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Home My WebLink AboutVehicle Title_Misc_02/10/1995SATISFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBMITTED UNDER SECTION 319.23, FLORIDA STATUTES, TITLE TOI"HEMOTO'~`'_-~ DESCRIBED BELOW iS VESI ED !N THE OWNERIS) NAMED HEREIN, THIS OFFICIALCERTIFICATE OFTITLE ISISSUED FOR SAID MOTOR `:~'... iDENTiFICATION NUMBER v ~ YR. MAKE MODEL BODY WT.-L-BHP. TI" ~~` ^'t!~,~.-' 4FPAB1420SG0091b9 95 ,PACE TL~~68604083 ODOMETER - EXEMPT ~ N~ ~ PYT Irfilf--il--ifrlrll--IfI--II-----I-II--,i.-II-If--I--iI--.II-I 02/10/95 VILLAGE OF TE~3UESTA P 0 BOX 3273 (357 TEOUESTA OR) TEQUESTA FL 33469-0273 DIVISION OF PA OTOR VEHICLES TALLAHASSEE R"ORIDA DEPARTMENT OF FiIGHWAI' SAFE i Y _-__ // n~ ~ AND MOTOR VEHICLES -~--- CHARLES J. BRANTL`~ EY~~ FRED O. DICKINSON, III DIRECTOR CONTROL NUMBER B 3 ~ ~ ~ ~ 7 ~ ~ EXECUTIVE DIRECTOR 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 ~ r~. XX (no Tenths) Selling Price: $ Date Sold: CAUTION: ~ 1. I hereby certify that to the best of my knowledge the odometer reading miles, dale read and to the best of my knowledge that it DO NOT CHECK reflects the amount of mileage in excess of its mechanical limits. reflects the actualIDileaae of the vehicle described herein, unless one of the BOX IF ACTUAL ~ 2. I hereby certify that the odometer reading is not the actual mileage. odometer statement blocks is checked:. MILEAGE WARNING -ODOMETER DISCREPANCY. Signature of Printed Name of Purchaser: Purchaser: :o-Purchaser: Seller: Co-Seller: (When Applicable) Selling Dealer's License Number: Tax Co-Purchaser Seller: Co-Seller: xm ~ ~ u ,, ~ ~ ~ ~wm.xmn~,r .~' °,~ r~~ ~~`~wr >,.r~ii ~vt~~~ .~~~~~ I~i~'~i/'~ 1t~~;~ a /~1 ~a1 p f~ ~ ~rl iri~1'171~~is~g5~iv>v%f~'~Itif1141~t,~~~°sY%r!~~f' l~~lflr"i~~ ~ l~ lP/i l® ~~1~1` i~~M.L~ ~ a ~ f. GEhNIL~~ ,,. !U '!%IfifiN~.l~. AL~.,.~•. ~ n~i r~llti! Tax Collected: $ NOTICE: ANY ALTERATION OR ERASURE MA\' VOID THIS TITLE ODOMETER CERTIFICATION -Federal and state laws require Cleat 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. ~ Selling Dealer's Dealer's Tax Tax u~7 License No. Name No. Collected $ a w° Selling Dealer's Address: ~ i ' w v I/VJe warrant this tRle and certify that [he vehicle described herein has been transferred on (dale) to the following: m Name(s): Address:_ z CAUTION: 1. I hereby certify that to the best of my knowledge the odometer reading I/We state that the odometer now reads ~ XX (no Tenths) ~ ^ z r . DO 0141 CHEC,I( reflects the amount of mileage in excess of its mechaniral limits. miles, date rear) and to the best of my knowledge Ihat it re8eck, the actual BOX !FACTUAL 2. I hereby certify that the odometer raadiny is not the actual mileage. ~ ^ m. dea9e of the vehicle described herein, unless one of the odometer statement blocks is checked:. MILEAGE WARNING -ODOMETER DISCREPANCY. iS t f P i d N f ~ ure o gna r nte ame o Purchaser: Purchaser: r- LL Co-Purchaser: Co-Purchaser. SeNer/Agent: Seller/Ayent: Auction Name (When Applicable): License Number. Selling Dealer's Dealer's Tax Tax License No. Nance No. Collected $ ~ Selling Dealer's Address: 0 N z I/We warrant this title and certify that the vehicle described herein has been transferred on (date) to Cho following: Name(s): Address:_ m CAUTION: 1. I hereby certify that to the best of my Inowledge the odometer reading ^~ ^^ ^ z I/We state that Cho odometer now reads r . XX (no Tenths) DO NQI CHECK reflects the amount of mileage in excess of its mechal.Dicai lir~s_ miles, dale rea~+ and to the best of my knowledge that it r fa loots the ac.;~aJ BOX IF ACTUAL p, I hereby certify that the odometer reading is not the actual mileage. ^ i mileage of the vehicle described herein, unless one of the odometer statement blocks is checked:. MILEAGE WARNING - ODUMt~TER DISCREPANCY. e? Signafure of Printed Name of Purchaser. Purchaser: a Co-Purchaser. Co-Purchaser: z ~ Seller/Agent: Seller/Agent: `° Auction Narne (When Applicable): License Number. Selliny Dealer's Dealer's Tax Tax License No. Name No. Collected $ o Selling Dealer's Address: 0 rn z I/We warrant this thle and certify that the vehicle described herein has been transferred on (date) to the following: v Name(s): Address: CAUTION: ^ 1. i hereby certlfy that to the best gf my knovedge the odometer reading ~ ~ m I/We state that the odometer row reads r . XX (no Tenths) DO IYQT CHECK reflects the amount of mileage in excess of its mechani,:al limits. ~ miles, date read and to the best of my knowledge that it reflects the actual BOX IF ACTUAL 2. I hereby certify that the odometer reading is not the actual mitaaae. ^ ~ mileage of the vehicle described herein, unless one of the odometer statement blocks is checked:. MILEAGE WARtJING -ODOMETER DISCREPANCY. ~ Signature of Printed Name of N Purchaser. Purchaser: r 0 Co-Purchaser: Co-Purchaser: r- Seller/Agent: Seller/Agent: Auction Narne When A ~iicable : License Number. NOTICE: 10.00 PENALTY IS REQUIRED BY L.,AW IF NOT SUBMIT7`E~ FOR TR/°.NSFER WITHIN 30 DAYS AFTER RETAIL PURCHASE. I make application for a new certificate of title and vehicle registration transfer, if applicable, for said motor vehicle which now has liens as follows: (Date, name and address of each lienholder. IF NONE, write NONE). Record additional liens on Form HSMV 82139. Lienholder's Name: Date of Lien: Address: City: State: Zip: THIS VEHICLE WILL BE USED AS: ^ TAXI CAB ^ POLICE CAR ^ LEASED ^ PRIVATE ^ I/WE HERE61' CERTIFY THAT THE VEHICLE TO BE TITLED W ILL NOT BE OPERATED ON THE PUBLIC HIGHWAYS OF THIS STATE. w CAUTION: 1. I hereby certify that to the best of my knowledge the odometer reading ^ ~ ~ a I/We state that the odomoter now reads . XX (no Tenths) DO y4I CHECK e ref!ects the amount of mileage in excess of itsmechanical limits. ~ miles, date reap and to the best of my knowledge that it 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, unless one of the odometer statement blocks is checked:. MILEAGE WARNING -ODOMETER DISCREPANCY. m Signature of 1st Purchaser w (First Name, Middle Initial, last Name) (Florida Criver Licsnse Number) (Rrst Purchaser's Date of Berth, Sex) 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 be issued witn "and". o Signature of Co-Purchaser z (Rrst Name, Middle Initial, Last Neme) (Florida Driver Ucense Number) Tag No - (Current Tag number must 6e shown) 0 F ~ (Print/type name of purchaser(s) identically as signed above) (Street Address of 1st Listed Purchaser] a a (City) (State) (Zip) Sworn to and subscribed befors me ihla day of , 19 _. (Signature of Notary Public -State of Florida) (NOTARY STAMP) (Print, Type or Starnp Name of Notary Public) Personally Known ^ OR Produced Identification ^ Type of Identification Produced: