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CASH 0'/ <br />CHECK <br />REFUNDS: <br />tvei <br />DEPARTMENT OF MOTOR VEHICLES <br />CASH, <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />INS ' 2025 0 2 ,U 5 1815 NAY I U A c 13 <br />Affidavit of Affixture <br />For a Mobile Home With a <br />Nebraska Certificate of Title <br />KRISTI WOLD <br />REGISTER OF DEEDS <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 County Treasurer along with the Certificate of Title in the <br />county where the real property is located 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 />Name LUELLA BOECKEL <br />Address 4105 W AIRPORT RD <br />City, state zip GRAND ISLAND NE 68803 <br />Mobile Home Owner #2 <br />Name <br />Address <br />City, State Zip <br />Attach additional Affidavit(s) if more than 2 owners. <br />❑ Owner of real estate <br />❑ Leasing real estate <br />Mobile Home Description: Year 1986 Make SHARED <br />Vehicle Identification Number 9796 <br />Model 28X56 MFG <br />Title Number N0005718930 <br />If two Vehicle Identification Numbers are present, an Affidavit must be completed for each number. <br />Real Estate Owner #1 <br />Name RICHARD CASTO <br />Address 4105 W AIRPORT RD <br />City, State, Zip GRAND ISLAND NE 68803 <br />Real Estate Owner #2 <br />Name <br />Address <br />City, State, Zip <br />Attach additional Affidavit(s) if more 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 RICHARD CASTO <br />Address 4105 W AIRPORT RD <br />City, State, Zip GRAND ISLAND NE 68803 <br />Name <br />Address <br />City, State, Zip <br />Attach additional Affidavit(s) if more than 2 entities are to be notified <br />1 of 3 <br />Affidavit of Affixture For a Mobile Home With a Nebraska Certificate of Title <br />6/2017 <br />