HomeMy WebLinkAboutVehicle Title_Car_04/23/2003A07452
IDENTIFICATION NUMBER YR MAKE M DEL BODY WT-L-BHP VESSEL REGIS. NO. TITLE NUMBER
2FAFP71W83X179126 2003 FORD 4D 4026 87838215
REGISTERED OWNER DATE OF ISSUE
VILLAGE OF TEQUESTA 04/23/2003
PO BOX 3273
TEQUESTA FL 33469-2373 LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY
MAIL T0:
DIVISION OF MOTOR VEHICLES
DATE
VILLAGE OF TEQUESTA ~ ~ ~ ~ ~
PO BOX 3273 ~++ tLlf~ 1 L'+ +
TEQUESTA FL 33469-1004 + + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + + + + + + +
~~~~~n~~~n~n~~~~n~~~~nn~~~~u~~~~~~~~n~~n~~n~~~~~~~~~ ~ ~ I 1 !
;,
SATISFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER SECTION 319.23/328.03, FLORIDA STATUTES, TITLE TO THE MOTOR VEHICLE
OR VESSEL DESCRIBED BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED -
IDENTIFICATION NUMBER YR. MAKE MODEL BODY WT-L-BHP VESSEL REGIS N0. TITLE NUMBER
2FAFP71W83X179126 2003 FORD 4D 4026 87838215
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREV ISSUE DATE
N UNK 01 POLICE CAR
ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE
04/23/2003
20 MILES 03/28/2003 ACTUAL
REGISTERED OWNER
VILLAGE OF TEQUESTA
PO BOX 3273
TEQUESTA FL 33469-2373
TITLE
TITLE
1ST LIENHOLDER
NONE
TALLAHASSEE / ~~ FLORIDA
3~
i ~ta~
;~
Control Number '~ J ~ ~ `f ~ ~'
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY __
DATE
Ohl ~ ti 1~ L i t
'`' 4 ' T
T f + S~ 11 1' 1' + 1
+ + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + + + + + + +
+ + + + + + + + + + +
DEPARTMENT OF HIGHWAY SAFETY
AND MOTOR VEHICLES
FRED O. DICKINSON, iil
TRANSFER OF TITLE BY 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 and/or imprisonment.
This title is warranted and certified to be free from any liens except as noted on the face of this certificate and the motor vehicle or vessel described is hereby transferred to.
CARL A. FORD
DIRECTOR
I/We state that this 5 or ^ 6 digit odometer now reads ~^^~^^~ .xx (no tenths)
miles, date read and to the best of my knowledge CAUTION. ~ 1
that it reflects the actual mileage of the vehicle described herein, unless DO NOT CHECK
one of the odometer statement blocks is checked. BOX IF ACTUAL ~ 2
MILEAGE
UNDER PENALTIES OF PERJURY, I DECLARE THAT i HAVE READ THE FOREGOING
Signature of
Purchaser:
Signature of
Co-Purchaser.
Signature of
Seller.
Signature of
Co-Seller.
(When Applicable)
Selling Dealer's License Number
Auction Name
Selling Price: $ Date Sold:
I hereby certify that to the best of my knowledge the odometer reading reflects the
amount of mileage in excess of its mechanical limits.
I hereby certify that the odometer reading is net the actual mileage:
WARNING - ODOMETER DISCRE PANCV.
DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Printed Name of
Purchaser:
Printed Name of
Co-Purchaser. _
Printed Name of
Seller
Printed Name of
Co-Seller.
Tax No.
License Number.
Tax Collected:
STATE OF FLORIDA
LIEN SATISFACTION
MOTOR VEHICLES, MOBILE HOMES AND VESSELS
SECTION 319.24(5)(B) AND 328.15(7)(B) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE LIENHOLDER WILL,
WITHIN TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE, DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT' TO
THE DEPARTMENT. IF THE CERTIFICATE OF TITLE WAS RETAINED BY THE OWNER, THE OWNER WILL, WITHIN FIVE DAYS OF THE SATISFACTION OF LIEN,
DELIVER THE TITLE TO THE LIENHOLDER. THE LIENHOLDER WILL ENTER THE SATISFACTION IN THE SPACE PROVIDED ON THE FACE OF THE TITLE. IF
THERE ARE NO ADDITIONAL LIENS SHOWN ON THE TITLE, THE LIENHOLDER WILL DETACH THE COMPLETED LIEN SATISFACTION, AND FORWARD IT TO
THE DEPARTMENT, WITHIN TEN DAYS, AND MAIL THE TITLE TO THE OWNER.
SECTION 319.24(5)(C) AND 328.15(7)(C) FLORIDA STATUTES. PROVIDES THA"C IF THERE ARE ADDITIONAL LIENS NOT SATISFIED. A LIEN
SATISFACTION FOR THE FIRST LIEN WILL BE GIVEN TO THE REGISTERED OWNER BY THE LIENHOLDER. THE CERTIFICATE OF TITLE SHOWING A
SATISFACTION OF THE FIRST LIEN WILL BE FORWARDED BY THE LIEINHOLDER TO THE DEPARTMENT.
Department of Highway Safety and Motor Vehicles
Neil Kirkman Building
Tallahassee, FI 32399-0500
~ ~ ~
f)Df1MFTER CFRTIFI('ATIGN -Federal and crate laws rennire chat von elate the mileave in connection with transfer of ownershiu. Failure to comulete or providing a false statement maY result in tines and/ar imprisonment.
Selling Dealer's Dealer's '1'az 7'ax
w License Nu. Name No. Collected
¢ Selling Dealer's Address
~ 1/We warrant This title and certify that the vehicle described herein has been transferred un fdlle) In the following:
O
~
L Namclsl: Address:
V I/We .tote That this 5 ar
~ ~ 6 digit odometer now reads Ino Tenths) miles, d;ue read anJ «, the bas[ of my knowledge chat it r_Bects [he actual m'leaee of the
~ ~
~
-I vehicle described herein, unless one of the odometer smtemem Mocks is checked:
>
m CAUTION: DO NOT CHECK ^ I- I hereby ceaify that to the heal of my knowledge the odometer reading ^ '. 1 hereby certify rhm the odometer reading is not the actual mileave,
i BOX IF ACTUAL ret7ects the amonm of mileage in excess of its mechanical limits. WARNING - ODOMF.7'F.R DISCREPANCY.
w
F MILEAGE
~_ Signamra of Printed Namn of
Purchaser: Purchaser:
z Co-Purche,er Cu-Purchaser.
t-
a Seller/Agent: Seller/Agent:
i Auction Name I When Applicable): License Number
z Selling Dealer's Dealer's Tex Tax
~ License No. Namc No, CollecteJ
Selling Dealer's Address
G 1/We warrant this title and certify' that the vehicle described herein has been transferred on (date) to the t'ollawing:
z Namels): Address:
I/We state That this
^ , or ^ fi digit odometer now reeds (no Tenthsl miles, dale read and m the best of my know-ledge that it reUects the actual mileage of the
~
~ ^
> ,
vehicle described herein, unless one of the odometer uatemem blocks is checked:
c
I-
CAUTION: DO NOT CHECK
^ i~ 1 hereby certify rhm to the hest of my knowledge the odometer reading ^ '_. 1 herehy cenil'y that the odometer reading is nut the actual mileage.
z BOX IF' ACTCAL reflects the amount of mileage in excess of its mechanical limits. W:4RNING -ODOMETER DISCREPANCY.
~ MILEAGE
Z
- Signature of Printed Namc of
Purchacer: Purchaser
z
C
Co-Purchaser
Co-Purchaser'.
7
Seller/Agent:
Seller/Agent:
Auction Nunre I When Applicable l'. License Number:
~ Selling Dealer's Dealer's Tax Tax
1 License Nn. Name No. Collected
a Selling Dealer's Address
p I/We. warrant Ihis title and certify that the vehicle described herein has been transferred on (datrl to the following:
Z Namefs): Address:
V
~
I/We .late IIt.I Ihis ^ 5 or ^
~ ~ (m Tenths) n '1 I I - J 1 t h b :I f k I .df d n it retleets thg=is}yyl mileay5'4. of the
6 digit odometer now reads ~
~, '
sehtele desuthed h~ an r Is:: c . of the odomela 't remelt binaks s shacked.
°T CAU'T'ION: DO NO'f CHECK ^ I. I herehy cerufy [hut to the hest of my knoudedge the odometer reading [] 2 I herehy icnil'y Ihw the odometer reading is trot the actual m7caee.
G BOX IF AC'1'UAI, reflects the amount of mileage il.,g~_;,'q-qf ifs„mechanical limits WARNING - ODOMF:TGR DISCREPANCY.
~ MII.,F.AGF:
z.
f i
Signature of
Printed Namc of
Purchaser: Purchuscr.
m
Co-Purchaser:
Co-PUrchasor
O
z
Seller/Agent: Seller/Agent:
Auction Name I When Applicxhlcl: License Number.
NOTICE: 510.00 PENALTY' IS REQl11RF.D BY LAW IF NOT SUB:M I'fTED FOR 7'RANCFER WITHIN 30 DAYS AFTER U.4TE OF PURCHASE
I mxke application for a new certificate of title and registration transfer, if applicable, for said motor vehicle ar vessel which now has liens as follows: (Date, name and address of each lienholden If NONE, write NONE). Rccurd additional liens
of Fnrm HSMV g21J9. FEID# or FL/OL# apd Date of Birth
I.icnholder's Name: Dale of Lien:
N Address Stale Zip
'I'RIS \'F.IIICI.E \\'11.1. BF. USED AS ^ TAXICAB J POLICE C:1R ^ LEASED ^ PRI\'ATE
_ ^ 1/\\"E HEREBY CERTIFY THAT THE VEHICLF. TO BE TITLED WILL NUT BE OPERATED ON THE PI'BLIC HIGH WAY'S OF THIS STATE.
~ I/We ,rate rhm this ^ 5 or ^ 6 digit odometer now reads ~ ~ ~ Ino Tenths) miles, date read and m the best of my know ledge that it retleets the actual mileaec of the
vehicle JescribeJ herein. unless one of the odometer statemem blocks is checked:
y CAUTION: DO NOT CHECK ^ 1. 1 hemby certify that m the best of my knowledge the odometer reading ^ ? I hereby certify [hat the odomeer reading is not the actual mileaec.
ROX IF ACTUAL reflects the amonm of mileage in excess of its mechanical limits WARNING -ODOMETER DISCREPANCY'.
MILF.AGF,
z
i
IPRIN7'?Y'PF. NAXIF. OF' PCRCNASERISI IDENTICALLY AS SIGN£.D RELOW') NOTE: When joint ownership, please indicate "or" or and" bar weer names. IF nu indication, '•and" will 6e shown.
z
C
MAILING ADDRESS CITY STATE ZIP
V
PHYSICAL ADDRESS CITY" STATF. 7.1P hieense Plate No.
UNDER PENA1,7'1I?S OF PERJU RY. 1 DECLARE THAT I NAVE READ THE FORF,GOING DOCUMF,NT AND THAT THE FACTS STATED IN I"f .4RE )'RUE.
Signature of 1st Purchaser
IFirsl Name, Middle Initial, Last Namel ^ F1, RI:SIDF.NT ^ NONRF.SIDEN'f ^ ALIEN (Florida D1,# or FF;ID#) IPirs7 1'u rcheser's Uatc of Birlhl
Signature of Cn-Purchaser
IFint Name. Middle Initial, Last Name) ^ F[. RESIDENT ^ NONRF.SIDEN'f ^ ALIEN (Florida DL# or FEID#) l5emnd Purchaser's Dah• nl' ISIrt61