />w <br />Gi�i, <br />4 %. <br />• <br />Attat <br />• w'y� <br />*OA" <br />County Official ��.-y� y9 (� '� <br />• PEGGY L PESEK `�`�`" `�, <br /><a, y: SB (County Official Seal) «Z'. <br />=" FG19261 �19 $14.OQ _? <br />s?` .`t - - nirsisan ��1 <br />���� t. ' ti i : :: � .: i t'lv f��t ttti : 'ittfl •rvii 4 v <br />••• <br />�� 1 1. 1'• ��� til 1�1�1�i� i���•''••• �i�i�1�1�1��� •�•1.1•�•���k•:r•: VOID IF ALTERED OR DUPLICATE %SSUED ��f 1�11�1. 1�IIJ• i• 1. 1�11�jj�QQ• t• 1 Q�1��1�11�1�1�61�G�i�111 4� t�j1 •��:.' <br />VTITLEI V1R4 0801201 $EV.0712013 <br />
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