Laserfiche WebLink
2018040d <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 />..S'a r' Lr rk7 e i' C `� <br />Printed Name of Mobile Home Owner <br />Sa,^ g; / a : C <br />Signature Mobile Home Owner <br />State of j∎1 b rn k Q. <br />County of J-1 01 I <br />The foregoing signature of the affiant was acknowledged <br />before me this 5 day of (Li) e. C7 f . <br />Notary or Designated County Official <br />I) <br />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 />Printed Name of Mobile Home Owner <br />Signature of Mobile Home Owner <br />State of <br />County of <br />The foregoing signature of the affiant was acknowledged <br />before me this day of <br />Notary or Designated County Official <br />Seal <br />he county wher ethe real property isrlae <br />owner and to, each financial: in titution li <br />e County Treasurer shall forward the original .t <br />and provide copies to the Department of Motor Vehic <br />on this Affidavit as notice of the cancellation of the Certific <br />Dee <br />m y Assesso <br />Title. <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 6/2017 <br />