HomeMy WebLinkAboutVehicle Title_Truck_01/21/1997~,.,
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SATISFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER SECTION 319.23, FLORIDA STATUTES, TITLE TO THE MOTOR VEI
DESCRIBED BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED FOR SAID MOTOR VEF
IDENTIFICATION NUMBER YR. MAKE MODEL BODY WT.-L-BHP. TITLE NUMBER
1FDLE40FTVHA15576 97 ORO M 72x85672
ODOMETER -DATE READ PREY. REG. COLOR TYPE USE
317 01!03/97 N CHI PVT
REMARKS DMV PREV. ISSUE DATE
OOOMETtR - ACTUAL MILEAGE
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01/21/97
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ViLIAGE OF TEOJESTA
357 TEOUESTA DR
TEOUESTA FL 33469-3062
DIVISION OF MOTOR VEHICLES
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CHARLES J. BRANTLE`~
DIRECTOR
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TALLAHASSEE %'`r`'Tr~•~ F\ FLORIDA DEPARTMENT OF
'~' - l AND MOTOR VEH
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CONTROL NUMBER g a, 0 5 7 4 0 6 EXECUTIVE DIRE(
SAFETY
TRANSFER OF TITLE BY SELLER
ODOMETER CERTIFICATION-Federal and state laws 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 described is hereby transferred to:
Purchaser: Address:
I/We state that the odometer now reads ~f~ XX (no Tenths)Selling Price: $ Date Sold:
CAUTION: ~ 1. I hereby certify that to the best of my knowledge the odometer reading
miles, date read and to the best of my knowledge that it DON T CHECK reflects the amount of mileage in excess of its mechanical limits.
reflects the actual mileage of the vehicle described herein, unless one of the BOX I~f ACTUAL ^ 2, I hereby certify that the odometer reading is not the actualmileage.
odometer statement blocks is checked:. MILEAGE WARNING -ODOMETER DISCREPANCY.
Signature of Printed Name of
Purchaser: Purchaser:
Co-Purchaser:
Seller:
Co-Seller
(When Applicable)
Selling Dealer's License Number: Tax No.:
Auction Name:
Co-Purchaser:
Seller:
Co-Seller:
Tax Collected: $
NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS TITLE
ODOMETER CERTIFICATION -Federal and state laws require that you state the mileage in connection with transfer of ownership.
Failure to complete or providing a false statement may result in tines andlor imprisonment.
Selling Dealer's Dealer's Tax Tax
License No. Name No. Collected
c Selling Dealer's Address: -
I/We warrant this title and certify that the vehicle described herein has been transferred on (date) ~ to the following
° Name(s): Address:
W h We state that the odometer now reads ~ XX Ino Tenths) CAUTION: ~ t. I hereby certify that to Bte best of my knowledge the odometer reading
-
J ~ 00 NOT CHECK reflects the amount of mileage in excess Of Its mechanical limps.
miles. date rc:-: ~' and to the best of my knowledge that it reflects the actual BOX IFIF ACTUAL ^ 2 I hereby certify ihet the odaneter reading is not the actual mileage.
MILEAGE
'
~ re odometer statement blocks is checked
mileage of ;ne v=hlc!e descnberi herein, unless, one of t
WARNING -ODOMETER DISCREPANCV.
= Signature of Primed Name
~
z Purchaser: of P~.:^uh3ser:
~ Co-Purchaser Co-Purchaser. -
SellerlAgent SellerlAyent
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Auction Name (When Applicable): License Number
Selling Dealer's Dealers Ta>: Tax
License No. Name No. Collected
a Selling Dealer's Address:
I/We warrant this title and certify that the vehicle descnbed herein has been transferred on (date) to the following:
Name(s): Address.
We st:;te that the odometer now reads (no Tenths) CAUTION: 1. I hereby certify that to the best of my knowledge the odometer reading
XX
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C
ECK
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DO N
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~ reflects the amount of mileage in excess of its mechanical limits.
macs. deP~ :aad and to the best of my knowledge that if reflects the actual BOxiF ACTDAL ~ p I hereby certify that the odometer reading is not theactual mileage.
MILEAGE
mdea a c( the vehicle described herein. unless. one of the odometer statement bocks is checked.
VyARNING -ODOMETER DISCREPANCY.
ignahire of Printed Name
= Purchaser: of Purchaser:
Co-Purchaser. Co-Purchaser:
Seller.'Agent: Sal lerlAgent
Auction Name (N/hen Applicable): License Number
Selling Dealer's Dealer's Tax Tax
License Na. Name Nn. Collected
a Selling Dealer's Address:
I%We warrant this title and certify that the vehicle described herein has been transferred on (dare) to the folbwing:
Name(s}: Address:
XX (ram Tenths) CAUTION: L I hereby certify that to the b=st of my knowledge the odometer reading
CWe state that the odometer now reads ~ ~
~
_
r
°' •
~ DO NOT CHECK
reflects the amount of mileay@ in excess of its mechanical limits.
mores. date read and to the best of m krmwled e that it reflects the actual Box IF ACTUAL
Y 9 ~ 2. I hereby certify that the odometer readmy is not the actual mileage.
MILEAGE
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~- WARNING-ODOMETER DISCREPANCY.
Signature of Printed Name
z Purchaser: of Purchaser:
a Co-Purchases Co-Purchaser:
Seller Age~~t Seller, Agent
Auction Name (When A pfcabie): License NumCe:r
NOTICE: $10.00 PENALTY IS REQUIRED BV LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER RETAIL PURCHASE.
: I make application for a new certificate of titla and vehicle registration transfer, it applicable. for said motor vehicle which now has liens as follows: (Date. name-
'
and address of each lienholder. If NONE, write NONE)- Record addlticnal liens on Form HSMV 82139.
Lienholder's Name Date of Lien:
Acrlress: City: State Zip
THIS VEHICLE WILL BE USED AS ~ TAXI CAB ~ POLICE GAR ~ LEASED ~ PRIVATE'
c ~ I/WE HEREBY CERTIFY THAT THE VEHICLE TO BE TITLED WILL NOT BE OPERATED ON THE PUBLIC HIGHWAYS OF THIS STATE.' -
x
XX (no Tenths) CAUTION: ~ 1. I hereby certify that to the best of my knowledge the odometer reading
I/We state that the odometer now reads ~ ~
f DO NOT CHECK reflects the amount of mileagein excess of its mechanical limits.
•
miles, date read and ie the best of my knowledge that d reflects the actual BOX IF ACTUAL ^ 2 I hereby certify that the odometer reading is not the actual mileage.
mileage of the vehicle described herein. ,i~~less. onr: of the odometer statement blocks is checked. MILEAGE yygRNING-ODOMETER DISCREPANCY.
-
c Signature of tsi Purchaser
(First Name. Middle Initial, Last Name) (Florida Driver License Number) (First Purchasers Date of Birth, Sex)
z ^ or ^ and NOTE: When joint ownership, please indicate if "or" or "and' is to be shown on title when issued. If neither box is checked, the title will 6e issued with "and`.
a Signature of Co-Purchaser
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`a (First Name. Middle Initial, Last Narne) (Florida Driver License Number) Tag No. - (Current Tag number must be shown)
(Print/type name of purchaser(s) identically as signed above) (Street Address of ist Listed Purchaser)
(City) (State) (Zip)
Sworn to and subscribed before me this- day of , t9 by
(NAME OF PERSON MAKING STATEMENT)
(Signature of Notary Public-Strafe o Florida)
(Print, Type or Stamp Commissioned Name of Notary Public) (NOTARY STAMP)
Personally Known ^ OR Produced Itlentrfication ^ Tvoe of Identitication Produced: