HomeMy WebLinkAboutVehicle Title_Truck_02/26/2008Mail Lien Satisfaction tai Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-9509
Identification Number Year Make Body Wi-L-BHP Vessel Regis. No. T Title Number
1FTWF31578ED17230~2008~FORD~ TK ~ 5965 1100234036
Rcgislcrc(1 O\\~ICr: Date of Issue 02/26/2008
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
Mail "i~o
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-1004
Ittlltttllttlttltllt~ltltttttillltttlltrttlttlltttlttlltlltrtl
^
III ,. r~ r ~ rsfa ~.• ~~'lll
~ iil aae ~£~ ~I~s'I tla~~~~~ ~,~~~~ ~h ~.
,emu ~ i r13~' ~"3 ss ~ ~ li+
s~
~"~ Identification Number
1FTWF31578ED17230 2
r Prev Color Primary Brand
I SN1e ~WHI
Year-T- Make ~ Body T WT-L-BHP
Secondary Brand
A06682
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 [he web address below for more information and
the appropriate forms required for the purchaser [o
title and register the vehicle, mobile home or vessel:
http://www.hsmv.state.fl.uslhtml/titlinf.html
^ ^
Vessel Regis. No
- Title Number -
100234036
Lien Release `"`""
Interest in the described vehicle is hereby released
oc
ns
- Use -
PRIVATE
- Prop -
r- Odometer Status or Vessel Manufacturer or OH use Hull Material
4 MILES 02/06/2008 ACTUAL
E2egistered Orc~)er
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
1st Lien}IOlder
NONE
- Prev Issue Date
- Date of Issue -
02/26/2008
DNISION OF MOTOR VEHICLES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
'/'~j/~ ~ /////~ t ~W-"b'EI
~
/~'
- Control NI>mber
Carl A. Ford Electra Theodorides-Bustle
Director Executive Director
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal nn dfor slide law rcyuire Ih;d the seller skde the milege, purchnscr's n;une, selling price and duLL+ sold in connection with the Iran stir of ownership.
Failarc to rnugrlele ur providing:r tidse slalenrenl muy resnh in fines ;urdlnr irtgn'i sannrent.
'Phis li lle is weurarded to he tree from :uq• liens except as noted on the fine ofd)c cerlificule and dle molar vehicle nr vessel described is herchy tr.msferred lo:
Seller Mnsl Enter Purch:~'cr's N;mic: Address:
Seller Mnsl Elder Selling Price: _ _ __ Seller Musl Enter l);de Sold:.
]i We slide that dris ^ S or ^ 6 digit odmneler now reads U u U U UU ~LXJ (no lendls) miles. dole read wrd I hereby certify lh:d to the hest of my knowledge the odomet er reading:
]. reflects AC'I'I l;\I. MII,Fa\(:F:. ~ 2. i.. IN F:XCh:SS UF' CI'S MECHA NI(:AI, LIMP'S. ~ J. is NO"r'rHF: A(."I'll:\I, MILT:•\GF:.
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
S F;LLF:R MuJ CO-S F:I •LF:R Mull
Sign Herc: Sign Here: __
Print Hcrc: Print Hcrc: _ ____ -___
Selling l)caler. I,icenseNmnher-_ _ _ _ l'ax Na'. ___. 'I';uc Collected:
Auction N:noe License Nurnhcr:
Pl1R(:W\SF;R Musl CO-Pl1RCHASF:R Mnsl
~,
r~ Sign Herc _ Sign Hcrc
Prod Here_ _ Print Hera:
"~
NOTICE: 519.09 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 tiling this form, we suggest you keep a copy of your bill of sale (we suggest it be notarized). certiticate 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
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.
OL)OMGTCR CI~,RTII'1C:A"fIC1N - Pederal and elate laws reyulre [hat you state the mileage in connection wLPI ha sir e oY ownership. Failure [v complete r prnvidmg a fahe statement may result in flues and/or imprisonment.
Selling Dealer Sclling Uealer's Tax Tux
License Nn. Name: No. Collected:
Selling Ucaler's Address: Date Suld:
Purchaser's Name(s): Address:
I/Wc gate that Ihis ^ 5 nr ^ 6 di git odometer now reads ~ ~ ~ Ino tenths) miles, d ate read and to the hest of my knowledge That it reDectu~pyygpJ.. m'Ieare of the
vehicle described herein, unless one of the odometer statemem Mocks is checked:
`y CAUTION: DO NO'f CHECK ^ L I hereby certify tlwt to the first of my knowledge the odometer reading ^ 2. I hcrehy certify That the odomerer reueGng 1„s~r iLyhe actual mileaee
F, BOX IF AC9'UAI, reftecc the amount al'milcuge in excess of Ib' mechanical I'mits. WARNING - ODOMB'I'FR DISCRF,PANCY.
:,z- MII,I?AGL; (F,xcess of its mechanical limits applies to 5 digit odometers)
G Purchaser Musl Cb-Purchaser Must'
~'
:i Sign Hrrr: Sign Here:
z
-
Print Here:
print Here:
z_
Seller/Agent Must Auction lame I When Applicahlel:
Sign Hrre:
Print Here: Auction License Number
Selling Dealer's Sclling Doaler's Tax Tax
L.iceose No. Name: No. Collected:
~ Selling Dealer's Address: Date Suld:
2
n_ Purchaser's NamNs): Address:
'z I/Ne score chat [his ^ 5 or ^ 6 di git odomerer now rends ~ ~ ~ 1 no tenths) miles, d ate read anU to the best of my knowledge thec it reflects the actual mileaee of the
3
vehicle described h
erein, unless one of the odometer statemem blocks is checked:
m CAUTION: DO NOT C11F,CK ^ 1. I hereby certify Ihat to the hest of nrv knowledge the odometer rcadin,: ^ ?. I hereby certify that the odonrrrer reading is nut the actual mileaee.
Z BOx IF ACTUAL retlecrs the amuum of milragz in excess of its mechanical limits WARNING -ODOMETER D[SCREP.4NCl'.
~ MILEAGE. (F,xcess of its mechanical IlmiLC applies to S digit odnmetersl
z
y
Purchaser Must
Co-Purchaser Man
W Sign Herc: Sign Here:
a
z Print Here: Print Here:
O
~' Seller/Agent Mucl Auction Name fW'hen Applicahlel:
Si¢o Here:
Print Here: Auction License Number
Selling Dealer's Selling Dealer's Tax Tax
License Nn. Name: No. Collected:
Selling Dealer's Address: Date Sold:
~
'1
Purchaser's Namefsl: Address:
z UWe state that this ^ 5 or ^ 6 di git odometer now rends ~ ~ xx Ino tenths) milts, d ate read and to the ha-.i ,~f my knoev ledge that it reFlects [hr actual mileaee of the
~; vehicle described h erein, unless one of the odomerer statement block, is chcrkcJ~.
J
y
CAUTION: DO NOT CHECK
^ I. I hereby certify chat ro the heal of me knowledge nc~ odometer reading
^ 2. I hereby certify that the odometer reading is not the actual mileaee.
s
S
BOx IF ACTUAL
MII.EAGF,
retlrcts the amount of mileage in excess of its mechanical I'mits
(Excess of its mechanical Ilmit~ applies l0 5 diglr odometers(
WARNING -ODOMETER D[SCREPANCS'.
L
L
U
Purchaser Must
C'o-Purchaser Must
2 Sign Here: Sign Herc:
z
G
5 Print Here: I'rinl Here:
2
Seiler/Agent Must Auction Name (When Applir:rhlc l:
Sign Hem:
Pant Here: Auction License Number: