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IGNEK13Z04R115142 ;2004 CHEV TUT I 5351 89581325
VILLAGE OF TEQUESTA 01/07/2004
357 TEQUESTA DRIVE LIEN RELEASE
TEQUESTA FL 33469-1004
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY
MAIL TU: TITLE DATE
12 / 01 / 2003 +~(,
GMAC ~ ~ n ~ + + ~~ . L ~i ~ 1L' ~ ~
PO BOX 660208 ~ + + ~' ! + + ~ ' + ! '+ ~.
DALLAS TX 75266 + + + + + + + + + + + + I.
+ + + + + + + + + + + +r
+ i JJi i l i yy~,,i n i . + ~f , + + ++ ~ i + I I + '
SATISFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER SECTION 319.23/32 b.03, FLORIDA ST4TUTES. TITLE -PO IHE MOTOR vtHICLE
OR VESSEL DESCRIBED BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED
FnR C~IrI Mr1Tf1R VFHIfI F /1R VFCCFI
IDENTIFICATION NUMBER yR. MAKE MODEL BODY WT-L-BHP VESSEL REGIS NO. TITLE NUMBER
1GNEK13Z04R115142 2004 CHEV UT 5351 89581325
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE
N UNK PVT
ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE
75 MILES 12/01/2003 ACTUAL 01/07/2004
REGISTERED OWNER
VILLAGE OF TEQUESTA LIEN RELEASE
357 TEQUESTA DRIVE INTEREST IN THE ABOVE DESC
TEQUESTA FL 33469-1004 BYRE~REL`
DATE
1ST LIENHOLDER
12/01/2003
GMAC
PO BOX 660208 "
DALLAS TX 75266
DIVISION OF MOTOR VEHICLES TALLAHASSEE /~~"%4~ FLORIDA DEPARTMENT OF HIGHWAY SAFETY
:- ~) f+ND MOTOR VEHICLES
1G .,
Control Number r /` ~- = -' rt ~
DIRECTOR EXECUTIVE DIRECTOR
TRANSFER OF TITLE BY SELLER (This secflon must ua 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 floes and/or im~nsonment,
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.
Purchaser. Address
I/We state that this 5 or ~ B di it odometer now
g reads ~~~,~^~ .xx
(no tenths) Selling Price: $ Date Sold:
miles, date read and to the best of my knowledge CAUTION: ~ 1. 1 hereby certify that to the best of my knowledge the odometer reading re ilecis the
that it reflects the actual mileage of the vehicle descri bed herein, unless DO NOT CHECK amount of mileage in er.ce ss of its mechanical limits.
one of the odometer statement blocks is checked. BOX IF ACTUAL ^ 2, I hereby certify that the odc meter 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 o Printed Name of
Co-Purchaser. Co-Purchaser:
Signature of Printed Name of
Seller Seller
Signature of .
Co-Seller: Printed Name o1
Co-Seller.
(When Applicable)
Selling Dealer's License Number. Tax No. _ _ Tax Collected: $
'° '~ ~ Auction Name License Number.
' STATE. OF FLORIDA
LIEN SATISFACTION
MOTOR VEHICLES, MOE3ILE HOMES AND VESSELS
SECTION 319?4(5)([3) AND 328.1~(7IIB) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A LIEN, THE LIENHOLDF.R WILL,
WI'T'HIN TEN DAYS, COMPLETE TIME SPACE PROVIDED ON TIIEi CERTIFICATE OF TITLE. DETACH THE C'OMPLF.TED LIEN SATISFACTION AND MAIL IT TO
THE DEPARTMENT. IF THE CERTIFICATE OF TITLE WAS RETAINED E3Y THE OWNER, THE OWNER WILL. WITHIN FIVE DAYS OF THE SATISFACTION OF LIEN.
llELIVER THE TITLE TO THE LIENHOLDER. "fHE LIENHOLDER WILL ENTER THE SA'TISFAC"ETON IN THE SPACE PROVIDED ON THE FACE OF'1'HE'I'ITLE. IF
THERE ARE NO ADUITLONAL LIENS SHOWN ON THE TITLE, THE LIENHOLDER WILL DETACH THE COMPLETED LIEN SATISFACTION, AND FORWARD IT'TO
THE DEPARTMENT, WITHIN TF.N DAYS, AND MAIL THE TITLE, TO'THE OWNTiR.
SECTION 319.24(5)(0) AND 328.15(7)(0) FLORIDA STATUTES, PROVIDES THAT IF TIIERF. ARE ADDI'T'IONAL LIENS NOl' SATISFIED. A LIEN
SATISFACTION FOR THE FIRST LIEN WILL BE GIVEN TO THE REGISTERED OWNER BY THI'. LIENIIOLDER. 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, Fl 32399-0500
~ ~ ~
ODOMETER CEN'fI FI('ATION -Federal and smte laws reonire that you state the mileaee in connection with transfer of ownershiu. Failure to comulete or uroridine a false statement ma>~ result in fines and/or imprisonment.
Selling Uealer's Uealer'ss Tax Tax
w License .N o. Name Nu. Collected
~ Selling Dealer's Address
°
° 1/Wc warrant [his title and cerlil)~ that the vehicle described herein hx.s been (ransferred nn (date) to the 1'nllnwing:
ry
z
Namel sl: Address:
V I/WC ,lace that chi, s nr 6 di [odometer now reads nu Tenthsl miles. Ja[c read and m the hest of my knowltJec (hut i[ reflects the actual mileaee of the
gl ~
~ ^
,-chic lz de.zrihc.l herein. unlt~~ one o([he ndomzter smtemcnl blocks is checkeJ:
,
x I. I herchy cenif hat [n the hest oC m knoxledgc [hc aJOnictrr rcaJine I berth nif dtm the oJomcter readin t the actual mileaee
CAL'TIO\: DO NOT ('HEC'K ^ )' [ Y ^ Y ct >' g is no.
z, BOX IF A('TL'AL rcllects the amount of mileage in excess of its_Z chan'cal I'mits. \VRNING - ODOMF,TF:R DISCREPANCI'.
s >uLr•.ACE
Si [art of PrinleJ Nanu-af
gna
Purehusee Purchuwc
z Co-Purchaser. Co-Purcha~ee
Seller/Agem: SeIIerG\genl.
Auction Name lWhen Applicable/: License Nmnher:
z Selling Dealer's Ucaler's 'fax Tax
J I,icemse No. Name Nn. Collected
2
G
Selling Dealer's AAAress
I/We warrant this title and certify [hat the vehicle described herein has been (ransferred on Idalel to the following:
? iVamelvl: Address:
_
= I/Wc +I. It that chi. ^ 5 or^ 6 digit odometer now reads ~ ~ ~ 1 1' hsl I d I d and to th h t f ~ k 'I- i that it reflects the alit al mileaee of the
.~ch'cle J ribtd hare;n unle,, c of the odometer st «ma n I loo A. ~s ahackul:
('AUTION: DO NO'T ('fIF.CK ^ L I hereby certify that to chc hest of my koowledgc the iiJometcr reading ^ '_ I herchy ctrti Fy that the odometer rtading isle actual m'leaye
BOX IF AC'T'UAL reflects [he amount of mileage in excess oP its mechanical limits. WARNING - ODOMFTI•:R DISCREPANCY.
~
z VI ILEA(: F.
.Sic n of Printed \an;c of
Pu«hascr Purzhe.cr'.
`s
p
L
Co-Purchaser: Cn-Purchaser'.
.Seller/Agzm: Seller/Agent.
~= Auction Namz (When Applicahlz): License Namber.
~ Selling Dealer's Dealer's Tax Tax
I.icanse No. Name No. ('ollected
Selling Dealer's Address
I/We x~arrant this title and certify [hat the vehicle described herein has been transferred nn Idatcl to the following:
Name(s): Addi`uss:
_ I/We state that [his S or 6 di t odometer now reads Ina Tenths) -I d red and «, th b.l if m k -1 I,c (hut -I rellecls th a to tl 0-ilgpye of the
~ ex
g' ~
seh cie de.u but h I _- c of the odometer st t I hlacA h k •el:
.
n
^ _ I hcrehv cnify [hat the odometer reading's not the actual miles
CAUTION: DO N07' CHECK ^ I. I herehv cenifi~ thm to [hc hest of my kno+vleJge the udomectr rtading
z ROX IF ACTT;:}I, reelects the amount of mileage in excess of its mechanical limits W:\RNING - ODO\IE'I'F:R UISCREPANC}:
~ MILF:AGF.
z
O
Sigitalurt of PrinlcJ Namz al
Purchaser. Ruchuscr.
Co-Purchaser: Co-Purchau•r'.
- Sclltr/Agent: Stllzr/Agent'.
_ Auction Namr I When \pplicahlc l: License Numhzr.
NO'TIC'E: $10.00 Pt: N:1 LTY IS REQUIRED R}' I.AW' IF NOT Sl'13M17"I'F.D FOR TRANSFER W ITH1N 30 UA1'S AFTER DATE OF 1'I~KCHASE
I make application fur a new certificate of titla• and registration trnnst'er, if applicable, for said motor vehicle or vessel which now has liens as follows: (Date, mime and address ot'rach lien holder. If NONE, write NONE1. Record aAAitional liens
of Form HSMV ri2139. FFID# ar PL/DL# anA Date of Birth
I.ienhnlder's Namr: Date of Lien:
~ :\ddress Slate Zip
'THIS }F.FlICLE WILT. BF CSF.U AS ^ TAXICAB ^ POLICE CAR ^ LEASF:U - PRI\SYTF:
= ~~ 1RVE HERF,I3Y C'ER'fIFY THAT THE VEHICLE TO RE'1'I'I'LFU \5'11.1. NOT RE OPF:R:\"f ED O\ THE PCRLIC HIGH\tAYti OF THIS S"fA?E.
_ I/Wr s«nt that [his 5 or b di '[ odomcler now reads Inn Tcmh.l milts. Jate real and [o [he hest a(m' knowleJge That it reflects the actual milaaec of thz
~ xx
~ ~ g ~
,
vchic lc JzncrihcJ her ~nlcss ~,; a al' the odomcler sta[zmun black. is checkeJ:
a
_ ^ ~ I herchy aertity that the odometer reading i_ of the ar(ual mileaee,
CAUTION: DO NOT CHECK ^ I. I herchy verify that to the b.:.l of my knowleJgc Iha~ uJoinetzr reading
BOX IF AC'fUAl, reflects the umoum of miieugc in excess of its mechanical limits. WARNING - ODOMP:TI':R DISCREPANCY.
z NI ILEAGE
H'RI\'"f/7'1'PE NAME OF PC RCHASERISI IUFN'fICALL}' AS SIG..\ED REI.OW'1 NO"f F.: When joint ownership, please indicate ^or" or ^and" between names. If no indication, "and" x-ili be shown.
L
C
MAl1.ING ADDRESS OITY STATE Z[P
u
3
~ PH YSI('AL ADDRESS ('17'Y S7~\TF: 7.IP I.irrnse Plate No.
ENDER PENALTIES OF' PERU RY, 1 DF,CI.ARE THAT I HAVE READ THE FOREGOING DOCUMENT ANU THA"f "fHH: FACTS S'I:ATF.D IN [TARE. TRUE.
Signature of 1st Purchaver
(Firs[ Namc, Middle Initial, last Namrl ^ F1. RESIDENT ^ ..\ON RESIDENT ~] :}LIEN (Florida DL# or FEID#I I First Pu rehaser's Date of liirlhl
Signature of Co-Purchaser
fFirsl Name, Middle Initial. Last Namel ^ F1. RF:SIDENT ^ NON RF:SIUENT ^ AI.IF.N lFlorida UI,# nr E'EIU#1 (Second Purchaser's Uale n[ Rirlhl
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
NEIL KIRI{NIAN BLDG. TALLAHASSEE 32301
LIEN SATISFACTION
STATE OF FLORIDA
MOTOR NUMBER ALL MAKES THROUGH 1954 IDENTIFICATION NUMBER 1955 AND LATER
IDENTIFICATION NO.
1GNEK13Z04R115I42 YR.
4 MAKE
Chevrolet MODEL
K1500 QODY WT-L-DHP TITLE NUMBER
ODOMETER - DATF; READ PREY. RF;C. DMV "IYPE USE
REMr\RKS PREY. ISSUE DATE
REGISTERED OWNER (LAST NAME FIRST) DnrE of IssuE
Tequesta Village of MO. DAY YEAR
357 Tequesta Dr
Tequesta, FL 33469
1ST LI!?N HOLDER DATE
GMAC MO. DAY YEAR
~41.p C'H~ral•~h R!vd
Knoxville
"l'N 379'
2ND LIEN HOLDF,R DATE
MO. DAY YEAR
LIEN SATISFACTION
THE UNDERSIGNED HOLDER OF ABOVE DESCRIBED LIEN(S) ON TiIE MOTOR VEHICLE DESCRIBED HEREON ACKNOWLEDGES SATISFACTION
THEREOF. NOTE: IF LIEN HOLDER SAME ON 1ST AND 2ND LIENS AND ONLY ONE LIEN IS BEING SATISFIED COMPLETE PROPER SPACE
BELOW. DO NO'r PERFORATE OR USE PAID STAMP.
IST LIEN GMAC BY ~~~~ a ~ ~~_ ~Q~, C1C~
(LIEN HOLDER) (SIGNATURE AND TITLE)
2ND LIEN BY
(tiIEN HOLDER) (SIGNATURE AND TITLE)
S orn and subs~`ribe~fiefore me.;t{ry~u. I ith day of October 2009
f i
s ~.~L jc. /~.~+
Personally Knowr. ~ OR Produced Identification ~ Type of Identification Produced. (NOTARY STAMP)
NOTE: LIEN HOLDER MUST COMPLETE THIS FORM AS TO DESCRIPTION OF MOTOR VEHICLE, NAME AND ADDRESS
OF OWNER, AND NAME AND ADDRESS OF THE L[EN HOLDER SHOWING DATE AND AMOUNT OF LIEN THE SAME AS
SHOWN ON TITLE CERTIFICATE . THE SATISFACTION MUST BE PROPERLY EXECUTED AND MAILED TO
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES, DIVISION OF MOTOR VEHICLES, NEIL KIRKMAN
BUILDING, TALLAHASSEE. FLORIDA 32399-0500 BY THE LIEN HOLDER.
ALN
LIENSAT\InsatFla