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<br />~ <br />~. <br />'- <br />- <br /> <br />~ <br />c:::> <br />G:::::> <br />c;r" <br /> <br />C":l en <br />0-1 <br />c:::l> <br />Z-l <br />~1'Tl <br /> <br />-<0 <br /> <br />O""T1 <br /> <br />"'T'tZ <br /> <br />:r: Pl <br />)>0' <br />, ::0 <br />,)> <br />en <br />7" <br />)lIo- <br />---- <br /> <br />o <br />N <br />o <br />0' <br />0) <br />C> <br />U1 <br /> <br />Q~ <br />m (.II <br />()::I: <br />'" <br /> <br />;0 <br />m <br />." <br />c: <br />Qn6 <br />m>~ <br />n(.ll <br />,..;% <br /> <br />I <br />it <br /> <br />~f <br />~ <br />2 <br /><<"" <br /> <br /> <br />,! <br />......-,,,- <br />~.f <br />~ "ti <br />m l" <br />rn <br />o <br />(,I) <br /> <br />c <br />e <br />z <br />....... <br />N <br /> <br />~ <br />~ <br />-< <br />8 <br />~ <br />?t- <br /> <br />N <br />IS <br />IS <br />m <br />IS <br />(J1 <br />N <br />(J1 <br />W <br /> <br />\J\ <br />\J\ <br />O. <br /> <br />-"0 <br />::3 <br /> <br />-sr. <br /> <br />U1 <br />W <br /> <br />...c <br />C) <br /> <br />(n <br />C,Il <br /> <br />..,'i' <br />;.;a <br />200605253' <br />Affidavit of AfflXture <br />For a Mobile Home With a <br />Nebraska Certificate of Title <br /> <br />/5.50 <br /> <br />1-febrasfa <br />lD) M[VI <br /> <br /> <br />Department of Motor Vehicles <br /> <br />Written consent for release of lien and cancellation of Certificate of Title from each lien holder must be attached to this <br />Affidavit. This completed Affidavit must be presented to the Designated County Official, along with the Certificate of <br />Title, in the county where the Certificate of Title was issued for cancellation ofthe existing Certificate of Title to occur. <br />A filing fee is required per ~33-109 and ~33-112. - <br /> <br />Mobile Home Owner #1 Mobile Home Owner #2 <br />Name -REFUGIO BUENO Name <br />Address 1324 EAST 6TH Address <br />City, State Zip GRAND ISLAND. NF. fiRROl City, State Zip <br /> . <br /> Attach additional Affidavit(s) if more than 2 owners. <br /> E:I Owner of real estate o Leasin2 real estate <br /> <br />Mobile Home Description: Year 1976 Make BROADMORE Model MFGD HOME <br /> <br />Vehicle Identification NumberKAFL 2 A 6 2 9 450067 Title Number 06163080081 <br />If two Vehicle Identification Numbers are present, an Affidavit must be completed for each number. <br /> <br />Real Estate Owner #2 <br />Name <br /> <br />Real Estate Owner #1 <br />Name REFUGIO BUENO <br /> <br />1324 EAST 6TH <br /> <br />Address <br /> <br />Address <br /> <br />City, State, Zip <br /> <br />City, State, Zip <br /> <br />hRANn T~T.ANnl NE 68801 <br /> <br />Attach additional Affidavit(s) if more than 2 entities are to be notified. <br /> <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institution(s): <br /> <br />Name <br /> <br />Name <br /> <br />Address <br /> <br />Address <br /> <br />City, State, Zip <br /> <br />City, State, Zip <br /> <br />Attach additional Affidavit s if more than 2 entities are to be notified <br /> <br />10f3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br /> <br />512006 <br />