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:4V� NEBRASKA CERTIFICATE OF TITLE <br />4 <br />...» <br />►1y <br />osem»,-00.410,04 <br />a-40410.4.1444044 <br />'1� q <br />►�1~I <br />►`1,Mi <br />it <br />I ID IIffl II <br />Vehicle Identification Nu <br />I NADH01 A07984MJ 13 <br />Previous Title <br />NE N0003022816 <br />IjjLIt3JI,l <br />IIII II <br />i <br />fl <br />i <br />i <br />tuber Year Make l_ Model <br />2017 ADVENTURE HOMES / MOJAVE MODEL 4483S <br />Body Std' cotes <br />MANUFAC TUREI UNKNOWN - HOME <br />MaiTo <br />KEVIN S HIEGEL <br />1218 N CALIFORNIA AVE <br />HASTINGS NE 68901-3221 <br />Purchase Date Issue Date <br />18 Aug.2022 12 -Oct -2022 <br />Residential Address <br />11 SARA DR <br />HASTINGS NE 68901-4102 <br />Owner Name(s) <br />KEVIN S HIEGEL <br />MUSTCOMPLETE <br />PURCHASER'S INFORMATI <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 />► mow imprisonment. (RETAIN COPY FOR 5 YEARS,) , ►�•, <br />4-�+ The undersigned, bang the owner of the vehicle' described within the Certificate of Title, hereby sella and assigns"ali right, title and Interest in•arni_toaald Certificate, and the vehicle ;M:.� <br />L��, described therein to the followrng named purchasers. <br />...ob.:. I certify to ele test of my knovdgdge the odometer reading is the actual mileage of the vehicle unless one of the following statem is checked: ►�� <br />w, CAUTION 0 1. The mileage stated is in excess of its metha al Writs. t% <br />.moi •' - NO - READ CAREFULLY - - - ►�� <br />i,+; TENTHS BEFORE YOU 0 2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY. ;A:•: <br />A�ot, ODOMETER READING CHECK A BLOCK fool. <br />>::».' ALL OWNERS WHOSE NAMES APPEAR PRINTED NAME Of PURC}IASEfi(S) <br />.1OtivrON THE FACE OF THIS TITLE MUST SIGN. ~'Irro <br />` <br />SIGNATURE SELLER ADDRESS o. <br />, to• <br />. <br />ZSIGNATURE OF SELLER % STATE w i • <br />.�..._ - - - _ lb. _- _ _ ...1.... <br />�5�; SIfaNATUF DF SELLER = IAM AWARE OF THE ODOMETER STATEMENTS 'N .. <br />», MADE BY THE SELLER(S) <br />or,,, PRINTED NAME OF SELLER., (ONLY ONE PRINTED NAME REQUIRED) SIGNATURE OF PURCHASER; ►� <br />►moi♦ A►�< <br />sti .y, DATE OF SALE SIGNATURE OF PIACHASER _ :. « CI`. <br />=�^, (62 ` tai" " w�1 <br />I'1.. IVNTORY CONTROL NUMBER County Title Number ` � <br />ADAMS1000302717 «= <br />iii <br />2608 V Witness My Hand And Of#ical Seal The Rate Shown „' M%Z:. <br />:�:w. County -Official ,� •�•• •• • d,F% 4' 4941. <br />i? tzt <br />VIRGINIA LONGitl $1U0 ,,tY;"�'( <br />.._....7.,,..-_ _ _ ;._.. t$•["-`:ta:21 -r ._ „���......,..,, .. Y. _ _ . =i <br />��if fs. figitet"..��.g11 t+����tfti���� iaitA%�����i VOID IF ALTERED OR DUPLICATE ISSUED:45:101���1)*Xo'%t•�:1:0):i'i11 ii �rQ�t• et11, �i`I'�'�944 <br />...•. A.t,�G�a�1,1/ o . A44,4a�4l0k st,�4�4�/,/,1A.A . A. -..tars:.-- ..wrikv, ,.A.. r r . v.- *watt,'. -,.. �ei�/��. t.A/e�e�a�a���� �A.e�a�a�j/�/�� �t1G/L�a�a�a��. <br />1,.1,1 J <br />REV. 07/2013 <br />