HomeMy WebLinkAboutVehicle Title_Truck_06/10/2005A09939
1FVACWCT95HV19081 12005
REGISTERED OWNER
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
MAIL T0:
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-1004
FRHT ~ ~TK ~ 15220 ~ ~ 93310430
06/10/2005
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY
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'.TORN PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER SECTION 319.23/32ft.03. F
OR VESSEL DESCRIBED BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFF
FnR Celn MnTnR VF4J Ifl F nR VFCCFt
4 STATUTES, TITLE TO THE MOTOR VEHICLE
CERTIFICATE OF TITLE IS ISSUED
-IDENTIF (CATION NUMBER VR. MAKE MODEL BODY WT-L-BNP VESSEL REGIS NO. TITLE NUMBER
1FVACWCT95HV19081 2005 FRHT TK 15220 93310430
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE
N YEL PVT
ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE
43 MILES 05/27/2005 ACTUAL 06/10/2005
REGISTERED OWNER
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-3273
1ST LIENHOLDER
NONE
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE 15
HEREBY RELEASED
BY
TITLE
DATE
DIVISION OF MOTOR VEHICLES TALLAHASSEE ! FLORIDA DEPARTMENT OF HIGHWAY SAFETY
l f,,~+~1 AND MOTOR VEHICLES
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Control Numbu I
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CAP. ?.. FORD
L .. ~f rid ~ f ~~ ~
+. hRtO O, DICKINSON, III
DIRECTOR EXECUTIVE DIRECTOR
TRANSFER OF TITLE BV SELLER (This section must be completed at the time of sale.)
ODOMETER CERTIFICATION - Federal and state law require that you state the mileage in connection with the transfer of ownership. Failure to
complete or providing a false statement may result in fines an d/or imprisonment.
This title is warranted and certified to be fr ee from any liens except as noted on the face of this certificate and the motor vehicle or vessel described is hereby transferred to.
Purchaser Address
I/We state that this 5 or ^ 6 digit odometer now reads ^~^,^^~ ~ (no tenths) Selling Price. $ Date Sold.
miles, date read and to the best of my knowledge CAUTION. ~ 1. I hereby certify that to the best of my knowledge the odometer reading reflects the
that it reflects the actual mileage of the vehicle desc ribed herein, unless DO NOT CHECK mount of mileage in excess of its mechanical limits.
one of the odometer statement blocks is checked. BOX IF ACTUAL ^ 2 I hereby certify that the odometer reading is not the actual mile aqe:
MILEAGE WARNING - ODOMETER DISCREPANCY.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Signature of Printed Name of
Purchaser. Purchaser
Signature of Printed Name of
Co-Purchaser. Ca-Purchaser
Signature of Printed Name of
Seller. Seller
Signature of
Co-Seller.
Printed Name of
Co-Seller.
(When Applicable)
Selling Dealer's License Number Tax No. Tax Collected. $
ur,
~~"' Auction Name
__ License Number.
~ I
STATE OF FLORIDA
LIEN SATISFACTION
MOTOR VEHICLES, MOBILE, I~IOMES AND VESSELS
SECTION 319?4(5)(B) AND 328.15(7)(6) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE LIENHOLDER WILL,
WI'fFI1N "fEN DAYS, COMPLETE TFIE SPACE PROVIDED ON THE CF,R"fIFIC'A"fE OF' TITLE, DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT "f0
T1TE DEPARTMENT. IF THE C'ERTIFIC'A"FE OF TITLE WAS RETAINED BY THE OWNER, fHE OWNER WILL, WITHIN FIVE DAYS OF THE SAT[SFAC'TK)N OF LIEN,
DELIVER THE TITLE TO THE LIEN HOLDER. THE LIENHOLDER WILL ENTER THE, SATISFACTION IN THE SPACE PROVIDED ON "f FIE FACE OF T'HE T'I"I'LE. IF'
THERE ARE NO ADDITIONAL LIENS SHOWN ON THE TITLE, THE LIENHOLDER WILL DETACH THE COMPLE'fEU LIEN SATISFACTION, AND FORWARD IT TO
THE DEPARTMENT, WITHIN TEN DAYS, AND MAIL THE TITLE TO THE OWNER.
SECTION 319?4(51(C) AND 328.15(7)(C) FLORIDA STATUTES, PROVIDES THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN
SATISFACTION FOR THE FIRST LIEN WILL BE GIVEN TO THE REGISTERED OWNER 6Y THE LIENHOLDER. THE CERTIFICATE OF TITLE SHOWING A
SATISFACTION OF THE FIRST LIEN WILL 6E FORWARDED BY THE LIENHOLDER TO THE DEPARTMENT.
Department of Highway Safety and Motor Vehicles
Neil Kirkman Building
Tallahassee, FI 32399-0500
~ ~ ~
ODOMETER CERTIFICATION - Federal and state Ixxs reyuire that van state the mileage in connection with transfer of ownership. Failure to complete nr providing a false statement may result in Rnes and/or imprisonment.
Selling Dealer's Dealer's Taz Taz
J License ~No. Name No. Collected
Sa•Iling Uealer's Address
1/W'e warrant this title and certifr that the vehicle descriheJ herein bas been transferred on (date) to the fnllox'ing:
Hamel sl: Address:
V 1/We slate that This ^ 5 or ^ 6 dieit od ometer now read. ~
~ ~ ( T tl nl I '1 : d~ I ~ U and Io d b: t f Iy A ~I dg,e That i1 reflects the actual mtleaee of the
"
r
m
CAU'CION: DO NOT CHECK ^ I. '
ehia le desc
I ed harp n, unlesz one of the odometer Stan meat hl a.l,- i. ah k d:
I hereby ccnify Iha1 w the hest of m}- knowlulge the odometer reading ^ ?. I hereby certify that the odometer rcuJing is not the actual mileage
~'
z. BOX IF ACTUAL re pacts the annum of mtleagc in excess of its mechanical limits WARNING -ODOMETER DISC7REPANCY.
t" MH.F.AGF,
[7 Signature nl Pri need Nome of
Purchaser: Purchaser:
ua
m Co-Purchaser'. Co-Purchaser:
F-
~
'~ Seller/Agent: Seller/Agem'
Auction Namc f W'hsn Applicable l: Licene Number:
Selling Dealer's Uraler's Taz Tax
~ License No. Name No. Collected
Selling Dealer's Address
1/W'e warrant this title and certify that the vehicle drscrihed herein has been transferred on Idatel to the following:
y Nama•Isl: Address:
~ 1/We state That they 5 or h dteil od our t nw read. I '1 II ) T - J't J ~ d I tl I I f v k 'I I Ihm it reflects the actual mileaee of the
~
~
> +aliala Jescr'hed her rnle.ss n+: e(th Id, mcr~-r .ret~n~nl blocks '. ah:c Acd.
,
a n
m
CAUTION: DO NOT CHECK ^ 1.
I herehy cenify Iho1 Io the hest of my knowledge the odometer reuJing
^ ^_ I hereby cenifr that the oJometcr rcuJing i,~ not t e actual nileagc.
BOX IF ACTU.91, ret7ects the alnnunl nl' mileage in excess of its mechanical limits. WARNING -ODOMETER DISCRIiPANCY.
z nHI.EACe
N Signature of Pruned Natna of
;L Purchaser: Purchaser:
w
p Co-Purchaser: Co-Purchaser
i
w
Seller/Agem:
Seller/Agent:
:n Auction Name I When Applicable l: Licetue Number
Selling Dealer's Dealer's 7'az 'l'ax
~ License No. Name No. Collected
Selling Dealer's Address
1/11'e warrant this title and certify that the vehicle descrihed harcin has haan transferred on Idatel m the Following:
z Namely l: Address:
t_' I/Wc :t e that Ihls h drglt od
oI ~ on -I n>w rcaJ, f l d m I 1 t ~ I 1 I d h I I k I IE that it reflects the actual mileaee of Ihr
~
~ ~
,
~ahian Ja.s ihaJ harein. I ale:, z of the cda Herz' staamam 1 I uk.s ': ahcckul.
l
°~ CA U'CION: DO NOT CHECK ^ 1. 1 herehy certify Ihu1 Io Iha hull oC my knoolecige the ndmnrier reuJing ^ '_ I
herehv renily 1hal the nJun,emr rcoding (s o6 t the actual mileage
BOX IF ACTUAL rellecu the amount of mileaee. in excess of its mechanical I'mits, WARNING - ODOMF: fFR DIS('RF:1'AN('i'.
~
z'. MILEAGE
7
17
a Signature of
Purchaser: PnnteJ Name nl
Purchaser:
ua
m
Cn-1'un"ha,c:,r.
Co-Purchusar.
a
2 Sellar/Agent: Seller/Agent.
' Auction Name 1 When Applicablel'. License Numher
NOTICE: $111.110 PENALTY IS REQl11RF.D BY LAW IF NOT SC BMIT'CEU FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE
1 make application for a new certificate of tide and registration transfer, if applicable, for said mam~ vehicle or vessel which now has liens as follows: (Date, name and address of each lienholden If N(IN'E, write NON'E). ftecnrd additional liens
of Form HSM1IY 82139. FEID# or FL/DL# and Date of Birth
Licnholder's Name: Date of Lien:
Address Stala• Lip
"' THIS VEHICLE N'ILL BE U'SEU AS ~ '1':\XICAft ~ POLICE C:1R ^ I.EASF:D ^ PRIIATE
2 ^ I/WF: IIFRF:Bl' CERTIFI"THAT 7'HE 1'EHI CI.F: 'I'O BF: 'fl'CI,F.D ll'ILI, NO7' BF: OPERA'T'ED ON THE PLRI,IC HIGH W':\1'S OF'CH IS S7'ATG.
z I/We stale thm This ^ , nr ^ 6 died od ometer now read, ~
~ ^ I no'1'cnthst nli lcs. Jmz real and m the heat of m} knowleJge thus it rcDects the actual mileage of [he
s
achlclc Jcscnhcd hcrmn, unless one of the odometer statement Mocks is checked'.
¢ CAL' LION: DO NOT CHECK ^ I_ I hereby certify that to the hest of my knowledge the odometer reading ^ 3 I hemhy crrtity Ihu1 the odometer reading is not [he actual mileage
BOX IF ACTUAL rcl lecls the amount ul mileage in excess of its mechanical limits. WARNING - ODOAIF,TF,R DISCRF,PANC1'.
MILEAGE
s
C
~+- IPRINT/'CYI'F'. NAME, OF PURCHASER(S) IDEN'CI('A I.1.Y' AS SIGNED BF,LOW 1 NO'fF.: When joint ownership, please inrlieate •'or" or "anA" between names. II' nu indication, ••and" will he shown.
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¢' MAIL( N(: ADDRESS CI'T'Y S'CA'CE %IP
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¢ PH 1'SICAI• ADDRF,SS CITY STATE. 'LIP License Plate No.
(INDN:R PEN,41.7'1 F.S OF PERJURY', 1 DECLARE. 7'HA'1' I IIAVk; RE:1U "CHE FOREGOING DOC'.U MF.N"f AND THA"1' THE' FACTS S'CATF:D IN I'C ARE. 7'RL: F:.
Signature ol'Ist Purchaser
(}'first Name. Middle Initial, Last Hamel ^ FL RF.SIUENT ^ NONRFSIUEN'C ^ ALIEN (Florida DI,# nr F'F.ID#1 IFirsl Pu rchasrr's Date of Birthl
Signature of Co-Purchaser
IFirsl Name, Middle Initial, last Hamel ^ FL RF.SIDF.N"f ^ NONRESIDF;NT ,_I AI.IF.N (Florida DI.# nr FEID#1 (Second Purchaser's Dale of Birth)