HomeMy WebLinkAboutVehicle Title_Car_03/30/2000~ "I ENTIFICATION NUMBER YR
~FAFP7IWXYX173397 2000
~ REGISTERED OWNER
VILLAGE OF TEQUESTA
~ 357 TEQUESTA DRIVE
TEQUESTA FL 33469-3062
MAIL T0:
VI1 1 Af:F 1'1C Tenttecrw
FORD
4D ~ 3858
AV4923 :
~;.
IEGIS. NO. TITLE NUMBER
80695578
DATE OF ISSUE
03/30/2000
LIEN RELEASE
INTEREST IN THE ABOVE DESCRIBED VEHICLE IS
HEREBY RELEASED
BY e
TITLE
DATE
- mi es, aterea and to the best of my knowledge CAUTION: ~ 1. I hereby certify that to the best of~ my knowledge the ~Qdometer reading refiect~ the
-that it reflects the actual mileaoe of the vehicle described herein, unless DO NOT CHECK
one of the odometer statement blocks is checked. BOX IF ACTUAL amount of-mileage in excess of its" mechanical "limns. - _
2. I hereby certify that the odometer leading is not the actual mileaoe.
MILEAGE ~ WARNING - ODOMETER DISCREPANCY. --
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE. FACTS STATED iN JT ARE TRUE.
Signature of - - - _
Purchaser. Printed Name of
Signature o Purchaser
Cr Purchaser. _ Printed Name of
Signature Co-Purchaser.
Seller ~ ~~Printed Name of • a~
Signature of eller_
Co-Seller ~
Printed Name of
~' "(When Applicable) Co-Seller - - ~
Selling Dealer's License Number: - _G `,
Tax No, ,
~ _
~`'~I,~ Auction Name Taz Co~lected, $ - ;~~~
License Number:
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