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HomeMy WebLinkAboutVehicle Title_Car_06/15/2007_FordMail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500 Identification Number Year Make Body Wi-L-BHP Vessel Regis. No. T Title Number 1FMFU15577LA67854~2007~FORD~ 4D ~ 5405 198573956 Rcgistcrc(i O«~~cr: Date of Issue 06/ 15/2007 VILLAGE OF TEQUESTA PO BOX 3273 TEQUESTA FL 33469-3273 A09300 Lien Release Interest in the described vehicle is hereby released By Tdle 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 Mail To: the certificate of title. 2. Upon sale of this vehicle, the seller must complete VILLAGE OF TEQUESTA the notice of sale on the reverse side of this form. PO BOX 3273 3. Remove your license plate from the vehicle. TEQUESTA FL 33469-1004 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: htt p://www. hs mvstate.f I. us/ht m I/t it I i nf. h[ m I ~n~~nr~~n~n~r~~n~r~nrrr~~~~nr~~nn~n~~rrr~n~~r~~rn~ . r• .::{: p ,, ~~„',/j;:.~ .a:;`.~. '=i`i`i,%5-gs I~, p ~ ,( •: ( '`~~2°'d:'~ © .. s~ rr g r t . 4r . li Pr ' ~ . rr~~„ir ~ ~~~3'q'i ~,~,aT ~ ~, ~ ,4' ~O~ ..yir~. A, dtltfi ~ ~ ~ ~~ t~i53 •y ,~, ti , ~ ~„ ~ r ~ . ~ . ~ nsee' ~ . .r ~ . G . t r r;,; ... ;•. ~ l f ,_ - Identification Number Year ;Make Body Wi-L-BHP Vessel Regis. No. Title Number Lien Release u~v `'~ 1 FMFU 15577LA67854~2007~FORD~ 4D T 5405 ~ 98573956 Interest in the described vehicle is hereby released Prev Color Primary Brand Secondary Brand ~lo of Use Prev Issue Date 1 gy SNte ~BLK/WHI POLICE ~ ~ 0151 POLIO I Title Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue 6 MILES 05/17/2007 ACTUAL ~ T ~06/15/200~ Date Registered Owner VILLAGE OF TEQUESTA PO BOX 3273 TEQUESTA FL 33469-3273 1st Licnholdcr NONE DNISIO~N OF MOTOR VEHICLES Carl A. Ford Director TALLAHASSEE ~;~ FLORIDA 1W ~~~ER Control Number ~`f '/ ~3~~ ~ :.~"~1 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 :mdior chile I.nv require Thal the seller slate dre viilege, purch;ner'u muuu, .cuing price ;nut d:de .old in connection with the tran titer of ownership. F~uhve to congflele or providing a false vlolcmenl nw}~ result in tines amdi or ingtrisanmcul. 'llris title is wan-.mlerl to be tree from :my liens except ass noted on the fine of the certifiwle and the u~olnr vehicle ur vessel described is hereby (r.m sten~ed lo: Seller Mull Fader Purchmer's Name: ~\ddress~ _ _ _ ____ Seller Musl F:n ter Selling price: Seller Mull F:nter hale Sold i'We elate IhW This ~ 5 or ~ 6 digit odometer now reads U u U U U U ~LAJ (no tenths) mile., dole rrul _ _ _ _ wid [hereby cerii}p Ilr 1 to the heat of my knowledge the odometer re;uling: 1. retlecls AC'III: V. MII.EACiE. ~ 2. i. M F:SCF:SS OF CI:S MF:CH: WICK\I. I.IMrI'S. ~ 3. is NUq"1-HF. .4C.TUA1. MILEA(iF;. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SF:LI.F:R Muhl C(l-S ELLF;R Must Sign Hcre: Sign Hcrc' Print Hcrc: R~inl Hcrc' Selling healer's I,icenseNmnbrx: "I';rx Vn.~ "I:uc Collected: Auction N:mte Li ccnsc Naviher. Pl1kCH.ASF:k Must CU-PI1kCHASF:R Musl Sign Here: Sigu Hcrc: Print Hcrc Print Hera NOTICE: 510.00 PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS 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), 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) UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Seller's Sig Co-Seller's Signature Selling Price $ 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 CF,RTIFICATION - Federal and sm[e laws require [hat you state [he mileage in connection wiPh transfer of ownership. Failure ut complete or providing a false statement may result in tines and/or imprisonment. Selling Dealers Selling Dealer's Tax 'fax I.iccnsr No. Name: No. Collected: Selling Dealer v Address: Date Snld: ~ a d P h ' N u i 4 urc aser s ame(s): Address: z 1/We elate that thls ^ 5 nr ^ 6 dlgil odoroner now reads ~ ~ ~ t no tenths) o ~I d t c ~ d and t [h bear of my knowledge that i[ rellecl s the actual mileaee of the vehicle dzscnhed herein unless one of the odometer statement blocks is checked y CAUTION: DO NOT CHECK ^ I. I hereby certify [hat ro the hest of my knowledge the odometer rending ^ 3. I hereby certify that the odometer reading is no t the actual mileaee. ~ ROX IF ACTUAL. n•Flects the amount of mileage in excess of its mechanical limits WARNING -ODOMETER DISCREPANCY . MII.F.AGF. IExcess or its mechanical limits applies [0 5 digit odometers) f Z c: Purchaser Must Co-Purchaser Must uI Sign Here: Sign Here', z r/ ~ Print Hcn'- Print Herr: _ i seller/Agent Must Auction Name 144'hen Applicablel: Sign Here: Print Here: Auction license Number: Selling Dealer's Selling Dealer's Tax Tax License No. Name: Nn. Collected: w &•Iling Dealer's Address: Date Sold: 6 ~ 0 Pnrchaser's Namclsl: Address: C z I/We vtatc [hat th'x ^ 5 or ^ (, digit odometer now tends ~ y ~ ~ t t tl . I m'I d t ~ d and r tl b [ t my knowledge that it reFlect s [he actual mileaee of the V ah cla dvscr h d ha.ru r, [ nlev ona of the odometer slots e t blocks is checked. m CAUTION: UONfYI' CHECK ^ 1. I hereby certify that to the best of my knowledge the odometer rending ^ 2. I hereby ceniFy that the odometer reading is no t the actual mileaae z POX IF ACTUAL reflects [hc amount of mileage in excess of its mechanical Ifmlts. WARNING -ODOMETER DISCREPANCY. z Xf ILF.A(:F. IEzcess of its mtthanical limits applies to 5 Aigit odnmetenl r= Purchaser Must Co-Purchaser M11ust Sign Here: Sign Here: k a ~ Print Hcre: Print Herz: O U v: Seller/Agent Must Auction Name (When Applicable): Sign Here: Print Hcre: Aucion Licerez Number Selling Dealer a Selling Dealer's Tax Taz License Nu. Name: No. Collected: Selling Ueuler's Address: Ualr Sold: z Purchaser's Namets l: Address: ~ I/WZ state that this ^ i or ^ h digit odometer now reads ~ ~ ~ too tenths) miles, date rend and to the best of my knowledge thn[ it reFlect s the actual mileaee of the U - vehicle de.seribeA herein, unlevv one of the odometer statement Mocks is checked: -~ m C'.ALI'CION: DO NOT CNllil".K ^ I. I hereby certify that to the hest of my knowledge the odometer muding ^ 2. 1 hereby certify that the odometer rending is no t the actual mlleaee I.-, I30X IF AC'1'I,;A I, reflects [hz amoum of mileage in excess of its mechanical limits WARNING - ODOME.TFR DISCREPANCY. y MILI:AG I>. II?xcess of its mechanical limits applies to + digit odometers) z - Purchaser Must Co-Purchaser Must Sign Here: Sign Herr: a z Print Here: Print Here: F Seller/Agent Must Auction Name (When Applicablel: Sian Hcre: Prior Hzre: Aucion License Number: