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Home My WebLink AboutVehicle Title_Truck_04/22/2004A07755 ~~ t~~;' IDENTIFICATION NUMBER VR MAKE MODEL BODY WT-L-BHP VESSEL REGIS. N0. TITLE NUMBER 1FTRW12W54KC19575 2004 FORD PK 4914 90358418 REGISTERED OWNER DATE OF ISSUE VILLAGE OF TEQUESTA 04/22/2004 250 TEQUESTA DRIVE 300 TEQUESTA FL 33469 LIEN RELEASE INTEREST IN THE ABOVE DESCRIBED VEHICLE IS HEREBY RELEASED BV MAIL T0: TITLE DATE VILLAGE OF TEQUESTA ~+W }til ` I 1 ~L; ~ ~ ~" III '~ ~'~ 250 TEQUESTA DRIVE 300 TEQUESTA FL 33469-2763 ~ + + + + + ~ + + + li+ ~T t ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~n~~~n~n~~~~n~~~nn~~~~ni~~~~nn~~~~~~n~i~n~t~~~~ ~ ~ 1 ~1 ~ ~ i ! + ® ~ 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 OWNERfS) NAMED HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED FnR coin unrnR VFHIr'I F nR VFCCFI IDENTIFICATION NUMBER YR, MAKE MODEL BODY WT-L-BHP VESSEL REGIS NO. TITLE NUMBER 1FTRW12W54KC19575 2004 FORD PK 4914 90358418 PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE N BLU PVT ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE 10 MILES 01/27/2004 ACTUAL 04/22/2004 REGISTERED OWNER VILLAGE OF TEQUESTA 250 TEQUESTA DRIVE 300 TEQUESTA FL 33469 LIEN RELEASE INTEREST IN THE ABOVE DESCRIBED VEHICLE IS HEREBY RELEASED By TITLE 1ST LIENHOLDER NONE DATE DIVISION OF MOTOR VEHICLES TALLAHASSEE / ~,~, FLORIDA DEPARTMENT OF HIGHWAY SAFETY ~~~nl AND MOTOR VEHICLES ~~ 7,' ~ /^~ . Control Number ~~, ~ ~ / ~ 1 ~ t,{ CARL A. FORIJ ,,,JJJ LLLJJJ L. ~'1' 1. ~J rREG G. GiCKiiVSON, ill 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 free from any liens except as noted on the lace of this certificate and the motor vehicle or vessel described is hereby iransierred to . Purchaser: Address 1/We state that this 5 or ^ 6 di rt odometer now reads ~~~.^~~ .xx Selling Price: $ Date Sold: g' (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 mileage 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 Purchaser: Signature of Co-Purchaser Signature of Seller Signature of Co-Seller (When Applicable) Selling Dealer's License Number Auction Name 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 SECT]ON 319.24(5)(B) AND 328.15(7)(B) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE L[ENHOLDER W[LL, 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 THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN SATISFACTION FOR THE FIRST L[EN WILL BE GIVEN TO THE REGISTERED OWNER BY THE L[ENHOLDER. THE CERTIFICATE OF TITLE SHOWING A SATISFACTION OF THE FIRST LIEN WILL BE 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 srere law a that the muea late r ,,.mr ~r~ r.nt~ F.et„ ,.t.r vidin . nt.. „tr t. n. Selling Dealer's Dealer's Tex Tax License No. Name No. Collected W Selling Dealer's Address ~ I/We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following: Z Name(s): Address: U I/We state that this ^ 5 or ^ 6 digit odometer now reads ~ ~ x^x (no Tenths) miles, dace read and m the best of my knowledge [hat it reflects the actual mlleaae of the ' vehicle described herein, unless one of the odometer statement blacks is checked: ~ CAUTION: DO NOT CHECK ^ I. I hereby certify that ro the best of my knowledge the odometer reading ^ 2. I hereby certify that the odometer reading L not the actual mllea g Z BOX IF ACTUAL refects the amoum of mileage in excess of its mechanlcal limits WARNING -ODOMETER DISCREPANCY. "~ f MILEAGE CZ7 Signature of Printed Name of Purchaser: Purchaser: ui s Co-Purchaser: Co-Purchaser: F ~ Seller/Agent: Seller/Agent: Auction Name (When Applicable): License Number ~ Selling Dealer's Dealer's Taz Tex a License Na. Name No. Collected o Selling Dealer's Address ~ I/1Ve warrant [his title and certify that the vehicle described herein has been transferred on Idete) to the following: Name(s): Address: u I/We state that this 5 6 digit odometer now reads (no Tenthsl miles, date read and to the best of my knowledge that it reflects the ^ or ^ ~ actual mlleaae of the > m , vehicle described herein, unless one of the odometer statement blocks is checked: (- CAUTION: DO NOT CHECK ^ I ~ 1 hereby certify that m the best of my knowledge the odometer reading ^ 2. 1 hereby certify that the odometer reading is not the actual milene e ~ BOX IF ACTUAL reflects the amount of mileage in excess of its mechanical limits. WARNING -ODOMETER DISCREPANCY. ~ z MILF,AGE V Signature of Printed Name of m z Purchaser: Purchaser: p Z Co-Purchaser: Co-Purchaser: Seller/Agent Seller/Agent Auction Name (When Applicable): License Number: Selling Dealer's Dealer's Tax Tax ~ License Nn. Name No. Collected ~ Selling Dealer's Address p w UWe warrant this title and certify that the vehicle described herein has been transferred on (date) to the following: y Name(s): Address: I/We state Item this ^ 5 or ^ F digit odometer now reads ~ ~ ~ (no Tenthsl miles, date read and to the best of my knowledge that it reflects the actual mlleaae of the ~. vehicle described herein, unless one of the odometer statement blocks is checked: , °~ CAUTION: DO NOT CHECK ^ 1. I hereby certify that to the best of my knowledge the odometer reading ^ 2. 1 hereby certify that the odometer reading is not the actual mlleaa e BOX IF ACTUAL reflects the amount ofmileage in excess of its mechanlcal limits. WARNING -ODOMETER DISCREPANCY. ~ MILEAGE z t? Signature of Printed Name of Purchaser: Purchaser. ~ ~ z Co-Purchaser: Co-Purchaser: Seller/Agent: Seller/Agent: Auction Name (When Applicable): License Numher: NOTICE: SI0.00 PENALTY IS REQUIRED BV LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE 1 make application for s new certificate of title end registration transfer, it applicable, for said motor vehicle or vessel which now has liens as follows: (Date, name and address of each lienholder, It NONE, write NONE). Record additional liens of Form HSMV 92139. FEID# or FL/DL# end Date of Birth Lienholder's Neme: Date of Llen: ~ Address State Zip T THIS VEHICLE WILT. RE USED AS ^ TAXICAB ^ POLICE CAR ^ LEASF,D ^ PRIVATE ^ I/WE HEREBY CERTIFY THAT THE VEHICLE TO BE TITLED WILL NOT RE OPERATED ON THE PUBLIC HIGHWAYS OF THIS STATE. I/We state that this 5 or 6 di t odometer now reads x fno Tenths) miles, date read and to the best of m knowled a [hat it reflects the 6t ~ ~ ~ actual mlleaae of the vehicle described herein, unless one of the odometer statement blocks is checked: > m CAUTION: DO NOT CHECK ^ I. 1 hereby certify that to the best of my knowledge the odometer reading ^ 2. 1 hereby certify that the odometer reading is not the actual mlleaa e. ~ ~ ROX IF' ACTUAI, reflects the amount of mileage in excess of its mechanlcal Ilmits WARNING -ODOMETER DISCREPANCY. . F- MILEAGE h a O (PRINT/TYPE NAMF. OF PURCHASER(S) IDENTICALLY AS SIGNED BELOW) NOTE: When joint ownership, please indicate "or" or "and" between names. [[ no indication, °antl" will be shown. Z O U MAILING ADDRESS CITY STATE ZIP PHYSICAL ADDRESS CITY STATE ZIP [,icense Plate No. UNDER PENA[.TIF.S OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Signature oP 1st Purchaser (First Neme, Middle Initiate Last Name) ^ FL RESIDENT ^ NONRESIDENT ^ ALIEN (Florida DL# or FEID#) (First Purchaser's Dete of Birth) Signature of Co-Purchaser (First Name, Middle Initial. Last Hemel ^ FL RESIDENT ^ NONRESIDENT ^ ALIEN (Florida DL# ar FEID#) (Second Purchaser's Date of Birth)