HomeMy WebLinkAboutVehicle Title_Car_06/11/2008 STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsrnv-Qov/offices
Notice of Sale and/or Bill of Sale for a Motor Vehicle,
Mobile Home, Off- Highway Vehicle or Vessel
ID Notice of Sale (Seller must complete sections 1 & 3). The purchaser's signature in section 3 is optional.
I✓ Bill of Sale (Seller and purchaser must complete sections 1.2 (when applicable) & 3).
1. Motor Vehicle, Mobile Home, Off- Hi h)!a or Vessel Description
Year Make/Manufacturer Body Type Model Color
2008 CHEVROLET 1 4D IMPALA I GRY
Certificate of Title Number Vehicle/Vessel Identification Number
a Z 7 1 2GIWB58K481313617
Itwe do hereby sell or have sold and delivered the above described motor vehicle, mobile home,
off- highway vehicle or vessel to:
Print Name(s) of Purchaser(s)
A v fU
Address / City State Zip Code _
q M /c 6 3 l 2 o 1
Date of Sale 7// S S ling pri3
_—
2. Odometer Disclosure Statement (Required For a Motor Vehicle)
Federal and State law requires 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.
WE STATE THAT THIS MOTOR VEHICLE'S 11 5 DIGIT OR V 6 DIGIT ODOMETER NOW READS E] [1] a , [j] E] R . xx
(NO TENTHS) MILES, DATE READ 7 / 1 / 2015 , AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE
THE ODOMETER READING:
1 r 1. REFLECTS THE ACTUAL MILEAGE. ® 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. 3. IS NOT THE ACTUAL MILEAGE.
Affidavit (When applicable):
3. Certification
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 Seller's Printed Name U �la Date
I M �1 you. ?
Seller's Address City Stew Zip Code
345 TEQUESTA DRIVE TEQUESTA FL 33469
Co- Seller's Signature (when applicable) oSeller's Printed Name (when applicable) Date
Co-Seller's Address (when applicable) City State Zip Code
Purch se Si natur Purchaser's Printed Name Date
I ' I - Cel �
Cd-Pt S gn re 'applicable) Co- Purchaser's Printed name (when applicable) D afe
'CIE OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF - HIGHWAY VEHICLE OR VESSEL
WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
Check your local phone book government pages or visit the following website for Current mailing
addresses: http: / /www.flhsmv.gov /offices/
HSMV 82050 (Rev. 06/11) S
® e
Idini ificagion Number Year Makg Body -Vypn =BHP +, I ass EgI. 14ac '
e;l "� ' Uen Release `
2G1WB58K481313617 2008 CHEV 4 4527 100862766 Interest in the described vehic is hereby released ('
r Prev Color --1-- Primary Brand - Secondary Brand - - �ra°n°js Use -- i Prev Issue Date B !___
State
N FG R Y I POLICE ! Ira 1IY ,kTl L Z A - P I _�
—0 OLI CE rutle a
Odometer Status or Vassal Manufacturer or q0 as Hill R -, �y, QAaterlal �PrLp Da a Qf Issuel"�.
y ttDate .
F 263 MILES 05/30 /2 i `CTUAy r 6/11/2008x
Registered Owner
TEQUESTA :POLICE DEPT -
357' TEQUES.TA DRIVE -
TEQUESTA 33469 3062
0.
02%,y�1 J� i
De A
w see
I st Lienholder x + t ' I .'A�! I � r' ? r AAM
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g
NONE
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DIVISION OF MOTOR VFJtICL'FS 7A�LAHA FIOR14.±t e OFTHIGHWAYSAFEfYANDMOTORVEHICLES
1 ' t 7 � F „ Q)no 4 7 -
Carl A. Ford +y t r °- . E7ectre Theodori.es Bustle
Director « r' +,,;• '`°
Executive D'' t r
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal and /or stele law require Ihel iheseiler)37deilm tilege, p �bme,�glting} trice oa f dot lalQo� conni4ion wHL the transfer ofownership.
► W l
Fgtlme to cnmpl& of avidingl' elya aiagenl nay isuit i i fie�g end /orft�nsonment - -
This title is wetrenled to be frecl'rom omens B�ccap noted o �' Itc" oe of er a} �dyl�i G r M. �cle or vesae1 dcacribed is hereby trunsfar ed to:
- p p i Mpyury
Seller MuaK Enter Purchaser's Nome:
Seller Must E Her Selling Price: Seller Must Enter Dale Sold
I /Wc stele that this E] 5 oror*] 6 digit odometer nor reeds •u 3 I ,LxJ (no tenths) �mles dole read 3 1 end I hereby cerldy�lhot to dip best of m knowledge the odomelerreoding:
r '�1.reflepWAC•rUAI,�IytV. A(�1&,"� �,f i s i ("FANICAI,_Y�IIv117$ ��3l ALTUALMI[,EAl3E.
UNDER PENALTIES OF PERJURY, I DECLARE 1j RF ID THE FQREGOMIG DOCU�ANC THAT THE FACTS STATSD IN IT ARE TRUE.
SELLER Must _ .l?L I !f
m
l .. r* i'4 ri arx.:.�'J& COS LER '
S M
Sign H Sign Dam:
1 Print Here: nj 1, Print Here: -
selling Denler'sLicenseNumber: _ - - Tax No_ i �__,� ) a" Tez_Collepted: -
Auction Nonle
PURCHASER M - Co- PURCHASER IVIuSI'w „
Sign Here: Sign Hera:
d
H Print Here•
f 1
Print ere:
NOTICE: SiG.00 PENALTY IS REQUIRED "�YaLAW�FA'IC±TaSU @IYA7TED FOR TRANSFER WI�fHIN'30,DAYS AFLER DA18:'OF PURCHASE
1 . r „
Tequesta Police Department, FL
357 Tequesta Dr
Tequesta, FL 33469 -3088
Bill of Sale Date: 07/18/2015 Bill of Sale Number: 7182015
Asset ID: 3 Inventory ID: 829
Description of Property Award Amount
2008 Chevrolet Impala LS 3100.00
Asset Information
Year: 2008 Make /Brand: Chevrolet Model: Impala VIN /Serial: 2GIWB58K481313617
Meter: 121000 Miles (Accurate ?: Yes) Title Restriction: N
Sale Information
Actual Sold Amount: $3,100.00 Paid On: 07/23/2015 by Credit Card
Other Amount: $0,00 Other Amount Description:
Buyer's Premium: $310.00 Tax Rate: 0.0000%
Tax Amount: $0.00
Total Amount: $3,410.00 * Taxable Items
Executive Auto Sale Asset is sold as is, where is and without warranty. Once the asset is removed from the seller's premises there is
859 MLK BLVD no refund of monies previously paid.
Macon, CA 31201 USA i
mamiem25 @gmail.com Buyer /Agent Signature:
4788084094 Print Name: f� // _
t
Date: 2z2 Z 41 �-
(TA — oSsS 7 r 3 3
A06331
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500
Identification Number Year Make T VVT -
Body L -BHP Vessel Regis. No. 1008627661 Title Number
2 lWWBSSK481313617�2008CHEV 1 4D F 45271
Registered Owner: Date of Issue 06/11/2008
Lien Release
• TEQUESTA POLICE DEPT Interest in the described vehicle is hereby released
357 TEQUESTA DRIVE ey
TEQUESTA FL 33469 -3062 Title
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
Mail To:
the certificate of title.
2. Upon sale of this vehicle, the seller must complete
TEQUESTA POLICE DEPT the notice of sale on the reverse side of this form.
357 TEQUESTA DRIVE 3. Remove your license plate from the vehicle.
TEQUESTA FL 33469 -3062 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 orvessel:
http:// www. hsmv .state.fl.us /html /titlinf.htmi
,.:?: rr rrr rr rr r rr r rrrr r rrri rrr r r r r rrr �� r �� � r :
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 '�' 3 day of Tyr Y ZO 15 transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s) Address Selling Price $
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 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 ORM, A LY COM ETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO E 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.
■
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500
Identification Number Year Make Body 1M-L-BHP Vessel Regis. No. ~ Title Number
2G1W658K481313617~2008~CHEV~ 4D ~ 4527 110086276
Registered Owner: Date o£ Issue 06/ 1 1 /2008
TEQUESTA POLICE DEPT
357 TEQUESTA DRIVE
TEQUESTA FL 33469-3062
Mail To:
TEQUESTA POLICE DEPT
357 TEQUESTA DRIVE
TEQUESTA FL 33469-3062
~rr~~nr~~rr~rr~r~~n~r~nu~~r~~nn~~nn~r~r~r~r~rn~n~r~~
Identification Number t- Year ,-- tJiake --P Body T I/VT-L-BHP ~ Vessel Regis. No.
A06331
Lien Release
Interest in the described vehicle is herehy released
By
Title
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 forms required for the purchaser to
title and registerthe vehicle, mobile home or vessel:
http:Jlwww.hsmv.state.fl. uslhtmlltitli nf. htm I
Title Number
Prev Color Primary Brand Secondary Brand ~lo a~ Use Prev Issue Date
~SNte~GRY POLICE ~ ~ 015TOLIC~ 1
Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue
263 MILES 05/30/2008 ACTUAL ~ ~06/11/200~
Registered Owner
TEQUESTA POLICE DEPT
357 TEQUESTA DRIVE
TEQUESTA FL 33469-3062
l SI Lienholder
NONE
DNISION OF MOTOR VEHICLES fW.iiii-_ti,~ ,
TALLAHASSEE ~,
~~~~ r~,)
Control Number ;~J.
Carl A. Ford
Director
Lien Release ~f
Interest in the described vehicle is hereby released
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Electra Theodorides-Bustle
Executive Director
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal and/or stale law reynire that the seller sl:LLC the milege, purchoser's nwne, selling price :md d:LLe sold in connecliou with the han stcr of ownership.
Failw'rUo complete or providing a take statement may resuh in fines :mdlor imprisonment.
7fiis title is w,uranled to be free Gom any liens except as noted an the taco of the ceriific;LLe and the nmlor vehicle or vessel described is herehy tr.msferred to:
Seller Musl Enter Pwch;~ser's N:une: Address:
Seller Musl Enter Selling Price: Seller Musl Enter Uale Sold:
IIWe state Ihal this ~ 5 ar^ h digit odometer now reads U U u u uU.L~ (no tenths) miles, drLLe read and I hereby certify Ibul to the best of my knowledge the odometer re.uling:
1. retlecls ACTUAL MILEAGE. ~ 2. is Al EXC&SS UF' PI'S MF;CHANICAI. LIMITS. ~ 3. is NOT'I'HE A('I'UAL MILEAGF_
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
SELLER Musl CU-SELLER Must
Sign Here: _ _. Sign Here: _ _. ___ _ _._-.
Print Herc: Print Hcrc:
Selling lle:il erS LicenseNnmber: Tax No. Tax Collected:
Auction Narne License Number
PURCHASER Must C[>-PURCHASER Mull
Sign Here: _ Sign Here.
Print Here: _ Print Here:
__ ___ __ `w,~q
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?2(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 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
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
is Signatu
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.
ODOMETER CERTIFICATION - Federal and _statz laws require that you .elate the mileugz in connection wish trans fer nl ownersh[p. Failure to complete or providing a false statement may result in fines and/or imprisonment.
Selling Dwler's Selling Deelor's Tax TLx
I,icen.se Nn. Nanre: No. Collected:
Selling Dealer's Address: Date Snld:
s
<
~ Purchaser's Namelsl:
addrexx:
z I/We smte that this ^ i or ^ b digit odometer now reads ~ ~ ~ I no tenth.) miles, date read ;md to the beu of my koowledgc that it reFlect s the actua~~ of the
aui vehicle describzd herein, unless onz of Ne odometer statemeot blocks is checked:
'~
Y
m C.aUTION: DO.\OT CHF,CK
^ I_ I hereby certify that [o rhz beet of my knowledge the odometer reaming
^ ?. 1 hereby certify that [he odometer noding is no
t the actual mileage,
F, ROX IF ACTUAL rcllecls the amoum of miles
gc in f't ha ' ~ 1 li 't
WARNIN(: -ODOMETER DISCREPANCY
.
uT3 MILEAGE fl?xcess of its mechanical limits applies to 5 digit odometers)
C~7 Purchaser Must Co-Purchaser Mul
~' Sign Here: Sig
H
w n
ere:
z
N Print Here: Print Here:
Y_
i
sever/Agrntawsi AartionNamrlWhen.appheamer:
Sign Here:
Print Here: :Auction License Numhcr
Selling Dealer's Selling Uealer :s "1'ax 'fax
License No. Name: No. Collected:
i Selling Dealer's .Address: Dat
S
ld
J e
u
:
Q
Purchaser's Namelsl: Address:
Z I/We .fate that this ^ 5 or ^ (, digit odometer now reads ~
~ ~ t ro [emhsl mile, dale read :utd m the bc.t
~t my knowled
th
t it
Fl
t th
t
l
f d
il
J '
.
vehicle described :
ge
a
re
ec
herein. unless one of the odometer stalmnem blocks is checked: s
e ac
ua
m
eaee o
te
m CAUTION: DO NOT CHECK ^ I. I hereby certify That ~o me hc.l ..I' my knowledge the odometer reading ^ 2. 1 hereby certify that [he odometer reading is no t the actual mileage
z ROX IE ACTL'AI, n•Ilacts the amount of mileage in excess of its mechanical I' 't WARNING -ODOMETER DISCREPANCY.
~ MD,EAGE IExeess of its mechanical IimiLS applies to 5 digit odometers)
z
,v-~
Purchaser Muse
Co-Purchaser Must
e Sign Ilure: Sign Herz'
s
Z
O Print Here- Print Here:
`" Seller/Agent Must Auction Name 1\Yhrn Applicable):
Sign Here:
Prim Mere: Auction License Number:
Selling Uealrr's Selling Dealer's 7'az " I'ax
License No. Name: No. ('olleefed:
~ Selling Dealer's Address: Uute S
ld
J o
:
~ Purchaser's Namelsl: Address:
Q
z
1/We stace mat this ^ 5 or ^ (, digit ndomeizr now read. ~ ~ ~ Imt renm_.I mile.,
date read and to [he hest of my knowledge thus ii reFlects
the actual mileat~ of the
U
J vehicle descriheJ h erein, unless one of the odometer statement blocks is checked:
>, CAUTION: DO NOT CHECK ^ I. 1 hereby certify that io the hest of my knowledge the odometer reading ^ ?. 1 hereby ccrti(y that the odometer reading is no t the actual mile:
m
~
ROX IF ACTUAI,
reFlects the amoum of mileage In excess ul' Its mechanical limits
WARNING - ODOME'CF.R DISCREPANCY.
oa MILF,AGF, I I?xcess of its mechanical limits applies to + digit odometers)
5
z
c?
Purchaser Must
Co-Purchaser Muss
z Sign Here: Sign Here:
- Print Here: Prins Here:
F
Seller/Agent Must
Auction Name I\Yhen Applicable):
Sign Hcre:
Print Here: Auction License Number