HomeMy WebLinkAboutVehicle Title_Car_10/22/2008_Ford Blk A05328
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500
Identification Number Year Make Body UUT-L-BHP Vessel Regis. No. T Title Number
2FAHP71V09X109984~ 2009~ FORD~ 4D ~ 3960 1 101570589
Registered Owrrer: Date of Issue 10/22/2008
Lien Release
VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released
345 TEQUESTA DR ~'
TEQUESTA FL 33469 Title
Date
IMPORTI~N'I' INFORMATION
1. When ownership of the vehicle described herein is
transferred, the seller MUST complete in full the
Transfer of Title by Seller section a1 the bottom of
Mail To: the certificate of title.
2. Upon sale of this vehicle, the seller must complete
VILLAGE OF TEQUESTA the notice of sale on the reverse side of this form.
345 TEQUESTA DR 3. Remove your license plate from the vehicle.
TEQUESTA FL 33469-3062 4. See the web address below for more information and
the appropriate forms required for the purchaser to
title and registerthe vehicle, mobile home or vessel:
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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
Neil Kirkman Building -Tallahassee, FL 32399-0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
Section 319.22(2), Florida Statutes, provides that by filing this form, you can avoid any civil liability for the operation of the sold motor vehicle, vessel or mobile home.
In addition to filing this form, we suggest you keep a copy of your bill of sale (we suggest it be notarized), certificate of title or other type of transaction document showing
the vehicle was sold. Complete the information below, tear the top portion of this document at the perforation and mail to the address above or submit to your
local tag collector's office or license plate agency.
I have this day of ,transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s) Address Selling Price $
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Seller's Signature Co-Seller's Signature
NOTE: THE SUBMISSION OF THIS FORM, ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS "SOLD". HOWEVER,
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
^
ATE THAT THIS ~ 5 OR ~ 6 DIGTT ODOMETER NOW READS
)N: READ CAREFULLY I 11. REFLECTS ACTUAL MILEAGE
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Name•
Address:
me(s)-
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~ CHECK A BOX
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cz7 Purchaser Must
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Print Here:
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y
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a SellerlAgent Must
Sign Here:
Print Here:
Selling Dealer's
Auction Name (When Applicable):
Auction License Number:
Ta:
3.
Taz
License No.: Namr. No.: Colected:
w Selling Dealer's Address: Date Sold:
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0 Purchaser's Name(s): Address:
U I/WE STATE THAT THIS ~ 5 OR ®Q (NO TENTHS) MILES, DATE READ /_ / , AND I HEREBY
^ 6 DIGIT ODOMETER NOW READS ~
.
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
m CAUTION: READ CAREFULLY ~ I. REFLECTS ACTUAL MILEAGE ~ 2. IS IN EXCESS OF ITS MECHAMCAL LIMITS ~ 3. IS NOT THE ACTUAL MILEAGE.
z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING -ODOMETER DISCREPANCY
~ CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
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Parchaser Must
Co-Purchaser Must
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Sign Here:
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Seller/Agent Must
Auction Name (When AppBcable):
Sign Here:
Print Here: Auction License Number:
SeWng Dealer's SeWng Dealer's Taz Taz
License No.: Name: No.: Collected:
w Selling Dealer's Address: Date Sold:
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Purchaser's Name(s):
Address:
I/WE STATE THAT THIS ^ 5 OR ~ 6 DIGIT ODOMETER NOW READS ® ®~ (NO TENTHS) MILES, DATE READ _ / / , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING
CAUTION: REBE ORE YYOULY ^ 1. REFLECTS ACTUAL MILF,AGE ~ 2. (EXCESSCOF I OFMECHANICAL L MITS ITS ~ 3' W NARNINGE ODOMETER DISCREPANCY
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din TC11T[1C\I.AIT CC TIATC nCAT /-~ ~~/".: ~.
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2. IS IN EXCESS OF [TS MECHANICAL LIMITS
(EXCESS OF ITS MECHANICAL LIMITS
APPLIES TO 5 DIGIT ODOMETERS)
Co-Purchaser Must
Sign Here:
Print Here:
A05328
:t Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500
Identification Number Year Make Body WT-L -BHP Vessel Regis. No. � Title Number
I 2FAHP71VO9X109984�2009�FORD� 4D 3960 1 101570589
Registered Owner: Date of Issue 10/22/2008
Lien Release
VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released
345 TEQUESTA DR By
TEQUESTA FL 33469 Title j
Date
IMPORTANT INFORMATION
1. When ownership of the vehicle described herein is
transferred, the seller MUST complete in full the
Transfer of Title by Seller section at the bottom of
0 Mail To: the certificate of title.
�
2. Upon sale of this vehicle, the seller must complete
VILLAGE OF TEQUESTA the notice of sale on the reverse side of this form.
345 TEQUESTA DR 3. Remove your license plate from the vehicle.
TEQUESTA FL 33469 -3062 4. See the web address below for more information and
the appropriate forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
ryry pp IIII ''II pp II''II�� IIII IIII IIII IIII ��II http:// www. hsmv .state.fl.uslhtml /titlinf.htmi
IMP
uuo0�uuoll��uuuu �r��ru�uuuuou�B�IluuuuUUuuuuUuuuuuolr�r� n UuuN
I
Identiticdtion Number 1 ear Make Body WT .b �iP Vessel'Regts No Tdle,Kiumber
L1ep Release
2FAI�P71V09X:109984 2008 FORD ; :4t! 3960 101570589 interest in the deli abed vehicle is hereby released
prev Color Primary Brandi Secondary Braad Bra o� Use Prev issue Date B
State
N TBLK ROLICE 01 Title
Odometer Status or Vessel Manufacturer of OH use Hull Material Prop Date of Issue
Date
-- F 3 MILES 09/08/2008 ACTUAL T 10/22/2008
Registered Owner
VILLAGE OF TEQUESTA
345 TEQUESTA DR
TEQUESTA FL 33469
I st Lienholder
® NONE
_ a
DIVISION OF MOTOR VEHICLES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Control Number
e
- .Ford 092075032
Electra Theodorides- Bustle
Carl A
Director
Executive Director
0 -
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal and/or stale lawregnire that die seller 1.1. the milega, purchaser's name sellingprice, : id date sold in connection wifll the transfer of ownership.
Failure la complete or providing a false statement may result in fines mrdfor inrprisanurenl.
ibis title is warranted to be free from any liens except as noted on Ste face ofitm certificate mid the umlor vehicle or vessel described is hereby transferred to:
Seller Most Enter Purchaser's Nmne'�Ln�1 r l ( QJ'�f_ _ __ Addt'ess �"l 0. �_ . 1 l,V l`�
Seller Must Enter Selling Price I A a. S_ _ ;_ � Seller Must Enter note Sold:
I1We stale that This 5 or Wiligil odmneler now ands U U U L..1J • i .L� (no tenths) miles, dole rc;td _ I tI R' -I: o _ mid I hereby certify that to the best of my knowledge the odoureter reading:
E J '• r.flects ACTUAL, MILEAGE. ❑ 2. is IN EXCESS OF ITS MECHANICAL L IVIFFS. 0 3. is NOT THE ACTUAL MILEAGE.
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
SELLER Must ,(�^ — 'O-SELLER ER Must
== Sign Here:. � M V ll.�( ,�I,XeSL�+�!� - _ e " `�u`..�.44� d b Sign
Iriul Here: '�✓ ✓k I i�• 1.��lA.f1^7 T Print Ham:_
-
Selling pealu s l.icennNmnber ___ _ — Tax No. -_ -� Tax Collecle$ _...
Auction Name Liconse Number
i
�PURCAA$ER Mgsl CO
::Sr911 are Sigh. 13ety. _
. _ --
`:: R utl Here.':. .:1SrJnt Hera
; . : NOTICE ; 518 00 PENA 15 R 13Y LAW IF: BUB MI7Tt .EQR TRAN WtTtNb130 DAY$ AFTER bliT1=.OFPURCHASE
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
Neil Kirkman Building - Tallahassee, FL 32399 -0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
Section 319.22(2), Florida Statutes, provides that by filing this form, you can avoid any civil liability for the operation of the sold motor vehicle, vessel or mobile home.
In addition to filing this form, we suggest you keep a copy of your bill of sale (we suggest it be notarized), certificate of title or other type of transaction document showing
the vehicle was sold. Complete the information below, tear the top portion of this document at the perforation and mail to the address above or submit to your
local tax collector's office or license plate agency.
I have thisj_q_day of EbAL& 1(, transferred by assignment of and delivered Florida Certificate of-Title to:
Name: Purchaser(s) Lai 4,-A 1
i A ) eA ✓4w Address LN&O M T1 " ?W. `-O l u m �X 5 Selling Price $ ► q as
A (goy
UNDER PENALTIES F PERJURY, I DECLARE THAT I HAVE READ THE FOREG - AN
ING D CUMENT D THAT THE FACTS STATED IN IT ARE TRUE.
Seller's Signature f �12QA Co- Seller's Signature
NOTE: THE SUBMISSION OF THIS FORM, ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS "SOLD ". HOWEVER,
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
fl13lCjA7TER't;lRTIF.ICATI/5N - Petkrat.'and Iowa:rogmrC'tdat you sate the ttiileagcin¢osjbechoa.titi'itp t[anafet ofow,nershtp Ea11pre tocomp(ete or provldiug aTafsgstatement W4y asOtE'm Sufis igad{orlfnprwo{ .;.
F .
SellirigDealer'a, Saili g Dealer's
Pix
tcense No ", . Name:.... No : >r Collexted .:. i
Selliag Dealeda Address :Date Sold
Purchaser 9, Names) Address
I/WE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER NOW READS Q (NO TENTHS] MH ES, DATE 'READ - _ / AND I HEREBY
CERTIFY THAFTo THE BEST OF i Y KNOWLEDGE .THE ODOMETER READING.
m ,CAUTION: READ CAREFULLY El 1. REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF TI'S MECHANICAL LIMITS El 3. IS:NOT THE ACTUAL MILEAGE,
BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
Purchaser Must Co-Purchaser Must
y Sign Here: Sign Here:
a
E-
Print Here: Print Here:
ti
Seller /Ager t Auction Name (When Applicable): 5
Sign Here: -
Print Here: Auction License Number:
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name: No.: Collected:
u Selling. Dealer's Address: Date Sold:
A. Purchaser'sName(s): Address:
- 0 E71771;&j
O
m
I/WE STATE THAT THIS ❑ 5 OR F] 6 DIGIT ODOMETER NOW READS (NO TENTHS) MILES, DATE READ _ /_ / , AND I HEREBY
�? CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
CAUTION: READ CAREFULLY ❑ 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS LIMITS 3. IS NOT THE ACTUAL MILEAGE. -
BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
r? Purchaser Must Co-Purchaser Must
Q Sign Here: Sign Here:
q Print Here: Print Here:
z
0
Seller /Agent Must Auction Name (When App6uble):
Sign Here:
Print Here: Auction License Number:.
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name: No.: Collected:
c Selling Dealer's Address: Date Sold: -
O Purchaser's Name(s): Address:
A-
ur
z Imm STATE THAT THIS R 5 OR 6 DIGIT ODOMETER NOW READS EED (NO TENTHS) MILES, DATE READ _ / / , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING
CAUTION: READ:CAREFULLY 1. REFLECTS ACTUAL MILEAGE :.❑ 2. IS IN EXCESS OF TTS MECHANICAL:LIMITS F] 3. IS NOT THE ACTUAL - MILEAGE.
,.. BEFORE YOU (EXCESS OF ITS MECHANICALLIMITS WARNING -- ODOMETER' DISCREPANCY -.
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
_ PurchsserMust .. Co-PUrchasetMust .
Sign Here: Sign Here:
Pnut.Here Print Hem:
S &Jter/h too i Must Among lYnrile {1Vhen Applieable)
S1gn,Her
i�� Pnpg :Here ny .. : >. .> '. .: . A6ct3pp Ltce�.ie Nttmbg;
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv.,qov/off ices /
Notice of Sale and /or Bill of Sale for a Motor Vehicle,
Mobile Home, Off - Highway Vehicle or Vessel
Notice of Sale (Seller must complete sections 1 & 3) The purchaser's signature in section 3 is optional.
[ Bill of Sale (Seller and purchaser must complete sections 1, 2 (when applicable) & 3).
1. Motor Vehicle, Mobile Home, Off- Highway or Vessel Description
Year Make /Manufacturer Body Type Model Color
2009 Ford 4 -door CM Vic BLK
Certificate of Title Number Vehicle/Vessel Identification Number
101570589 12FAAP71V09XI09984
I /we do hereby sell or have sold and delivered the above described motor vehicle, mobile home,
off - highway vehicle or vessel to:
Print Name(s) of Purchaser(s)
Address City State Zip Code
4"kZd ( -7 + c Q(vvy\ q's 6-111 31
Date of Sale Selling price
2-110116 1 $ 17 2- 5
2. Odometer Disclosure Statement (Required For a Motor Vehicle)
Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failure to
complete or providing a false statement may result in fines and /or imprisonment.
WE STATE THAT THIS MOTOR VEHICLE'S 5 DIGIT OR i ✓ 6 DIGIT ODOMETER NOW READS M E E1 , [fl E1 E1 . xx
(NO TENTHS) MILES, DATE READ 01 / 19 / 16 , AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE
THE ODOMETER READING: II
✓ 1. REFLECTS THE ACTUAL MILEAGE. 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. i 3. IS NOT THE ACTUAL MILEAGE.
Affidavit (When applicable):
3, Certification
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS
STATED IN IT ARE TRUE.
Is Signature ak¢,/,!( " Seller's Printed Name I l Date n
to
Seller's Address City State Zip Code
345 Tequesta Drive Tequesta Fl 33469
Co- Seller's Signature (when applicable) Co- Seller's Printed Name (when applicable) Date
Co- Seller's Address (when applicable) City State Zip Code
Purchaser's Signature Purchaser's Printed Name Date
Co- Purchaser's Signature (when applicable) Co- Purchaser's Printed name (when applicable) Date
CIE OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF - HIGHWAY VEHICLE OR VESSEL
WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
Check your local phone book government pages or visit the following website for current mailing
addresses: http: / /www.flhsmv.gov /offices/
HSMV 82050 (Rev. 06/11) S
2/19/2016 GovDeals Client Asset Server
Print Email Edit Close
yy
Tequesta Police Department, FL
357 Tequesta Dr
Tequesta, FL 33469 -3088
Bill of Sale Date: 02/17/2016 Bill of Sale Number: 2172016
Asset ID: 8 Inventory ID: 931
Description of Property Award Amount
2009 Ford Crown Victoria Police Interceptor 1925.00
Asset Information
Year: 2009 Make /Brand: Ford Model: Crown VIN/Serial: 2FHAP71V09X109984
Victoria
145859 Miles Title
Meter: (Accurate ?: Yes) Restriction: N
Sale Information
Actual Sold Amount: $1,925.00 Paid On: 02/18/2016 by Credit Card
Other Amount: $0.00 Other Amount Description:
Buyer's Premium: $192.50 Tax Rate: 0%
Tax Amount: $0.00
Total Amount: $2,117.50 * Taxable Items
Delta Motor Asset is sold as is, where is and without warranty. Once the asset is removed
4420 17th ave from the seller's premises there is no refund of monies previously paid.
Columbus, GA 31904 USA
wesweaver6683 @gmail.com Buyer /Agent Signature:
7064426683 Print Name:
Date:
https:// www. govdeals. netfindex .cfrn?(a= BoS.Main&assetid =8 1/1
