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<br /> -- <br /> ..L. ;""......JII II <br /> $) i1Q (") ~ .;,.::..> (") (/l D <br /> - m r~"":';)- <:) ---l <br /> :r: --.:J <br /> - 2:! :~:~I'!"". C ;;> <br /> m en (...,,- ~i N <br /> b' (") :x: z <br /> n Z ::;) " " c- -i fT1 0 <br /> ~ (' :;.~ <br /> ::; X ~ 0 rT\ l "'.!,~ -< Co> <br />I\.) ~ c-, .'-- 0 <br />~ m (....r'- f--' <:) ""'"1"1 Gr <br />I$l n CI'J o --'t en -n --.J <br />I$l Lt ~ :r: .,., .-., <br />"'-J ")..r --- r"~i - <br /> C:J u: --- C) ~ <br />I$l ("'\ x:.-. C,] <br />.j:::>. Pl f\ ::D I ~~J <br /> "1 ::::3 r- <br />CD tl I ;.:".. -- <br />n CJ <br />Q) i Ul ~ \---' (j) CD <br />I\.) ?r f---' ^ ~- <br /> l> co <br /> G.J ---- <br /> CO (fl N .... <br /> (fl 2' <br /> .... <br /> <br /> <br /> <br />200704982 <br /> <br />1'fCbraska <br /> <br />JD) M(VI <br /> <br />Affidavit of Detachment <br />For a Mobile Home <br /> <br /> <br />IS.$o <br /> <br />Department of Motor Vehicles <br />Written consent for detachment of the mobile home from the real property from each lien holder must be attached to this affidavit. <br />This completed affidavit must be presented to the Register of Deeds in the county where the real property is located. <br />A filing fee is required per ~33-109 and ~33-112. <br /> <br />Mobile Home Owner #1 Mobile Home Owner #2 <br />Name~:::- \ 0,:\ t_ \ y~ 'o.L/ Name e v-\ 0~ C'! <br /> <br />Address ~ \ OL-\ t-..), (""')N h~ Address f y <br /> <br />City, State Zip t"-'ft\.'f\ r\\ 'r\.C'\ If'\.C~ \...)e City, State zipGrr\J\ r\ ~f\f\d ~ <br /> <br />Attach- add~a~fidavit(S) if more than 2 owners. ~ ~ t';T) 3 <br /> <br /> <br />wner of real estate <br /> <br /> <br />D Leasin real estate <br /> <br />Mobile Home Description: Year \ Ot 1.9 Make V'\; , t Model 6~:?:>9 ~ d...~~C\ <br /> <br />Vehicle Identification Number '5~5~~~ ~)5q f\-. <br />If two Vebicle Identification Numbers are present, an Affidavit must be completed for each number. <br /> <br />Real EstatBwfer #1 <br />Name b- {0 Ll <br />Address 02-\. eLl. \J ~ h..t.'i r1-t&Yl <br /> <br />City, state,ZiPC -1 !l/ (4 6 fto3 <br /> <br />\.)\(' ~~f <br /> <br />Real Estate Owner #2 <br />Name 0',\c\. \ t""O <br /> <br />Address '-- \ 6 II <br /> <br />City, State, ZiPG: (- <br /> <br />~f\ues- <br />tJ ShermCln <br />:AI t' ~ 6otc>S <br /> <br />Attach additional Affidavit(s) if more than 2 entities are to be notified. <br />The following lienholders of record exist against the real estate from which the mobile home will be detached: <br /> <br />.-- <br /> <br />Name <br /> <br />Name <br /> <br />Address <br /> <br />Address <br /> <br />City, State, Zip <br /> <br />City, State, Zip <br /> <br />Atta.ch additional AffidaviHs) if more than 2 lienholders exist. <br />Name and address of owner or fInancial institution to which the Certificate of Title shall be delivered: <br /> <br />lof3 <br />Affidavit of Detachment For a Mobile Home <br /> <br />5/2006 <br />