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— <br />— <br />B <br />�� <br />� �� <br />B <br />� �� <br />� — <br />�� <br />�� <br />�� <br />� <br />� <br />� <br />� <br />� <br />� <br />� <br />''� <br />� <br />� <br />� <br />�` <br />M <br />'1+1�¢� '� <br />Jl.J� 11�����f/I/,f/l�/ <br />� af �c�r V,e�ic�:s <br />� <br />� <br />� � e• <br />� � <br />� <br />A � `-' <br />_ � �� � <br />� <br />�,� � t.`, � <br />G� <br />G � <br />�� <br />� �,-'� � <br />m <br />� � <br />v`; -'Y�7 <br />--1 � <br />m <br />� <br />c� ( 1-� <br />� � N <br />o . <br />� s F--+ <br />p s ° �-- --� <br />V> ) <br />Affidavit of Affiztu�e <br />For a Mobile Home With a <br />Nebraska Certifcate of Title <br />�� <br />o� <br />�� <br />z —+ <br />� � <br />� � <br />O � <br />'� -a <br />z m <br />m w <br />r � <br />r D <br />� <br />� <br />� <br />� <br />C!) <br />0 <br />� <br />� <br />f'�'� <br />F-� <br />O. <br />� <br />F-� <br />CYJ <br />-�7 <br />�. <br />�� <br />'a � <br />� <br />� , ��� ��, <br />�� � _ . <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 of the existing Certificate of Title to occur. <br />A filing fee is required per §33-109 and §33-112. <br />Mobile Home Owner #1 Mobile Ho e Owner #2 <br />Name � C_ r 1L1,1P ��J ��. � f) 9� J�(13"9 Name I e <br />Address 1 ��`� �Ct �i Address <br />City, State Zip � ��G� � ���� City, State Zip � <br />Attach addit3onal AfHdavit(s) if more than 2 owners. <br />Owner of real estate <br />real estate <br />Mobile Home Description: Year � � Make �kL � ,°'�"' Model �b G � ��1 _ <br />Vehicle Idenrification Number � s��� c��7 �1 � Title Number � I� oZ ���� � oS <br />If two Vehicle Identification Numbers are present, an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name ` ` <br />Address �(.' � �1.�. 6 13 f �1 � i � � � <br />City, State, Zip � � J � � �) � <br />Real Esta e Owner #2 <br />Name IL� <br />Address fii.7 Ur�/�! 1�� <br />City, State, Zip J � � ��� <br />entiti� are to <br />Copy of Notice of Cancellation shall be provided to a11 owners listed above and the following financial institution(s): <br />Name - Name <br />Address Address <br />City, State, Zip City, State, Zip <br />addil3onal <br />Z ent313a <br />1 of 3 <br />Affidavit of Affixtiue For a Motn7e Home With a Nebraska Cefificate of Title 5/2006 <br />