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IDENTIFICATIOiv NUMBER YR MAKE MODEL BODY WT-L-BHP VESSEL REGIS. N0. TITLE NUMBER
1F.~fRX17W23NB06394 2003 FORD PK 4231 87562896
REGISTERED OWNER DATE OF ISSUE
VILLAGE OF TEQUESTA 03/12/2003
250 TEQUESTA DRIVE 300 uEN RELEASE
TEQUESTA FL 33469
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
MAIL T0:
VILLAGE OF TEQUESTA
250 TEQUESTA DRIVE 300
TEQUESTA FL 33469-2763
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SATISFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBN
O.: VESSEL OES I.R iBED BELOW' IC v'ES`: .D hN
FOR
TITLE
SECTION 319.23/328.03, FLORIDA STATUTES, TITLE TO THE MOTOR VEHICLE
S) NAMcu HEREIN, iHl$ OrFICiAi CEiit~!FiCAId GF TALE iS ISSUED
VEHICLE OR VESSEL
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IDENTIFICATION NUMBER YR. MAKE MODEL BODY WT-L-BHP VESSEL REGIS NO. TITLE NUMBER
1FTRX17W23N606394 2003 FORD PK 4231 87562896
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE
N WHI PVT
ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE
20 MILES 01/24/2003 ACTUAL 03/12/2003
REGISTERED OWNER
VILLAGE OF TEQUESTA
250 TEQUESTA DRIVE 300
TEQUESTA FL 33469
1ST LIENHOLDER
NONE
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
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TITLE DATE
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DIVISION OF MOTOR. VEHICLES TALLAHASSEE ~ FLORIDA DEPART114ENT OF HIGHWAY SAFETY
,~~ AND MOTOR VEHICLES
~. ~,n~. ail ?v'~;ini>i I
CARL A. FGRD cRF L` .. DiCKIriSO^~
DIRECTOR EXECUTIVE DIRECTOR
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 f ree 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
Selling Price. $ Date Sold.
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, I hereby certify that to the best of my knowledge the odometer reading reflects the
that it reflects the actual mile aqe of the vehicle described herein, unless DO NOT CHECK amount 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 mileage,
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.
Signature of Co-Purchaser. _
Seller Printed Name of
Signature of Seller.
Co-Seller: Printed Name of
(When Applicable) Co-Seller.
Selling Dealer's License Number. Tax No. Tax Collected. $
Auction Name Licansa Number:
STATE OF FLORIDA
LIEN SATISFACTION
MOTOR VEHICLES MOBILE HOMES AND VESSELS '
SECTION 319.24(5)(B) AND 328.15(7)(6) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE LIENHOLDER WILL, WITHIid
TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE. DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT TO THE DEPART-
MENT. 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. [F THERE ARE NO
ADDITIONAL LIENS SHOWN ON THE TITLE. THE LIENHOLDER W[LL 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)(0) AND 328.15(7)(0) FLORIDA STATUTES, PROVIDES THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN SATISFACTION
FOR THE FIRST LIEN W[LL B[? GIVEN TO THE REGISTERED OWNER BY THE LIENHOL'DER. THE CERTIFICATE OF TITLE SHOWING A SATISFACTION OF THE FIRST
LIEN WILL BE FORWARDED BY THE L[ENHOLDER TO THE DEPARTMENT.
Department of Highway Safety and Motor Vehicles
Neil Kirkman Building
Tallahassee, FI 32399-0500
Fndn~at and gran. la~vc ,,.,,,ire near v ..rare the mdeavr io connection with transfer of nwnershio. Failure to comvlelc or providing a false statement may rasult in fines and/or imprisonment.
Selling Denler'e Dealer's 'l'ax ~ "fax
License No. Name No. Collected
Sellin
Dealer's Address
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warrant this tltle and testify that the vehicle describeA NCn+in has been Ironsferreal on late) to the following:
I/\Ve
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z Name(sl: Address: '
I/We state th.n ,hts V Ai ill odometer now n,aJs to T ths) codes, date reed I t h h -t t v k I It th~ t it retlecL'the actual mileaee of dte
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vr,his.la descibed herein nlu-v one of tha
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CAC11'ION: DO NOT C.'I;IF.C'K (..~ I. 1 herehy certify Ihm to the best of my knowleJec the odometer rrndin¢ ^ ?. 1 hereby cettify that the odometer reading is not the actual mileaee.
z K()X IF ACI'I'AI, rstlects the .unount of mileaee in excess of ib~ mechanical ItmiCS. WARNING - OUOMETER UISCREPANC'Y.
m
E M1IILEAGE
~ Signature of Prtntcd Name of
mnehaser: wrenaser:
Cn-Purchaser Co-Rnchaser:
x Seller/Agenr. Sellor/Aguyn:
~ Auction Namc (When ApplicuhlCL License Nun)ber:
~ Selling l~aler'z Uealer's 'l'ax Tax
Licetrse No. Nance No. Collected
Sellin
Dealer's Address
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1/1Ve warrant this title and certify that the vehicle described herein has been transferred nn Idatrl to the following:
Z Name(s): Address:
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~ ~ I ^o Tenths) l : d t d and to th h -: t t ny kn la Ig~ that it reflects the actual mileaee nt' the
UWe state that this ^ 5 or ^ (, dieit odometer now reads
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vehicle de.atinea here I r of the sxlonutcr statement bhn ks is shesked.
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hereby certify that the o<lometcr rradine is not the actual mileage.
^ 2. I
CAUTION: UO NOT CHECK ^ I. f herehy certify thm to the beet of my knowlcJgc ~o odometer reading
w ROX IF ACTUAL mtlacts the amount of mllragr in excess of its mechanical limits. WARNING -ODOMETER DISCREPANCI'.
MILEAGE
~ Sienamre of Primed N.rme of
Purchaser. Purchaser:
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Co-Purchaser Co-Purchascr:
~ Seller/Agent: Seller7Agem:
Auctiitn N'unlc 1When Apf,licaL,le l: License NumMr:
~ Selling Dealer's Dealer's Tax Taz
Licmrse No. Name No. Collected
uQi (hater's Address
Sellin
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u~ UWe warrant this title vrd certit:' that the vehicle described heroin has been transferred on fdntel to the following:
Name(s): Address:
w
U
j milts, date Mud and to the best of my knowiatge that it reflects the actual mileage of the
I/We state that [his ^ S or ^ 6 digit rdrn,teter now masts ~ (nn TeolM
~, vehicle deurihed harem, unless nor of the odometer .tatemenl bloke is checked:
l'AU'fION: UO NOT CHECK ^ I. I he 1 v t ty tl I t Ih h~_ f k I •dpc U,e aionceter reading ^ ?. I hereby certnV (hot the odometc -reading is no! the actual mileage.
NOX IE ACTUAL cerise ' the amt nt I miica6c n vuss of tM maw'hamcal limits. WARNING - ODOMETER DISCREPANCY.
~ MILEAGE
V Signature of Premed Name of
wrrn,rsr, wrrnasrr:
Co-Rtrchascr. Co-Pttrchuvcr:
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SCllet/Agenr. Seller/Agenr:
[- Auction Nume (Whore Appficablel: Live e Number
NOTICE.: $IOAII PF;NALT}' IS KF:QUIRED tl}' I,A\Y IF NOT SUtl.}HT'!ED FON 7'KANSFER N'I'I'HIN 30 DAYS AFTER DATE OF PURC'HASF;
1 make. application for a new certificate of title and registration transfer, if applicable., for said motor vehicle or ve-ssel which now has liens as follows: (Dale, name and address of each Iienhnldrr. If NONE, write NONE(. Record additional liens
on Fnrm HSMV %2139. FEID# nr F'L/UI.# and Date of tlirth
I.ienhoider 4 Name: Dale of Lien:
~ Address State Lip
¢ THIS VEHI('LF. WILL tlN: USED AS ~' 'L(RICAR ^ POLICE CAR ^ hEASED ^ PRIVATE
LJ I/WE HF;REtlY CF;RI'IFY THAI"!NE VEFi1C1.E 70 RE TITLED \VILi. NOT RE OPER.A'!ED ON THE PURLIC' HIGI{W,}YS OF THIS ST.ATF,.
a
~ zX l T ,thy) 1 ~. d [ d and to tl h t f y k, I dg • that i[ reflects the actual mileaee nt the
s
UWe swtc that this ^ 5 nr ^ ri Jipit odi eta x rwds~
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vehtalc de st ihrd here Imes a I t the adontctcr s[ ama.nt bhxks a s.hack.d:
In~
m ^ 2. 1 hereby cenify Ihm the odometer reading is not the actual mileaee.
l'AUl'ION: UO !SOT CHECK ~_~ L [ herehy certify that ur the Mast of my knowittlec rhr rWonn-ICr reading
~i
tlOX IF ACTUAL rellecls the amswm of mileaee in exmss of its mechanical limits. WARNING - ODOMETER DISCREP,}Nl'Y.
.
~ MILEAGii
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z. IPRINTRYPF \:\YIF: OF' Yl'KCH.\SF:RISI IDENTICALLY AS SIGNF,D REI.o\VI NOTE: When joint awnersldp, please indicate "or" or "and" between names. If nu indication, "and" will he shown.
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C: MAILING ADDRESS CITY STATE 'LIP
PNYSICAI. ADDRF,SS CITY STATE ZIP License Plate No.
UNDER PF.NAI,TIES OF I'ERJI'RY. 1 UI?CLARN; THAT I H.}VN: READ 'I'liN; FOREGOING DOCLIMF.:NT ANTI 'THAT 7'HF: FACTS STATED IN IT ARE TRUE.
Signoltme of Isl Purchaser
IFina Name. Middle Initial, Last Namel ^ FI. RFSIDF,NT ^ NONRESIDF.N''1' ^ :M.IEN (Florida DL# or FEID#I (First Porchacer's Ua[e nt Birth)
Signature of C'n-Purchaser
(First Name, Middle Initia4 last Name) ^ FL RRS[DF.N'! ^ NONRESIDF..NT ^ ALIEN (Florida DL# ur FEID#I (Second Purchaxer's Date of Birth)