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IDENTIFICATION NUMBER VR MAKE MODEL BODY WT-L-BHP VESSEL REGIS. NO. TITLE NUMBER
2G1WF55K729323785 2002 CHEV 4D 3455 85956131
REGISTERED OWNER DATE OF ISSUE
VILLAGE OF TEQUESTA 07/11/2002
PO BOX 3273
TEQUESTA FL 33469-3273 LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE
HEREBV RELEASED
BY
MAIL T0:
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-1004
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TITLE
rnvvr yr uwwtnanlr rtHVnvU tsttrv SUtsMII ItU UNUtK SECTION 319.23/326.03, FLORIDA STATUTES, TITLE TO THE MOT(
Jn .E.,Jc~ ,.ESCRiocL ~~ww IS vLS;Eu nv THE UWNErc15) rvAMEU HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED
FOR SAID MOTOR VEHICLE OR VESSEL
IDENTIFICATION NUMBER VR. MAKE MODEL BODY WT-L-BHP VESSEL REGIS NO. TITLE NUMBER
2G1WF55K729323785 2002 CHEV 4D 3455 85956131
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE
N SIL 01 POLICE CAR
ODOMETER STATUS OR VESSEL MANUFACTURER HULL MATERIAL PROP DATE OF ISSUE
18 MILES 06/04/2002 ACTUAL 07/11/2002
fit~IJlttitU UWNtIi
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY
1ST LIENHOLDER
NONE
DIVISION OF MOTOR VEHICLES TALLAHASSEE ~',.,',"'~ FLORIDA DEPARTMENT OF HIGHWAY SAFETY
d c AND MOTOR VEHICLES
~` _
Con(r,~l A'~unilx'r
DfRECTOR EXECUTIVE DIRECTOR
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
ODOMETER CERTIFICATION - Federal and state law require 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.
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 or vessel described is hereby transferred to:
Purchaser: Address
I/We state that this^ 5 or ^ 6 digit odometer now reads ^~~,~~^~ (no tenths)
miles, date read and to the best of my knowledge CAUTION: ~ 1
that ii reflects the actual mileage of the vehicle described herein, unless DO NOT CHECK
one of the odometer statement blocks is checked. BOX IF ACTUAL ^ 2
MILEAGE
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING
Signature of
Purchaser:
Signature of ;'
Co-Purchaser. ~ / !
Signature of /j
Seller. ~X~~ ~~~~~
Signature of '
Co-Seller.
(When Applicable)
Selling Dealer's License Number
Auction Name
Selling Price. $ Date Sold.
I hereby certify that to the best of my knowledge the odometer reading reflects the
amount of mileage in excess of its mechanical limits.
I hereby certify that the odometer reading is not the actual mileaoe:
WARNING - ODOMETER DISCREPANCY.
]OCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Printed Name of
Purchaser:
Printed Name of
Co-Purchaser. _
Printed Name of
Seller:
Printed Name of
Co-Seller
Tax No.
License Number.
Tax Collected:
STATE OF FLORIDA
LIEN SATISFACTION
MOTOR VEHICLES. MOBILE HOMES AND VESSELS
SECTION 319.24(5)(B) AND 328.15(7)(B) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE LIENHOLDER WILL, WITHIN
TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE, DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT TO THE DEPART-
MENT. IF THE CERTIFICATE OF TITLE WAS RETAINED BY THE OWNER, THE OWNER WILL, WITHIN FIVE DAYS OF THE SATISFACTION OF LIEN, DELIVER THE
TITLE TO THE LIENHOLDER. THE LIENHOLDER WILL ENTER THE SATISFACTION IN THE SPACE PROVIDED ON THE FACE OF THE TITLE. IF THERE ARE NO
ADDITIONAL LIENS SHOWN ON THE TITLE, THE LIENHOLDER WILL DETACH THE COMPLETED LIEN SATISFACTION, AND FORWARD IT TO THE DEPARTMENT,
WITHIN TEN DAYS, AND MAIL THE TITLE TO THE OWNER.
SECTION 319.24(5)(C) AND 328.15(7)(C) FLORIDA STATUTES, PROVIDES THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN SATISFACTION
FOR THE FIRST LIEN WILL BE GIVEN TO THE REGISTERED OWNER BY THE LIENHOLDER. THE CERTIFICATE OF TITLE SHOWING A SATISFACTION OF THE FIRST
LIEN WILL BE FORWARDED BY THE LIENHOLDER TO THE DEPARTMENT.
Department of Highway Safety and Motor Vehicles
Neil Kirkman Building
Tallahassee, Fl 32399-0500
ODOhIF.TF.R CERTIFICATION -Federal and .stale laws reoulre that vnu elate the mileaee in connection with transfer u! ownership. Failure to mmDlete or pruvidine a false statement may result In Roes and/or hpprlsonment
Selling Dealer's Dealer's Tax Tax
License No. Name No. Collected
y Selling Dealer's Address
p UWe warrant this title and a'ertify that the vehicle described herein has been transferretl on Ida[el to the following:
X Name(s): Address:
U
1/Wc state that this S or
~ ~
6 di r odometer now reads (oo Tenths) notes, dare read and [o the be.n of m knowled .shat it reRecls the actual mileaee of nc~
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vehicle described herein, unless one of the mtometer staremem blocks is sharked:
s
a
°~ CAUTION: DO NOT CHECK ^ 1. I hereby certify that to the beat of my knowledge nc~ odometer reading ^ ?. 1 hereby certify rhar the odometer reaiing u nut We actual mileaee.
BUX IF AC7T;AL reRecls the amount of mileage in ezcess of its mechanical limits. WARNING, -ODOMETER DISCREPANCY'.
w
f MILF,ACE
tZj Signaure of Printed Nnme of
C Purchaser: Purchaser:
~
F Co-Purchaaer: Co-Purchaser:
i
s
~ Seller/Agem; Seller/Agent:
Aucton Name (When Applicable): License Number:
x Selling Dealer's Dealer's Tax Tax
License No. Nnme No. Collected
~ Selling Dealer's Address
0
1/We warrant m~ Rae and renity that the yehirle aescrihed herein nax been transferred on (sate) to me rona»;ng:
w Name(s): Address:
I/We stole rhar this ~ 5 or ^ ~ zx (no Tenths) mile., dace read and to dre bust of my knowlWge [ha! it reflects [he actual mileaee of the
6 digit Wometer now reuds~
~. vehicle described herein, unless one o(the rdomerer statement blueks is zheckrd:
s
t• CAUTION: DO NOT CHECK ^ 1. I hereby certify that to Ihs best of my knowledge the rxlomeraY reading ^ 2. 1 hereby certify rhar the odometer reading u not the actual mileaee.
BOX IF ACTUAL reaeas the amoum of mileage in excess of its mechanical limits. WARNING -ODOMETER DISCREPANCY.
Z hfILEAGE
(? Signature of Printed Name of
Purchaser. Purchaser:
u
~
Co-Pun~haur
Co-Purchaser:
Z
CUi
Seller/Agent:
Seller/Agent:
Auction Name 1 When Applicablel: License Number
~ Selling Dealer's Dealer's Tax Tax
"? License Nn. Name No. Collected
Q Selling Denier's Address
~
u~ VWe warrant this tltle and cerlity that the vehicle described herein has bcen trarefcrred nn Idatet to the following:
z Name(.s): Address:
w
ilWr stare rhar this ~ S or ^
~ ~ Inn Tenths) miles, date rend and to the hest of my knowledge rhar it reflects the actual mileaee of the
6 digit odometer now reads
~„ ^
vehicle described hercm. unless one of the odometer statemem blrxks is checked.
m CAUTION: DO NOT CHECK ^ 1. 1 hereby certify that a, the beat of n!v knowledge the rxlomerer reading ^ ?. I herehy renily that rhr ~xlnmerer reading is rmt the actual mileaee.
ROX IF ACI'L'AL re0cets the amoum of mileage in ezccss of it mechanical limits. WARNING • ODOMETER DISCREPANCY.
g MILEAGE
U Signature u( Printed Name of
Wn:h~axv: Purchaser:
m
~
Co-Purchaser:
Co-Purchaser:
z
SellerlAgent.
Seller/Agem:
Auction Name (When Applicablel: Liceree Number
N077CF,: 310.011 PENALTY' IS REQUIRED RY LAR' IF NOT SCBh11TTF.U FOR TRANSFER WITHIN 30 DAYS AFTER DATE UF' PURCHASE
I make application for a new certificate of title and registration transfer, if epplicaMe, for xaid motor vehicle or vessel which now has liens ns follows: (Dale, name end address of each lienholder. If NONE, write NONE). Record additional liens
on Form HSAIV g2IJ9. FF.ID# or FL/DLN and Uate of Birth
Lienhoider's Neme: Date of Lien:
z Address State Zip
~' THIS VEHICLE. WILL BF. U.N'EU AS ^ TAXI('AB [] POLICE CAR ^ LEASED ^ PRIVATE
s ^ 1/WE HF.RERY' CERTIFY THAT THE VF.HICL6 TO RE TITLED W'ILI. NOT RF. OPERATED ON THE PL!BLIC HIGHWAYS OF THIS STATE.
z
I/We scare Ihaz thu 5 or
^ ~
b digit ndomerer naw reads (no Tenhs) miles. date read and [o the best of my knowledge that it reRecls the actual mileaee of Ihz
~
~
ii vehicle dcxnbed herein. unless one of rhr odometer uacement blocks is check d'.
,
m CAUTION: DO NOT CHECK ^ 1. 1 hereby certify that to the bust of my knowledge the odometer reading ^ 2. 1 herehy renify thm rhr rxlometer reading is nut the actual mileaee.
!~ BOX IF ACTUAL reRecls the amount of mileage In excess of its mechanical limits. WARNING • ODOMETER DISCREPANCY.
F MILEAGE
Y
uU. IPNINT/I'YPE NAME OF PURCHASERIS) IDENTICALLY AS SIGNED BELOW) NOTE: When joint ownership, please indicate "or" or "end" between names. if no indication, "and" wiR he shown.
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O
a MAILING ADDRESS CITY STATE., 7.[P
V
PHYSICAL ADDRESS CITY STATE ZIP License Plate Nu.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE. FACTS STATED IN IT ARE TRUE..
Signature of 1st Purchaser
(First Name, Middle Initial. Last Name) ^ FL, RESIDENT ^ NONRESIDENT ^ ALIEN (Florida DUt or FEIDq) (First Purchaser's Date of Birth)
Signature of Co-Purchaser
(Firs t Name. Middle Initial, Lari Name) ^ FL RESIDENT ^ NONRESIDENT ^ ALIEN (Florida DLN or FEIINl) lSecond Purchaser's Ua1e of Births