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�� <br />I� <br />�� <br />N � <br />e � <br />� � <br />e <br />rn <br />� �� <br />� <br />�� <br />�.. <br />� <br />1� <br />� <br />� <br />� <br />�� <br />y <br />fa <br />�a <br />� <br />� <br />y '7 ` ), l. <br />� <br />��:.: �� . °.: ,= N;: <br />� <br />� <br />� � i � <br />� tdf ''� <br />A� <br />� �1 �' <br />�� <br />�°� <br />� <br />:1 <br />�� <br />� d� <br />� c' cr' o <br />� �. � �c � �•,,� �a' <br />� _ ' � I) � --I � <br />r- . " r-r� ._..+ m �y 6'�'9 <br />- � � � <br />c� f : . _. � � <br />� C'; 9--a o �+ <br />� F --- � --n � �--• � <br />6' � _ � �zi � � <br />,� -p r � � <br />- � cn <br />� � r � � <br />� .--r,y N 7c � - <br />�� � _ D � <br />o �,_-� . � � � <br />i � N � � � <br />o � <br />:,� � <br />^ ' v <br />��.! Y � <br />� <br />Affidavit of Affixture <br />For a Mobile Home With a <br />Nebraska Certificate of Title <br />s � .� k,�. �,.��: <br />� � <br />� , �� <br />�� � <br />Written consent for release of lien and cancellation of Certificate of Title from each lien holder must be atta.ched 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 <br />Mobile Home Owner #2 <br />Name Wendall L. Faeh Name Nancy G. F'aeh <br />1748 llth Rd <br />Address Address �7 r�g� ��� <br />Central Citv, NE 68£�2.6 Central City, NE 68£326 <br />City, State Zip City, Staxe Zip <br />Attach additional Affidavit(s) if more than 2 owners. <br />❑ Owner of real estate <br />realestate <br />Mobile Home Description: Year 1 "" r Make� Model <br />Vehicle Identification Number 0525295774AT3 Title Number <br />If two Vehicle IdenHfication Numbers are present, an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name T'�endall L . Faeh <br />Address 174fi 1 1 t-h Rr� <br />Central City, NE 6Fi826 <br />City, Sta.te, Zip <br />additional <br />Real Estate Owner #2 <br />Name Nancy G. Faeh <br />Address 17G.R 1 1 th R�1 <br />Central City, NE 6882.6 <br />City, State, Zip <br />than 2 entities are to be notified. <br />Copy of Notice of Cancellation shall be provided to all owners listed above and the following financial institution(s): <br />Name Name <br />Address Address <br />City, State, Zip City, Sta#e, Zip <br />Attach additional Affidavit(s) if more than 2 entities are to be noti�ied <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title 5/2006 <br />