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201008823
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Last modified
11/29/2010 2:36:19 PM
Creation date
11/29/2010 2:36:18 PM
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DEEDS
Inst Number
201008823
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. <br />201008823 <br />m <br />Under penalty of law, the undersigned affirms that the information contained in this Affidavit of Af�xture is true and correct and that <br />thc abave-described mobile home has been affixcd to the real property described above. Thc undersi�;ned hereby acknowledges that <br />this af�davit 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 />All owncrs must sign and signatures must be natarized. <br />�► cK � Ra o e I��e r,........__ I � <br />Printed Name of Mobile Home Owner Printed Name of Mobile Home Owner <br />Home Owner <br />of k�. <br />�� ' <br />of Mobile Home Owner <br />• 1 - ,� <_ `s <br />. � �: <br />The foregoing signature of the af�ant was acknawledged The foregoing signature af th was acknowledged <br />before me this��ay of R�[5► �..-r±� efore me this � day of /M01����• „� . <br />or Desi�nal�ti�Q(�untv Official <br />�� GENERAL NOTARY - State ot Nehraska <br />F11CKI� LENNERS <br />� - MyComm, Exp. Sept.12, 201P <br />�� � <br />or D� na ed County �fficial <br />GENERAL NOTARY - State of Nebraska <br />�hq RICKIE LENNERS Seal <br />My Comm. Exp. Sept.12, 2012 • <br />For Designated County Of�ci�l CTse Clnly <br />.. Gounty of filing. _�/�PGL f�ffice of filing; ���. '����u�`1 IPG.� <br />� <br />, Date of filing: //- 2�_,Zo/O �ee paid: /.�% SD <br />The Designated Gounty Of�cial shall forv��r�1 the original to the Register pf:Deeds in the county wliere khe xe <br />la��ted and provide coples to the De�aattmerlt of Motot' Vehicl�S, ��unty Assessor, owner and tc� �aGh �nanc <br />lis���l �n this Affidavit as n�tic� ofth� cancellatian of,the Ger�i�e�te;of'Title. i <br />Return to: �: ��. <br />Rels Title <br />P&C Departrnent <br />1055 N. 115th St. <br />Omaha NE ggi� <br />3 or3 <br />Aftidavit of Affixture Fora Mobile Home With a Nebraska Certiticate of Title <br />is�r�' af ' <br />�' Drc�,� <br />property is;. <br />5/2006 <br />
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