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<br />200605253 <br /> <br />Under penalty of law, the undersigned affmns 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 /> <br />All owners must sign and signatures must be notarized. <br /> <br />')( !?Ef'ufJ/o &UCTlO <br /> <br />"'inte~e of Mobile :ome Own.er . <br /> <br />~ ~&,~ <br /> <br />Signa .e of obile orne Owner <br /> <br />Printed Name of Mobile Home Owner <br /> <br />Signature of Mobile Home Owner <br /> <br />State of ..~~ <br />County Of' ~p <br /> <br />State of <br /> <br />County of <br /> <br /> <br />The foregoing signature oft e <br />before me this ~day of <br /> <br />fiant was acknowledged <br />06 <br /> <br />Theforegoing signature of the affiant was acknowledged <br />before me this _ day of <br /> <br />.,,<;~;;r'~\ Notary or Designated County Official <br /> <br />i:.i\1~g:'~~~\l <br />\, ~lji.,."1 <br />'~ S.~1S~' "" <br />"ltl\ll (',0.".7' <br />"':~""".""~P:- <br /> <br />Seal <br /> <br /> <br /> <br />3 of3 <br />AffidaviT Ctf Affixture For a Mobile Home With a Nebraska CertificaTe of Title <br /> <br />5/2006 <br /> <br />