HomeMy WebLinkAboutVehicle Title_Truck_09/09/1993~~ SATfSFACTORY PROOF OF OWNERSHIP HAVING BEEN SUBMfTTED UNDER SECTION 319.23, FLORIDA STATUTES. TITLE TO THE MOTOR VEHICLE "~
.J DESCRIBED BELOW IS VESTED IN THE OWNER(S) NAMED HEREIN, THIS OFFICIAL CERTIFICATE OF TITLE IS ISSUED FOR SAID MOTOR VEHICLE.
IDENTIFICATION NUMBER YR. MAKE MODEL BODY WT.-L-BHP. TITLE NUMBER
1HT5DP#3~2tiMH374819 43 SUTP TK 25940 65748005
ODOMETER -DATE READ PAEV. AEG. COLOR TYPE USE
13015 09/03/93 f~l i~YT
REMARKS DMV PREV. ISSUE DATE
ODOti!ETFR - ACTUAL MIL~aGE
REGISTERED OWNER (LAST NAME FIRST) DATE OF ISSUE
MO. I DAY I YR.
09 09 93
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PO BOx 3271 (357 TFpUt-cTA psi) ~ ~ /~ i/~%~~~/'o
TEOUESTA FL 334690273 ~ ~'°; ~,,,~~,~i'°:%,/~//„//~~~:~,;
DIVISION OF MOTOR VEHICLES TALLAHASSEE ,'v FLORIDA DEPAR7MENT OF HIGHWAY SAFETY
~~_ _ 'x` - ~~~ AND MOTOR VEHICLES
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~~~~ ~~~ ~`~ :p ~ 1
CHARLES J. BRANTLEY '~ ] FRED O. DICKINSON, III
DIRECTOR CONTROL NUMBER ~ ~ 3 (~ 2 9 ~ ~ 5 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: Selling Price: $ Date Sold:
IlWe state that the odometer now reads ~ I ® ~ (NO TENTHS)
^ 1. I hereby certify that to the best of my knowledge the odometer reading
'CAUTION:
miles, date read and to the best of my knowledge that it READ CAREFULLY reflects the amount of mileage in excess of its mechanical limits.
BEFORE YOU ^ 2, hereby certify that the odometer reading is not the actual mileage.
reflects the actual mileage of the vehicle described herein, unless one of the CHECK A BLOCK WARNING -ODOMETER DISCREPANCY.
odometer statement blocks is checked:.
Signature of Printed Name of
Purchaser: Purchaser:
Co-Purchaser: Co-Purchaser:
Seller: Seller:
Cn-Sauer Co-Seller.
Dealers License Number: Tax No.:
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 fines and/or imprisonment.
Selling Dealer's Dealers Tax Tax
License No. Name No. Collected
W I We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following:
Name(s): Address:
z ~ 1. I hereby certify that to the best of my knowledge the odometer reading
I/We state that the odometer now reads
~ ®
NO TENTHS) •cnunoN
~
(
:
READ CAREFULLY reflects the amount of mileage in excess of its mechanical limits.
miles, date read anC to the best of my knowledge that d reflects the actual BEFORE YOU ^ 2. I hereby certify that the odometer reading Is not the actual mileage.
c"ECK A BLOCK
ein
less one of the odometer statement blocks is checked
il
e of the vehicle d
scribed h
i . an
.
m
e
er
eag
WARNING -ODOMETER DISCREPANCY.
Signature of Printed Name
~ Purchaser: of Purchaser:
H
Co-Purchaser: Co-Purchaser:
a
Seller/Agent: Seller/Agent:
Auction Name (When Applicable): License Number
Selling Dealer's Dealer's Tax Tax
License No. Name No. Collected
W I~ We warrant this title and certify that the vehicle described herein has been transferred on (date) to the following:
Name(s): Address:
z r 1. I hereby certify that to the best of my knowledge the odometer reading
I/We state that the odometer now reads •,~
~ ~(NO TENTHS) •caunoru:
,
READ CAREFULLY refects the amount of mileage in excess of its mechanical limits.
miles, date read and to the best of my knowledge that it reflects the actual BEFORE y0U ^ 2, I hereby certify that the odometer reading is not the actual mileage.
c"ECK A RLOCK
mileage of the vehicle described herein, unless one of the odometer statement blocks is checked.
WARNING -ODOMETER DISCREPANCY.
Signature of Printed Name
~ Purchaser: of Purchaser:
Co-Purchaser Co-Purchaser:
i
0 SeIIeNAyenf: Seller/Agent.
Auction Name (When Applicablep. License Number:
Selling Dealer's Dealer's Tax Taz
License No. Name No. Collected
to the followin
:
i
h
t
f
d
d
t
~
a g
n
as been
rans
erre
on (
a
e)
We warrant this title and certify that the vehicle described here
I
Name(s): Address:
~ ®(NO TENTHS) •cnuno": ~ 1 I hereby certify that to the best of my knowledge the odometer reading
I/We state that the odometer now reads ~
r
READ CAREFULLY reflects the amount of mileage in excess of its mechanical limits.
_ miles. date read and to the best of my knowledge that it reflects the actual BEFORE YOU ^ 2. I hereby certify that the odometer reading is not the actual mileage.
c"ECK A aLOCK
mileage of the vehicle described herein. unless one of the odometer statement blocks is checked,
WARNING-ODOMETER DISCREPANCY.
z Signature of Printed Name
~ Purchaser: of Purchaser:
Co-Purchaser: Co-Purchaser:
Seller!AgenL Seller/Agent:
Auction Name (When Applicable): License Number:
NOTICE: $10.00 PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER RETAIL PURCHASE.
I make application for a ne•.v 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. tf NONE, write NONE1. 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
a ~ I/WE HEREBY CERTIFY THAT THE VEHICLE TO BE TITLED WILL NOT BE OPERATED ON THE PUBLIC HIGHWAYS OF THIS STATE. '.
~ ®(NO TENTHS) •cnurioN: 1. I hereby certify that to the best of my knowledge the odometer reading
I/We state that the odometer now reads ?~
~
r
reflects the amount of mileage in excess of its mechanical limits.
READ CAREFULLY
miles, date read and to the best of my knowledge that it reflects the actual eEFORE you ^ 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. c"ECK A BLOCK WARNING -ODOMETER DISCREPANCY.
^ 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 with "and".
Signature of 1st Purchaser
z (First Name. Middle Initial, Last Name) (Florida Driver License Number) (First Purchaser s Date of Birth, Sex)
0
a Signature of Co-Purchaser
'a (First Name, Middle Initial, Last Name) (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 1st Listed Purchaser)
(City) (State) (Zip)
Sworn to and subscribed before me this _ day of . 19 _.
(Signature of Notary Public -State of Florida)
(Pnnt, Type or Stamp Commissioned Name of Notary Public) (NOTARY STAMP)
Personally Known ~ OR Produced Identification ^ Type of Identification Produced: