HomeMy WebLinkAboutVehicle Title_Car_02/25/2009 A06821
Mail Lien Satisfaction to: Dept of Highway Safely and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500
Identification Number Year Make Body WT-L-BHP Vessel Regis. No. T Title Number
~ 1ZVHT82HX55101257~ 2005~ FORD~ 2D ~ 3351 I 91643634
~ Registered Owr)er: Date of Issue 02/25/2009
Lien Release
VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released
~ 357 TEQUESTA DR By
~ ', 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
VILLAGE OF TEQUESTA the notice of sale on the reverse side of this form.
357 TEQUESTA DR 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 or vessel:
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~n~~nt~~n~n~t~~tt~t~t http:!/www.hsmv.state.fl.uslhtmlltitlinf.html
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~ Lien Release
^ 1ZVHT82HX55101257 2005 FORD 2D 3351 91643634 Interest in the describedvehidle is hereby retea ed' J
Prev Color Primary Brand Secondary Brand an Use Prev Issue Date gy 1
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~ FL BLK RIVATE 06/22/2006 Title
Odometer Status or Vessel Manufacturer ar OH use Hull Material Prop Date of Issue
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1 Date
13486 MILES 02/03/2009 ACTUAL 02/25/2009
Kegislered ~)wT~er
~-~~ VILLAGE OF TEQUESTA
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~ 357 TEQUESTA DR
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~ TEQUESTA FL 33469-3062
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'~ 1st Lietd)oldcr
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\ FLORIDA
DNISION OF MOTOR VEHICLES TALLAHASSEE '~~
"` DEPARTMENT OF HIGHWAY SAFEt•Y AND MOTOR VEHICLES
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® Can H. Fortl ~ tlectra ineotlodaes-Esustie
Director Executive Director
TRANSFER OF TITIE BY SELLER (This section must be completed at the time of sale.)
Fcder.J andior stale Inw require th,u the seller strile the milcge, prechi~er's mane, selling price :md dae sold in connection with the trsm s1er of ownership.
F.J hve to complete or providing n tiJse siulc'rnent muy resuh in lines ardor impri.=onnwnl.
This title is w:ur ded to he free frmn xny liens except en' noted on the time of the certifi cale vmd the nrntor vehicle or vend descrihed is herehy tr~mstemed lo:
Seller Mull Enter Purch~uer's N:nne: _ _ _ _ _ _ _ Address:
Seller Mu i Enter Selling price: Seller Mnsl 1•:nlcr Dale Sold:
I!We stale Iha this ~' or ^ 5 digit odonwler now re:uls U u U U UU,L~ (no tenths) nJles, dWe rcrul ~md I hereby certify Iha to the heel of my knowledge the odometer reading:
_ ~ 1. rctlecls ACRIAI. MILF:ACiF:. ~ Z. is IN F:XCF•:SS OF• i'I'S MF:(7HA NI('AI. LIMI"rS. ~ :i. is NU'I"1'HF: ACT'll ~V. MILEAGE.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
-- SF.LI,ER Mua CO-SF:LLF:R Mnsl
_~ Sign Hcra _.. - _- _.. Sign Hcrc: _ .. _. _.. ~- ~.: :-.
I'rinl Here: _
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Sc1lmgllaJer IacurseNrnnber^ .. .. _. _'1'.u: NO.r Tnx <allected~ -.
•• Anclidn Name I,icenFC Nmut)er' ~ .,
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PVRCH\SF:R Mnsl - CU-I IIKt. H \S F:R 1NnJ ;;,
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t .~Ign HY'l'' Slgn Hcr e. : .
~~:Pnnl Hera Print Here:
NOTICE: SYO.OO PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE
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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 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 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.
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Selling DealeE's;~
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:; .9ehi>,g Dealer°S: TaY~ ~'
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~~' Yaute:.: .. :.. ..~~ .,. Vo.. ,'; . ~~
' ~- ~'C gltected
~ Selling Dcalci's Address: ~' Date Soled:
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~ .Purchaser"s Natne(s): ~ - .: ..., - Address ~: -. .:
Y . .: : ~. ~.:~ .
~~ i/WE STATE THAT TI}IS ~ 5 OR ~ GDIGIT~ODOMETE.RNOW RERDS
~ ~ XX (NO-TENTHS}MLLES, DATE: READ ~/ l.~~' ,AND I HEREBY
u . -j; ;~ ''' CERTiFYTHATTOTHEBESTOFMY~KNOWLEDGETHE:OPOMETERREADINGf'°
CAtJT1pN: READ CAREFULLY ;,~ }. REFLfiCT9 ACTUAL MILEAGE ^ 2. IS.IN f XCIiSS OF ITS MECHANICAL LIMITS ^ 7 IS NOT TryE ACTUAI, MILEAGE.
~, BEFORE VOU (EX< ESS OF tTS MECHANICAL LIMITS WARNING -ODOMETER DISCREPANCY
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f CHECK A$OX APPLIES TOS DIG}T ODOMETERS)
Z Purchaser Must
Co-Pu rchsser. Must
~ Sign Here: _ ^____ Sign Hcre: ,_ __
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Prim Here:
Print Here:
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Seller/Agent Must
Auction Name (When Applicable):
Sign Here
Print Here: _ ____ _ __ Auctiott License Number
Selling Dealer's Selling Dealer's Tax Tax
License No.: ____ Name:
No.: Collected:
__. ___ ______
Selling, Dealer's Address: _._ Date Sold: _
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Purchaser's Name(s): _.
Add
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U I/WE STATE THAT THIS ^ 5 OR ~ 6 DI('r1T Ol70METER NOW READS ~ ; ~ ~ (NO TENTHS) MILES, DATE READ _ / _ / ,AND 1 HEREBY
~ CERTIFY THAT TO THE BE ST OF MY KNOWLEDGE THE ODOMETER READING:
m CAUTION: READ CAREFULLY ~ 1 REFLECTS ACTUAL MILEAGE ~ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ^ 3. IS NOT THE ACTUAL MILEAGE.
z BEFORE YOC (EXCESS ClF ITS MECHAMCAL LIMITS WARNING -ODOMETER DISCREPANCY
z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
O Purchaser Must Co-Purchaser Must
¢.
~ Sign Herc: _.__. __ _..._ ~' _..____-._ Sign llere:
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Print licrc: ____
.Print Hcrc: _
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Seller/Agent Must
Auction Name.(When Applicable):
Sign Herr _ ___
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Selling Dealer's Selling Dealer's "Inx Tax
License No.: ?Name: No.: Collected:
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w Selling Dealer's Address:
- ____...-_-.--- Date Sold:
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Purchaser's Name(s): __
Address:
w 1/WE STATE'rHAT THIS ^ 5 OR ^ 6 DICIT ODOMETER NOW READS ~ ~ XX (NO TENTHS) MILES, DATE READ ~!~ /' , AND I FIERF:BY
~ - CERTIFY THAT-TO TtiE BEST OF MY KNOWLEDGE THE ODOMETER REgDLNG. '.:
~
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CAUTION: READ CAREFULLY ^ F. REFLECTSACTUAL MILEAGE
^ 2 IS IN EXCESS Ob ITS MECHANICAL.L}NITS ,
~ 3. IS.NOT THE~ACTUAL MILFA(iE
Z BF,IY)RF, YOU ~ ,~ (I:'?XCESS OFITS MECHANICAL LIMITS WARNING-ODOMETER. DiSCR~:PANCY
.s -. APPLIES Tq: S: D1GI7 Q(]OMF.TF,RS) !- ;:
Z Purchaser Must ~ Co-Purchaser Must
v, ' ?Sign Hate: ' `Sign Here' ~-
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~ Prirtf.Here .P2inE Fiere::~
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'z SeNeNAgeatt Must Auetiote lame (1Y'hen .4pphceble) ; ~
.::_ Aiktt~rn Ltcepse humbar