Laserfiche WebLink
202502090 <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 />Ali owners must sign and signatures must be notarized. <br />nArevI cT• ,i\lo"Jcaezfv151ki <br />Printed Name of Mobile Home Owner <br />1 <br />V u <br />nature of Mobile Home Owner <br />State of eDYcc5ka <br />County of N a I <br />The foregoing signature of the affiant was acknowledged <br />before me this day of A p r i l , A O A 5 . <br />m <br />Notary or Designated County Official <br />GENERAL NOTARY • State of Nebraska <br />SARAH M. WILES <br />My Comm. Exp. June 19, 2027 <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 />`or:County Treasurer° <br />ce of film <br />e County Treasurer shall forward the original to the Register of Deeds in the coun <br />and provide copies to the Department of Motor Vehicles, CountyAssessor, owner an <br />on this Affidavit as notice of the cancellation of the Certificate of Title. <br />3 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 6/2017 <br />