HomeMy WebLinkAboutVehicle Title_Car_03/23/2004 (2)A08651
IDENTIFICATION NUMBER VR MAKE MODEL BODI' WT-L-BHP VESSEL REGIS. NO, TITLE NUMBER
2FAFP71W64X141542 2004 FORD 4D 4026 90146238
REGISTERED OWNER DATE OF ISSUE
VILLAGE OF TEQUESTA POLICE DEPARTMENT 03/23/2004
PO BOX 3273
TEQUESTA FL 33469 LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY
MAIL T0:
VILLAGE OF TEQUESTA POLICE DEPARTMENT
PO BOX 3273
TEQUESTA FL 33469-1004
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aATISFACTORY FROOF OF OWNEP.SHIP HAVLNG BEEN SUBMITTED UNDER SECTION 31!'.23/326.03, FLORIC
OR VESSEL DESCRIBEC BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFFICIAL
FOR SAIL) MOTOR VFHICI F OR VESSEL
TITLE
ATUTE S, TITLE TO THE MOTOR
'IFICATE OF TITLE IS ISSUED
DATE
IDENTIFICATION NUMBER VR. MAKE MODEL BODY WT-L-BHP VESSEL REGIS NO. TITLE NUMBER
2FAFP71W64X141542 2004 FORD 4D 4026 90146238
PREY STATE COLOR PRIMARY BRAND SECONDARY BRAND NO OF BRANDS USE PREY ISSUE DATE
N WHI POLICE 01 PVT
ODOMETER STATUS OR VESSEL MANUFACTURER OR OH USE HULL MATERIAL PROP DATE OF ISSUE
10 MILES 03/10/2004 ACTUAL 03/23/2004
REGISTERED OWNER
VILLAGE OF TEQUESTA POLICE DEPARTMENT
PO BOX 3273
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
~`~'_( AND MOTOR VEHICLES
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Control Numbcr ~ ~~pF ~ °'~ ~°~ ~
CARL A. FORD '`~ ''~ ~ ~ ~ ~ '"' FRED O. DICKINSON, III
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 face of this certificate and the motor vehicle or vessel described is hereby transferred to:
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 NAVE READ THE FOREGOING
Signature of
Purchaser:
Signature of
Co-Purchaser.
Signature of
Seller.
Signature of
Co-Seller.
(When Applica61e)
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 mileaye in excess of its mechanical limits.
I hereby certify that the odometer reading is not the actual mileage:
WARNING - ODOMETER DISCREPANCY.
)OCUMENT 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)(6) AND 328.15(7)(6) FLORIDA STATUTES, PROVIDES THAT UPON THE SATISFACTION OF A L[EN, THE LIENHOLDER WILL,
WITHIN TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE, DETACH THE COMPLETED LLEN SATISFACTION AND MAIL IT TO
THE DEPARTMENT. [F 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 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 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 LIENHOLDER TO THE DEPARTMENT
Department of Highway Safety and Motor Vehicles
Neil Kirkman Building
Tallahassee, FI 32399-0500
~ ~ ~
(lll(1MCTFR fF RT[Ft('aTIf1N _ Fo.io.sl o.,d ~rnra Inw~ .o o Isar .gyn., e,nro la.. mil..aao i. r w:la ,r ncfwr of nwncrchin Failure to rmm~trte nr nrnvidino n false statement maw r ~nll in Bnea and/nr imnrixnn mart.
Selling Dealer's Dealer's Tax Tax
u~i License No. Name No. Collected
.a
w
Selling Dealer's Address
~ 1/We warrant this title and certify that th e vehicle described herein has been transferred on (date) to the following:
Z Name(s): Address:
V I/we stale rho[ this 5 or 6 di it o
g dometer now reads x Inv Tenths) miles. daze read and ro the hest o(m' knowled z chat it reflects the actual mileaee of the
~
~ ~
vehicle described herein, unless one of the odometer srarcmem bl[uks is checked:
,
m
CAUTION: DO NOT CHECK ^ I
~ I hereby cenify rhai to the beu of my knowledge the odometer reading ^ '_. I herehy cenify ihat the ndomerer reading is not the actual mileaee.
Z BOX IF ACTUAL reflects the amoum of indeagc in axcess of its mechanical limits WARNING -ODOMETER DISCREPANCY'.
MILEAGE
j Signature of Printed Name nl
Purchaser: Purchaser:
w
z
Co-Purchaser
Co-Purchaser:
F-
~
i Seller/Aeent: Seller/Agent:
Auction Name (When Applicable l: Lirense Number.
~ Selling Dealer's Dealer's Tax Tax
License No. Name No, Collected
2
Selling Dealer's Address
~ UW"e warrant this title and certify that th e vehicle described herein has been transferred on (date) to ehe following:
Name(s): Address:
U 1/We swte that this 5 or b di t o
~ ~ g' dometer now reads inn Tenths) miles, date read and in iln• hest of m knowledge ihat it reflects the actual mileaee n( the
~ xx
~
r vehicle deserihed herein, unless one of the odometer swtenizni block. i.s checked:
,
m
t/
CAUTION: DO NOT CHECK ^ I
. I hereby cenity ihnt w the hest of my knowledge dre odometer reading ^ 2. I hereby cenify that the odometer reading is not the actual mileaee
~ BOX IF AC'1'UAI, ref)ec[s the amount of mileage in a s of its mechanical limit . WARNING - ODOMF.'fF.12 DISCREPANCY.
~ MILEAGE
7.
Signature of
Printed Name ul
2 Purchaser: Purchaser
Co-Purchaser: Co-Purchaser
Seller/Agent: Seller/Agent:
Auction tiame I When Applicable l: License Number:
Selling Dealer's Dealer's Taz Tan
~ License Na. tiame No. Collected
~ Selling Dealer's Address
D
O
m UWe warrant this title and cartify that th e vehicle described herein has been transferred on )date) to the following:
z Name(s): Address:
m
~
1/We state rhai this S b di o
dometer now read fro Tznmsl miles, dare reed and to the bzst of m knowledge that ii rer~s~hs_asl)r;~d I of the
~, vehicle described herein. unless one of the ndomerer nmtementt blocks is zhecked:
°~ CAUTION: DO NOT CHECK ^ 1 . I hereby certify that to the best of my knowledge the odometer reading ^ ^_. [hereby cenify rhai the odometer reading is not the actual mileaee
Z BOX IF ACTUAL retlec[s [he amount of mileage N excess of its mechanical limits. WARNING - ODOMF:'fF.R D[SCREPANCI".
~
Z MILEAGE
J Signature of Printed Name of
Purchaser. Purchaser:
s
z Co-Purchaser:
Seller/Agent: Co-Purchaser:
Seller/Agent:
Auction Name (When Applicahle l'. License Number:
NOTICE: $18.00 PF;NA LT'1' Iti REQLIRED BY LAW IF NOT.SU BY117'TEU FOR TRANSFER WITHIN 311 DAYS AFTER DATE OF PURC'Fl ASE
1 make application for a new certificate of title and registration transfer, if applicable, for said motor vehicle or vessel which mw has liens as follows: (Dale, name and address of each lienhoider, If NONE., write NONE.). Record additional liens
of Form HSMV 82139. FEID# or FI./ULq antl Datc of Birth
Lienholder's Name: Dale nt' Lien:
~ Address Slate Zip
THIS VEHICLE WILL BE USED AS ^ TAXICAB ^ POLICE CAR ^ I,E.ASED ^ PRIVATE
^ U\VE HEREBY CERTIFY THAT TH E VEHICLE TO BE TITLED \YILL NOT BE OPERA"FED ON THE PUBLIC HIGHW'AY'S OF THIS STATE..
a I/We ,late [hat [hi. ^ 5 or ^ b digit o dometer now reads ~ ~ ~ rno Tenths) milzs, dare read and m the best of my knowledee char it reDects the actual mileaee of rhz
vehicle described herein. unless one of the odomzter .srarcmem blocks is checked:
y CAUTIO\: DO NOT CHECK ^ 1 . I hereby cenify chat to the best of my knowledge rhz ndomerer reading ^ 2. 1 hereb? certify that the odometer reading is not the actual mileaee
BOX IF ACTUAL reFlecrs the amount of mileage in excess of its mechanical IimiM. WARMNG - ODOMF'; I'ER DISCREPANCY'.
[=
E_ MILEAGE.
c
°and" will he shown.
If no indication
(PRIN'I'/TYPE NAME OF PLIRCHASERf81 IDENTICALLY AS SIGNF
D BELOW) NOTE: When
lease indicate °nr' or •9mA" henvcen names
iolni ownership
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MAILING ADDRESS ('1"fY S'fATE 7.IP
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PHYSICAL ADDRF-SS CITY STATE. ZIP License Plate No.
UNDER PENALTIES OF PERJURY, I DF,CLARE THAT I HAVE RF;AD'fHF. FOREGOING DOCUMF,NT AND'1'H:4T THE FACTS STATED IN IT ARE TRUE..
Signature of 1st Purchaser
(First tiame, Middle Initial, Last Name) ^ FL RESIDE-NT ^ NONRF.SIDF.\T ^ ALIEN IFlnrida UL# or FEID#1 (First Purchaser's Date of Birlhl
Signature of Co-Purchaser
(First 'Name, Middle Initial. Last Name) ^ FL RESIDENT ^ NONRESIDENT ^ ALIEN (Florida DL# or FEID#) ISecvnd Purchaser's Uate of Rirtht