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Home My WebLink AboutVehicle_Truck_02/16/2011 A06255 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 Identification Number ------ Make Body VVT -L -BHP Vessel Regis. No. T Title Number — FIGNLC2EO4BR2315 29201111111�CHEV� UT 5187 1105844909 Registered Owner: Date of Issue 02/16/201 Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR ey TEQUESTA FL 33469 Title Date IMPORTANT INFORMATION 1. When ownership of the vehicle described herein is transferred, the seller MUST complete in full the Transfer of Title by Seller section at the bottom of the certificate of title. Mail To: 2. Upon sale of this vehicle, the seller must complete ► the notice of sale on the reverse side of this form. VILLAGE OF TEQUESTA 345 TEQUESTA DR 3. Remove your license plate from the vehicle. TEQUESTA FL 33469 -3062 4.. See the web address below for more information and the appropriate forms required for the purchaser to title and register the vehicle, mobile home orvessel: 1 http: /Jvvww.hsmv .state.fl.us /htmi /titlinf.html :1 M19 IIIIII n �� 11 �Ir�r��rl�I�rt n ��r��rrlr��rrrr�l�l� n �l�l� n �l�l� s 1 :9 Mir INANNIPM-Iff .N r ;sierrSltdafliirlNliCber 'Year Nfaka tSody 6H#� besSabf3ens Na r Title Nurrper kteh Re1ea5 84f�tnH GNL 1529 20 t 1 CHEV UT 518 r 105844309 tr terest in me deleted vhl user y` #Lasel! Prev Gofor Primary Branr Seccndanf Brand Prey Issue Gate I}. ` r N . Wt T P T E �f T RIVA - -_ Title ' Tana_ —_ Odometer Status or Vessel Manufacturer or OH use Huli l.':aterlal — Prop Dater.` Issue — Date 10 MILES 01/28/2011 ACTUAL 0 RegiSlercd 0WACr VILLAGE OF TEQUESTA 345 TEQUESTA DR _ TEQUESTA FL 33469 l sf' l ,lei ll oldcr D NONE 0 D >DIVISION OF MOTOR VEHICLES TALLAHASSEE y FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES fa s Control Number 1 - Carl A Ford - - Jute L Jones 2 Director Executive Director TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale) FaKlet:d :mrVor sL�lc hnv r eyw Ih tbthisell Ile the nil p •; puarohr mite Ili g I r is d date old in — --hip, 1,ilu e i c plete or pn viahn ; +a I lateafanl nm It m hr e� und. uni a uiameni - 11tia title i d;m anledia be fi ee 1 ion auu lien except a� noted vii the face of the Wriificciic end ilte molar vehicle ---1 &—ibcd iv hereby 1 .ur 1en aA [a ' is Addr - , . Seller Must Enlu lin Qia..0 >�l'nue: - .. Seller Mint Lutes Tl:dc Sold Seller Musl�f+a ter Scll i itt; 1 - £ e I a, V.rte that lhi �.S or, [j 6 digit rdmuclu n reads �_� �_� � � ,.�_� �� ,� - X � (no tenlh voles, d@te read and i kerpby c rtdy that ft, the beW of nry lum1tiiedge. dte odonieler awding: 1. , oilett, At n �1'It AI 1,Fn,FA(+, 2- i+ IN h.\Cb'SS 01- ITS NIVC,HANI(;_ L ILMP1'S ❑; 3. i VCITTHF ACTUAL I4fIT.L.I ik, UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. c Jc uSEf •I.1^:R Nhtg< Si?,ai Hcre Sign Here' .. _. i P, autHcre•.. , nt HCre - n2 " t :Sell nit l }e'dcrvl tcmr,eNwnber' I iz'Vu I'n,. (.nilcciul. �. Auction.Namc _ I,o<en v +a wbei F: '1l n H e n YtU - L n, "'.:,� 'ate:., •.:,, a, wp 9 �a ° i�r:�' 1' .d° 6 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES 2900 Apalachee Parkway • Neil Kirkman Building - Tallahassee, FL 32399 -0620 Notice of Sale of Motor Vehicle, Mobile Home or Vessel Section 319.22(2), Florida Statutes, requires that the seller file a Notice of Sale with the department within 30 days after the sale or transfer of the motor vehicle, vessel or mobile home. Filing this form removes any civil liability for the operation of the sold motor vehicle, vessel or mobile home. In addition to filing this form, we suggest you keep a copy of your bill of sale (we suggest it be notarized), certificate of title or other type of transaction document showing the vehicle was sold. Complete the information below, tsar the top portion of this document at the perforation and mail to the address above or submit to your local tax collector's office or license plate agency. have this day of transferred by assignment of and delivered Florida Certificate of Title to: Name: Purchaser(s) Purchaser's DL/ID First MI Last Address Selling Price $ UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Seller's Signature Co- Seller's Signature NOTE: THE SUBMISSION OF THIS FORM, ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS "SOLD ". HOWEVER, THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE. .onomE7 i ATiFICAIYON .federal and sfate Iaxus. rcYltrnsi'that ypu state the ml[eagg ` . Selling Dealer's; Sehing Dealer s ."{a, Tex, LicenseNo. :" _ -- Vainer. — :N`q.: _ ColleMed Selling Dealer's Address::- Date Sold: a Q Purehaser's.Name(s): I/WESTATE THAT THIS ❑ S UR - ❑ h DIGIT ODOMETER NOW READS (NOTENTHSy MILES, DATE READ / 1 AND I IIERLBY w CERTIFY THAT TO THE BEST OF'MY KNOWt EDGE, 1 HE ODOMETER 'READING'. ' m CAUTION: READ CAREFULLY t REFLECTS ACTUAL NULEAGE 0 2 IS IN EXCESS OF ITS MECHANICAL LIMITS S. IS NOT THE ACTUALMILEAGR., BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY Z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) w Purchaser Must Ca- Purchaser Most Sign Here: — _ --_ Sign Here: - __ - -- Print Here. Print Here: Seller /Agent Must Auction Name (When Applicable): - Sign Here: -- - -- Print Here: Auction License Number. Selling Dealer's Selling Dealer's Tax Tax ' License No.: Name: No.: 'Collected: ,e Selling Dealer's Address: _ _. -- _ Date Sold: m , n Purchaser's Name(s): Address: O' Z I/WE STATE THAT THIS 5 OR (DIGIT ODOMETER NOW READS �� . ; XX (NO TENTHS) MILES, DATE READ AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING- > CAUTION: READ CAREFULLY ❑ I: REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Purchaser Must Co- Purchaser Must Sign Here: Sign Here: p Print Here: Print Here: Z — —- Seller /Agent Must Auction Name (When Applicable):__ Sign Here: - — Print Here: Auction License Number. Selling Dealer's Selling Dealer's Tax Tax License No.: Name: No.: 'Collected: x Selling Dealer's Address: Date. Sold: 0 Purchaser's Name(s): J Address: i /WE STATE THAT THIS ❑ 5 OR 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ / / ,AND 1 HEREBY , CERTIFY THAT TO THE BEST Of MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY L REFLECTS ACTUAL, MILEAGE; � 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NOT THE ACTUAL MILEAGE, BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING: ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETER$) - .: .. Purchaser :Must CaParchBSer Must . : Sign Here, SigA.Here : :..._____ Gt Print Here Q _ _ _ -: Print Here :� — - E ..SalleoiAgent Must :`: Auctiou Name (Wben�Appbeable}:': : Sigh Here..: �It= Prnk Ele e —T Puctst*nLI en e latnbewia.