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HomeMy WebLinkAboutVehicle Title_Car_06/13/1994_FordY PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER IELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS 0 IDENTIFICATION NUMBER i~TCRI(3AXi2UC71607 YR. MAKE 4 ORD MODEL BODY K WT.-L-BHP. 2ri02 TITLE NUMBER 67~ti3425 ODOMETER -DATE READ 12 t35/ 1 9/94 PflEV. AEG. N COLOR TYPE USE i~V T REMARKS nnOMETF_R - ACTUAL... *rlt."~GE DMV PREV. ISSUE DATE ~,ww~ ~n~.. .,..win ~~no~ wnw~~ r~no~ r /~ / ur,i c ~r iaau^ i "~ 4r~" MO. I DAY YR - _ ~/ / 06 1 3 ~4 ....... ~ ,~ `o ,/r i'//~/~ ~`. iii ~~~~~\~: / /i" ~ ~ /i = /~/ / / / % ~ ~~ ~G/, ~~/~~~~~ ~% j - i~r. Vii. _ - ~ _ ~~/i _ - ~ ~~//6a ///%. - ~ / G j/~~ , r / ~/ ids /~ i/ ~~/ /" I a~L /i - / ii r/ / // /. / i / / i /o~/~ ~ //~i/ ~/ir ~ ~/~ iir ice/ ~ i '~ ' / ;ii c%//o ~//~ ~~ ittiit~~li~~l~~i~tlt~1~l~,ll~~t~ti~ilf~tlt~~t~l~t~l~rli,t~lltl /~ ~-_ ~ i !_ i % ~ -'" /„ ,. `~, V f LL_AGE OF 7cGiUtST:+, //~ %~% TF!1t1FSTA FL 3'469-0273 /%/ %o' %i ~; ~ \° /rv // / /" ~~i~/ I DIVISION OF MOTOR VEHICLES TALLAHASSEE ;'~`#J~~~~' ~F•~~ FLORIDA DEPARTMENT OF HIGHWAY SAFETY - _~_.- ~' ~~~ AND MOTOR VEHICLES - CHARLES J. BRANTLE`~\~Y~ ~ FRED O. DICKINSON. III - DIRECTOR CONTROL NUMBER B ~ ~ 9 9 ~ ~ 3 8 EXECUTIVE DIRECTOR I ~ ® - I C ~ TRANSFER OF TITLE BY SELLER ODOMETER CERTIFICATION-Federal and state laws require that you state the mileage in connection with the transfer of ownershi Failure to com lete or rovidin f l e t t t lt i fi d/ i i t p. p p g a a s s a emen may resu n nes an or mpr sonm This title is warranted and certified to be free from any liens except as noted on the face of this certificate and the motor vehicle des en . cribed is hereby trans! Purchaser: Selling Price: $ Dat ~ e Sold: IrrII I~ TII~~f1 '' I/We state that the odometer now reads ~f1~W~ XX (no Tenths) CAUTION: ^ 1. I hereby certify that to the best of my know ledge the odometer re miles, date read and to the best of my knowledge !hat it o0 NOT CHECK reflects the amount of mileage in excess o f its mechanical limit: reflects the act ual mileaoe of the vehicle described herein. unless one of the Box IFIF ACTUAL ^ p, I hereby certify that the odometer reading i MILEAGE s not the actual mile[ odometer statem WARNING • ODOMETER DISCREPANCY. ent blocks is checked:. Signature of Purchaser: Printed Name of Purchaser: Co-Purcha r: Co-Purchaser: Seller: Seller: Co-Seller Co-Seller. !When Annlina hlel is License Number: Tax No.: NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS TITLE ODOMETER CERTIFICATION -Federal and state laws require that you state the mileage in connection with transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. Selling Dealer's Dealers Tax Tax License No. Name No. Collected W I We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following: Name(s): Address: ~ ~ Ino Temhs) CAUTION: ^ t. I hereby certify that to the best of my knowledge the odometer readiny VWe state that the odometer now reads ~ ~ CHECK _ ' t x DO NO7 reflects the amount of mileage in excess of Its mechanical limits. . miles, date read end to the best of my knowledge Ihat it reflects the actual BD MILEAGe AL ~ 2. I hereby certify that the odometer reading is not the actual mileage. mdea a of the vehicle described herein. unless, one of toe odometer statement blocks is checked. WARNING -ODOMETER DISCREPANCY. i ignature of Printed Name ~ z Purchaser: of Purchaser: v a Co-Purchaser: Co-Purchaser: s Seller/Agent: Seller/Agent: Auction Name (When Applicable): License Number: Selling Dealer's Dealer's Tax Tax License No. Name No. Collected W I We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following. Name(s): Address: y Y I!We state that the odometer now reads ~ ~ © (no Tenths) CAUTION: ^ 1. I hereby certify that to the best of my knowledge the odometer reading ECK r DO NOT CH reflects the amount of mileage in excess of its mechanical limits. miles. date read and to the best of my knowledge that it reflects the actual BOX IFIF AcruA~ p I hereb certif that the odometer readin is not the actual mileage . mileage of the vehicle described herein, unless, one of the odometer statemenl blocks is checked. MILEAGE ~ WARNING -ODOMETER DISCREPANCY. Signature of Printed Name s Purchaser: of Purchaser: a Co-Purchaser: Co-Purchaser: °z 0 Seller/Agent: Seller/Agent: Auction Name (When Applicable P. License Number: Selling Dealer's Dealer's Tax Tax License No. Name No. Collected I~ We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following. Name(s): Address: © (no Tenths) CAUTION: ^ t. I hereby certify that to [he best of my knowledge the odometer readiny I/We state that the odometer now reads ~ ~ Y ~ DO NOT CHECK reflects the amount of mileage in excess of its mechanical limits. . miles. date read and to the best of my knowledge that it reflects the actual BOX IF ACTUAL ^ 2 I hereby certify that the odometer readiny is not the actual mileage. MILEAGE ~ mite~~a a of the vehicle described herein, unless, one of the odometer statement bloc s Tecked. yyARNING -ODOMETER DISCREPANCY. ~ gnature of Printed Name IS Purchaser: of Purchaser: Go-Purchaser Co-Purchaser: Seller/Agent: Seller/Agent: Auction Name IWhen Ap;,lic:GleY License Number: NOTICE: $10.00 PENALTY I$ REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER RETAIL PURCHASE. I make aUPlicatlon for a new certificate of Utle and vehicle registretion transfer. if applicable, for said motor vehicle which now has liens as follows: (Date, name and address of each lienholder. If NGNE. write NONEi Record adcf itional liens on Form HSMV 82139. Lienholder's Name: Date of Lien: Address: City: Slate: Zip: THIS VEHICLE WILL BE USED AS: ~ TAXI CAB ~ POLICE CAR ~ LEASED ~ PRIVATE a ~I/WE HEREBY CERTIFY THAT THE VEHICLE TO BE TITLED WILL NOT BE OPERATED ON THE PUBLIC HIGHWAYS OF THIS STATE. U ~ CAUTION: ^ i. I hereby certify that to the best of my knowledge the odometer reading I/We st r n th t th m ead ( fh t d t T ) ~ ~ e ow r s no a e a e o o e e en s DO NOT CHECK ~ reflects the amount of mileage in excess of its mechanical limits. . miles, date read and to the best of my knowledge that it reflect the actual BD M I hereb that the odometer reading is not the actual mileage certif AL 2 T . . y y IL AG E mileage of the vehicle described herein, unless, one of the odometer statement blocks Is checked. ~ WARNING-ODOMETER DISCREPANCY. - f Signature o 1st Purchaser (First Name, Middle Initial. Last Name) (Florida Driver License Number) (First Purchaser's Date of Birth, Sez) 0 ^ or ^ and NOTE: When joint ownership, please indicate if "or" or "and" is to be shown on title when issued. If neither box is checked, the title will be issued with "and'. a Signature of Co-Purchaser - a (First Name, Middle Initial, Last Name) (Florida Driver License Number) Tag No. - (Current Tag number must be shown) (Print/type name of purchaserls) identically as signed above) (Street Address of ist Listed Purchaser) (City) (State) ILPI Sworn to and subscribed before me this _ day of . 19 (Signature of Notary Public-State of Florida) (Print. Type or Stamp Commissioned Name of Notary Publics (NOTARY STAMP) Personally Known O OR Produced Identification ^ Type of Identificafipi, Prodwed.