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201 10682� <br />Under penalty of law, the undersigned affirms that the information contained in this Af�idavit of Affixtare is true and correct and that <br />the above-described mobile home has been affixed to the real property described above. 1'he undersigned hereby acknowled es th <br />this affidavit is made with the understanding that any pe�on who misrepresents the information provided in this affidavit shall <br />guilty of perjury, a Class III Felony, g at <br />be <br />All owners must sign and signatures must be notarized, <br />� ���� /� ���e <br />rnnted N��fMo rle ome er <br />�:i: �� � <br />Si ature o Mo ile ` o �.� er <br />�' <br />Sta,te of � (� �� <br />County of <br />I The foregoing signature of the affiant was acicno� <br />before me this ��, day of � <br />� �-- ��_. <br />�� <br />Notary ar Designated County Official <br />GENERAI. A�TI�iY •St�e a� Nei� <br />� SARAH M Wil.EB <br />My �bmm. Et�►..bune 18, 2018 <br />�4 c vr � c � �� <br />Printed Name of Mobile ome Owner <br />,--,..,. ; °�� . <br />�'; � C�'� � � ; ,�, <br />Signature of Mobile Home� wner <br />State of ,���� �� g � � <br />co�Ty of — �� 1 I <br />The foregoing si�? ature of the affiant was acknowledged <br />before me this l d da,y of�e�., j�, <br />-��— �—� . <br />. <br />Notary or Designated County Official <br />�►�LWOTi4Ry �aiNe6r� <br />Seal �AAAH M yVt� <br />�Y Gbmr�c �,.qme 19. 2ots <br />Affidavit of 3 of 3 <br />Affttture For a Mobile Home With a Nebraska Certificate of TiUe <br />Sea1 <br />5/2006 . <br />