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Home My WebLink AboutVehicle Title_Truck_04/18/2007A07552 Mail Lien Satisfaction to: Dept of Highway Safety and Matar Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500 ( Ident~cation Number -~ Year TMake T Body7- WT-L-BHP ~ Vessel Regis. No. -T- Title Number ~ Registered OWlter: VILLAGE OF TEQUESTA PO BOX 3273 TEQUESTA FL 33469-3273 '~1ail To VILLAGE OF TEQUESTA PO BOX 3273 TEQUESTA FL 33469-1004 Date of Issue 04/18/2007 ~n~~nr~~u~tt~r~~rr~r~nnr~~~~nr~~nn~n~~nr~n~~r~~rn~ Ident~cation Number r Year ,-- Make ~ Body T Wi-L-BHP T Vessel Regis. No 3FRWF65E17V475757 2007FORD DP ~ 9131 ~ Prev Color Primary Brand Secondary Brand No of Use - SNte ~WHI ~ ~ ~ &ands TRIVA - Odometer Status or Vessel Manufacturer or OH use Hull Material I Prop 459 MILES 11/29/2006 ACTUAL Registered Owner VILLAGE OF TEQUESTA PO BOX 3273 TEQUESTA FL 33469-3273 1st Lienholder NONE Lien Release Interest in the described vehicle is hereby released By Tdle 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 the certificate of title. 2. Upon sale of this vehicle, the seller must complete the notice of sale on the reverse side of this form. 3. Remove your license plate from the vehicle. 4. See the web address below for more information and the appropriate farms required for the purchaser to title and register the vehicle, mobile home or vessel: http:/lvvww.hsmvstate.fl.us/htmUtitlinf.html is)y41~ '';t, ~ Title Number ..( Lien Release 98195266 Interest in the described vehicle is hereby released Prev Issue Date gy Tdle Date of Issue Date 4/18/2007 DNISION OF MOTOR VEHICLES TALLAHASSEE ".,~~ ,~y FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES ,\4c l/~'~ Control Numlxr , ~i _. _ _ ,,d :~ ~ ~~^r+G~L~~ Cad A. Ford ~ectra Theodorides-Bustle Director Executive Director TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federal and.'or slate law require Thal the teller stale the milege, pm'chi~~er's n:une. selling price w)d dole sold in connection with the tram sfer of ownership. Failure to conq~lelc or providing ~i fidsc shJert~ent ma" resuh. in fines aml.br imprisomncnt. 71)is title is warranted to he Siee from eny lien, except a~ noted on the face of the cenlificale and the motor vehicle or vessel described is hereby transte~red lo: Scllcr Musl Enlcr Yurehase~'sNane' _ _ _ _ _ Address: Seller Musl F.nlcr Selling Price: Seller Mull F;nter Date Sold __ I!Wc slide dnd this ~ c or ^ 6 digit odometer nnw reads U U U U U U ~LAJ (no tenths) miles, dale read :md I hereby ccrtif}' Ihat to the best of my knowledge the odmneler re:uling: 1. re}leas A(:TIJAI, IvIILEAGF: ~ 2. is IN E7(CESS OF•' PPS MF.CH.4 NICAl. LIMITS. ~ 3. is NOT THE ACn1A1. MILF:ACiP;, UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Sf:LLf:R Mnsl CO-S F;I.Lf:R Must = Sipe Here: _ Sigu Here: _._ Print Herr Print Here: Selling Uc;dei's IacenseNmnber: Taz No.: Tax Collected: Auction Name License ~Munber: PI IRCHASE R Mull CO-PURCHASER Musl Sign Here: Sips Here: Print Here: Print Hen: NOTICE: 510.00 PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE 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 he 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 this day of Name: Purchaser(s)- transferred by assignment of and delivered Florida Certificate of Title to: 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 71TLE RECORD AS "SOLD". HOWEVER, THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE. 0 0 ODOMETER CERTIFICATION - Federal and state laws require that you state [he mileaee in connection with Inuufer of ownership. Failure to complete or providing a false statement miry result in tine,v and/or i mprisonment. Selling Dealer's Srlling Denler's Tax Tax License No. Name: No. Collected: Selling Dealer's Address Date Sold: ~ m .~ y Purchaser's Name(s): Address: Z I/V/e slate that [his ^ 5 m ^ (digit odometer now read. ~ ~ ~ too tenths) milts, tlme read and to the best of my knowledge that it reflects the actual milea ee ul' the -_ vehicle descri bed herein, unless one of the odometer statement bhx:ks is checked: J y CAUTION: DO NOT CHECK ^ 1. 1 hereby certify thm to the bee ul' my knowledge the odometer reading ^ '" I herchy certi l'y Ihui the odometer reacting 's not the actual milea ee BOX IF ACTUAL re[lects the umoum of roilcuge in excess of its mechankal limits WARNING -ODOMETER DISCRF.PANCV. MILEAC F. (Excess of its mechanical limits applies w 5 digit odometers) (Lj Purchaser Must Co-Purchaser Must °' Sign Herr Sign Hzrz: m z t- 5 Print Here: Prim Here: 1. Seller/Agent A1ust Auction Name I\Vhen Applicable l: Sign Herc: Prim Here: Auction License Number: Selling Dealer's Selling Dealer's irax 7'ax License No. Name: No. Collected: ~ Selling Dealer's Address: _ Date Sold: n Purchaser's Name(.v): .Address: u 1/We slate that this ^ 5 or ^ 6 digit odometer now- reads ~ ~ ~ i no ienthsl m ilev, date read and to the bzzl of my knowledge [hat it reflects the actual milea ee of [he U J Vehicle Jcscri bed herein. unless one o(the odometer sta~enum block. is chzckrd'. m CAUTION: DO NOT CHECK ^ 1. I hereby certify thm io the best o(my knowledge thz odometer reading ] '" I herchy certify that the odometer readine is not [he actual milea ee. z BOX IF ACTUAL reflects the amnum of mileage in excess of its mechanical limits WARNING - ODOMF.TF-R DISCREPANCY. MILEAGE (F,xcess of its mechanical limits applies to 5 digit odometersl z Purchaser Must Co-Purchaser Musl Sign Here: Sign Here: c z Print Here: Prim Hue: L `r Seller/Agent Musi .4uctian Name iR'hen Applicable l: Sign Here: Print Here: Auction License Number Selling Dealer's Selling Dealer's Tax Tax License tin. Name: No. Collected: Selling Dealer's Address: Date Sold: x Purchaser's Name(s): Address: Q z 1/We state that this 5 or ~ ~ 6 di t odometer now reacts too tenths) m g~ ~ ~ iles, date read and to the best o(mv knowledge that it reflects [he actual milea ee of the , vehicle descri bed herein. unless onz of the odometer statement blocks is checked: ~. CAUTION: DO NOT CHECK ^ 1. I hereby certify than io she he.t of my knowledge dre odometer reading ^ 2. I hereby ceni(y that the odometer reading is not the actual milea ee. F BOX IF ACTUAI- reflects the amount of mileage in excess of its mechanical lim'[s WARNING -ODOMETER DISCREPANCY'. MII.FAGE (Excess of ikc mechanical limits applies m 5 digit odometersl z Purchaser Must Co-Purchaser Must 4 Sign Here: Sign Here. ', z Print Here' Print Here: F Seller/Agent Musl Auction Name (When Applicable l: Siga Here: Print Here: Auction License Number: