HomeMy WebLinkAboutVehicle Title_Truck_06/24/2008Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0590
Identification Number Year Make Body WT-L-BHP Vessel Regis. No. T TRIe Number
1FTRW14W38F694834~2008~FORD~ TK ~ 5176 1100936750
ftc~,islcrc(1 ~)WT1Cr: Date of Issue 06/24/2008
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
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VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-1004
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A06298
Lien Release
Interest in the described vehicle is hereby released
Date
IMPORTAN'T' 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
[he 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 forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
http:!lwww. hsmv.state.fl. us/html/t itlinf. htm I
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Identification Number Year -Make Body WT-L-BHP Vessel Regis. No. TRIe Number 'p~4;<
Lien Release
1 FTRW14W38F694834~20081 FORD TK T 5176 1100936750 Interest in the described vehicle is hereby released
Prev Color Primary Brand Secondary Brand ~lo o~ Use Prev Issue Date 1 gy
r SNte ~WHI ~ ~ ~ ran s ~RI VATE I TRIe
Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Dale of Issue
Date
3 MILES 05/07/2008 ACTUAL T 06/24/2008
Registered (hvncr
VILLAGE OF TEQUESTA ,
PO BOX 3273
TEQUESTA FL 33469-3273
1 sl Lierdlol(ler
NONE
DNISION OF MOTOR VEHICLES TALLAHASSEE ~~. FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
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Control Number ~-'! ... -. _ . __ ;`
Carl A. Ford Electra Theodortdes-Bustle
Director Executive Director
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federd and/or slnle law require dent the seller ante the milege, pavchaccr's mm~e, selling price amd dale sold in connection with the tr;w nfur of ownership.
H:uhve to complete or providing a tidse sledemenl may resuh iu fines and/or inryrisonuacnl.
This title is weuranled to he free tinm may liens except as noted un d;e trace of the certific:de wad Thu motor vehicle or vessel described is hereby tremsfen~ed lo:
Seller Musl Elder Pm~chaser's Name Address:
Seller Musl Enter Selling Pricy. _ - Seller Musl Enter Uale Sold:
UWc a.de that This ^ 5 or ~ 6 digit odmncler now reads U u u •U uu.L~ (no tendls) miles, dale read_ _ _ __ _. _ wad 1 hereby cenify Thad to the best of my knowledge the odometer re~uling:
1. reflects A(T11.11. M-.EACiE. ~ 2. is LN EXCESS OP rl'S MtiCH:1 NI( :1L. LIIvtITS. ~ !. is NU7"ITi}S ACTUAL MD.EACiF;.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
SEI,LF•:Fi Mull CU-Sp;LLER Mnst
Sign Here: Sign Hcre: _ ___ _
Print Huru: Print Hcre: __ ____._____
Selline Ueul cy's Licen,eNmnhec T:ix No.: 'l'ax Cullecled~ ___
Anclion Nmne
PIIRCHASF;R Must
Sign Hcre:
Print Herc
License Nmnber:
CU-Pl1fiCHASER Musl
Sign Hcre: __ __ _ _
Print Hcre:
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 tiling 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 this day of ,transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s)
Address
ling 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.
ODOMHTBR CF,RTIFICATION - Federal and state laws require [ha[ you score [he mileage in connection with Irlnster of ownership. Failure to complete or providing a false statement may result in fines and/or i mprisonment.
Selling Uealer's Selling Dealer's 'fax Tax
License No. Name: No. Collected:
Selling Uealer i Address: Date Sold:
z
G Purchaser's Name(s): Address:
~
i
I/We slate [hat this 5 or 6 d i
^ ^ tg
t odometer now reads (no tenths) m
~ ~ ^
iles, date read and to the best of my Futowled a [hat it reflects the actual mi
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of dle
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vehicle descri bed herein, unless one of the odometer smtemcm blocks is checked:
~- CAUTION: DO NOT CHECK ^ I. 1 hereby certify that to the bzst of my knowledge the odometer reading ^ 1. 1 hereby cenity that the odometer reading is not the actual milea ae
~
r BOX IF ACTUAL reflecs the amount of mileage in excess of its mechanical Ilmlts. WARNING -ODOMETER DISCREPANCY.
MILEAGE (Excess of its mechanical limit applies to 5 digit odometers)
j Purchaser }lust Co-Purchaser Muse
`~ Sign Here: Sign Here:
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1'
F Print Here: Prim Here:
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Seller/Agent !.lust Auction Name (When Applicable):
Sign Here:
Print Here: Auction License Numbee
Selling Dealer's Selling Dealer's Tax Tax
License No. Name: 40. Collected:
Selling Dealer's Address: Date Sold:
T
p Purchaser's Namelsl: ~ Address:
W
1/We state that this ^ 5 or ^ F digi t odometer now cods ~
~ xx fno tenths) tu lles, dart read and ti. the best of my knuwledge [hat i[ relects the actual milea ee of [he
~
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vehicle descri bed herein, unless one of the odometer statement blocks is checked:
m CAO'rION: DO NOT CHECK ^ 1. l hereby certify that m the base of my knowledge dtz odometer reading ^ 2. 1 hereby certify that [he odometer reading is not the actual milea ee.
BOX IF ACTUAI, reflects the amount of mileage in excess of its mechanical Ilmils. WARNING -ODOMETER DISCREPANCY.
~
F MILEAGE (Excess oP its mechanical limits applies to 5 digit odometers)
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y
Purchaser Must
CmPurchaser Must
.Sign fiere~. Sign Hzre~.
O Print Here: Print Here:
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uc
`^ Seller/Agent Must ~WCtion NamelWhen Applicable):
Sign Hcre:
Rim Here Auction license Nmnbec
Selling Dealer's Selling Uealer's Tax Tax
License Nn. Name: Nn. Collected:
Selling Dealer's Address: Date Sold:
Purchaser Namelsl: Address:
O
z I/We state that this ^ 5 or ^ 6 Jiei t odometer now reads ~ ~ xx t no tcnihst miles- date read and to the best of my knowledgz that it reflects the actual milea ee of the
U
3 vahicle descri bed berain, unles.e one o(the odometer statement blocks is checked:
y CAUTION: DO NOT CHECK ^ 1. I hereby certify that to the best of my knowledge the odometer reading ^ ?. I herehy cerify that the odometer reading is not the actual milea ee.
5
BOX IF ACTUAL
reflects the amount of mileage in excess of its mechanical limits.
WARNING -ODOMETER DISCREPA!VCl'.
m MILEAGE, (Excess of it mechanical limits applies to 5 digit tdometersl
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z
U
Purchaser Must
Co-Purchaser Must
Sign Here: .Sign Here'.
ai
~ Print Here: Print Hcrc:
F
Seller/Agent Must Auction Name (When Applicable):
Sign Hzre:
Prim Here: Auction License Number: