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Home My WebLink AboutVehicle_Truck_11/21/2011 A04478 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 Identification Number Year Make — Body — WT -L -BHP Vessel Regis. No. Title Number — 1FTFX1CF2BKD84222 2011 FORD TK 5009 107609668 Registered Owner: Date of Issue 11/21/2011 Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR y TEQUESTA FL 33469 Title Date I14PORTANT 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 Mail To: the certificate of title. � 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: http://www.hsmv.state.fl.uslhtmi/titlinf.htm] ® e Year �a #e Begy WT 1 OHF oi �t X.1 GF26KD84�22i 20� t I ORT3 . TK 50(79 : I 1076096 s8;. lntetegt In the descnbetl veh ele is betgb} reseasod'$ R�imary Brand SaGiiidaty DranifJa Use P eG ESSUe fife gy MNte lVMI $ RRIVATE d Title Xdometer SEatus or Vessel Manufacturer or OH use Hull Matenal Prop Date of (slue — I ' Date 26 MYLES 07131/2011 ACTUAL # 11/121 ?01'i ?0' ° r Regntcred,:Owsler ` VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 Isl . LiciAto:ider NONE _ DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND !MOTOR VEHICLES 3 ` � JI Control Number j 8 'G (/ Sandra C. Lambert Julie L. Jones Director - ..Executive Director. : TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale;) Federal ;md or Flnlrinw lhal the eller date the wile e; put' hp- , :n ante, nellinp pries iuid. dol —old ut - noectioriwilh 111 l in ter ofmvttca�hip. Faihirc to —igdo. of providing t2tal es(alcmonl tnpv iC-11 in tiiou :und o, ugpri gvtg+it, Tlits title -i ok+n;udetl to hettc fm w, ,: lien cxcepi nx. nofe(I on Ibi, face of the arlificalc sail the tuolor veh v i0i, o+ ^ a eel xl embed i, lmdly Wa-,ffi lwl to' SCllor l} lterPot'cho.0 zNnthr' Scllcr Potnl Enter ticlling Itrice' _ _ Shcer:Mml F:nferJ)alc Sold'.. I W—taii, Ihul (Ili, 0.5 or[]fi digit odofiCt -now roads �_�l_� � �,� X_ (no tenth. <) mi4c�, dufc rend_ __ _ ,_; �nirl lhet�eby cet1iYy lh�d Yn the (jcsl nfw}� kno«glcilgo llic odotuclu +en(Iwp, < - 1. retlects zACT1iAL MIILEAGE.. ❑'� i.INF \(;F.SS OF LI'S.MIF,CEIA NI(::V,I IMII'I'S. � :f. i. N(1T "l'HE. \(;I'll; \[;MIILF_\CiE. y = UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE F.QREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SF I t R Xh, 1 Co-SL 1 1 F.F1 M-1 . Sipt H te', ... .. :. Sigh Ho � _ Point H c _ Sc " Dcolt 1416o.eVtu)1I 1i;: No �a ( Ilacici! 1nChnq I lu o Nntn + __ P11RC H4SF R M64 p j1() • 'I ISHIR INua ;,Sy) , i,t[IHaY tutH fi I lO7(G,E,: af~NAt,TY i S tEQUIR D 8Y .1(W N N�1T`O3BMkkTTEO FpR " TRANSFER' ,lifik �.D7 YS Al*T f�JJA?'fa QF �, 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, tear 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. I 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. ODOMETF.RGERTIFICA'I'IOTi • t'edetal a6d lawy reQtnee that yoti�fatq tfte mileLgg m cortcecttbie With u'a08f¢r o$ od:teer5hep i=at'fr(re fp cgmP! @t¢, of p1'ot+id�Pg o�alse st4SC>rtePt utaY 7esit(t to finesdFor tMdsaHWCltf SeUirig Dea {er ' Setgng Dealers Tns Tax Iicet>sevo,. Yame Vo Collected SEWngDeale ?s Address -- :Bate Sold o PutCttaser s.Nattig(sj Address Z I WESTATE THATTHIS 5 OR 6 DIGIT ODOMETER NOW READS (NO`I'ENTHS� MILES, DATE :READ ! "- , AND - I HEREBY CERTIFY THAT TO THE BEST OF MY KNOW LEDGE THE oDOMETER'READfNG. m CAUTION: READ CAREFULLY :� Y REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS::NOT THE ACTUAL MILEAGE F BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY CHECK ABOX APPLIES T0:5 DIGIT ODOMETERS) - - ,7 Purchaser Must Co- Purchaser Must m 'Sign Here: - Sign Here: _ ,e W Print Here: Print Here: F- ti '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: m Selling Dealer's Address: Date Sold: Q C Purchaser's Name(s): - Address: :U IAVE:STATE THAT THIS 5 OR ❑:. 6 DIGIT ODOMETER NOW READS �:j XX (NO TENTHS) MILES, DATE �!_ / , AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY ❑ 1. REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS F 3. IS NOT THE ACTUAL MILEAGE. z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING- ODOMETER DISCREPANCY CHECK ABOX APPLIES TO 5'DIGIT ODOMETERS) U Purchaser Must Co- Purchaser Must �.. Sign Here: Sign Here: Print Here; w a - Print Here: - p �— - Z 0 �. 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: Date Sold: : _ - Selling Dealer's Address: - - ' :0: Purchaser'sName(s): Address: _ 0 1!WE -STATE THAT THIS 5 OR 6 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 L REFLECTS ACTUAL MILEAGE _� 2. IS IN, EXCESS OF ITS MECHANICAL LIMITS El 3 IS NOT THE ACTUAL. MILEAGE. F : BEFORE YOU - (EXCESS OF ITS MECHANICAL LIMITS :WARNING - ODOMETER DISCREPANCY w :CHECK A BCOX :APPLIES TO S, DIGIT ODOMETERS)::- Purchaser M CaPnrchaser b]usl .:. ; Sign Hcre :Sign Here ' C Gi Priat,Here. -: P 1 ITere as I tt SaHetl4geur3J[ust Auchog Yatng f When Applieable},' i ~Itr .Ft�itfT3ere, - Aiacflots Liaetise Nambcr