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Home My WebLink AboutVehicle_Truck_06/28/2012 A05148 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 � Identification Number Year — Make — 1 Body — WT -L -BHP Vessel Regis. No. -- Title Number � 1 3HAMMAAM9CL615436 2012 INTL TK 11793 109233980 - Registered Owner: Date of Issue 06/28/2012 Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR By 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 Mail To: the certificate of title. 2. Upon sale of this vehicle, the seller must complete VILLAGE OF TEQUESTA the notice of sale on the reverse side of this form. 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 purchaserto title and register the vehicle, mobile home orvessel: http://www.hsmv.state.fl.us/htmi/titlinf.html Identrficatlon Nilmber ---�: Year Make lkrcjy uYI =L BHP Vessel Regis No tale lgmbeir � f I Lien Rzfease . 3i9AMMAAM9CL615436 201 ^� IN TK 1179'3 f 109 X33980 ,' { tntete&t iii the desptfbed vehicle IS hereby felea6ed t Prev Cotor Primary Braed Seggr dart' Brand &q of Use Prey f5sde Date - gy ) State an _ IN WHi 1 {' PRIVATE Tale Odometer Status or Vesset:Manufacturer or ON use: Hull Material Prop Date of Issue. #g 8r Date ta�5 i 511$ MIL 06/28/2012 ACTUAL � 06/2'8/2012 Registered Owner ` VILLAGE OF TEQUESTA 345 TEQUESTA DR - TEQUESTA FL 33469 _ 9 st L.ienhoi'der NONE -. DIVISION OF MOTORIST SERVICES TALLAHASSEE °` < FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES t'4 vE�� i t y 10 zI Control Number 99312 Pl ` Clayton Boyd.Walden Julie L. Jones Director Executive Director �I TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) t Federal and /or stale law regmre that the seller stale: the mtlege,.purehascr's nwne, ,cling price and bale: sold to connection will, We h;ms3er of ownerAip. j77J Failure to complete - or providing afalse st:dcment ni ly result in fines and iu ingn tsonmenl. This title is wannnled to be free train any liens except as noted on the fine of the ce[iificate . and die motor vehicle or vessel ,described lis hereby transferred lo: a ..r Seller Most Enter Purcla— ',Name A[fdl else_ t i �t Seller MUStFnlcr Sullin Inca. Seller Must Enter Date Sold: UWe state that this F ar ❑ h digit Od[11nCh'A' noN' 1 L'a(IS' _ I_I I_ , _I I I.. L: X 1 Ina tenths) miles, date read _ and I hereby: colify dial to the best of my knowledge the odo neler reading: � I. [ fleet, ACTUAL MH E:AGE. 2. is IN EXCESS d (A ITS MECHANICAL LI1 Yrs. 3. is NOT THE ACTUAL MILEAGE. UNDER PENALTIES OF PERJURY, tDECLARE THAT I:HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. � SELLER Most CO-SELLER Most Sign Here;, - — - Slgn Hero; t� R'int Here, _ .. -. - Print -Here' _ - - -- .- -' �3 Selling Deal Lieens.M uber' ea No l.ls Ulllecled: - e r Auction Naine l:,icen lilmiber .9 ff `. PCtRC H:4SER Must COAMRCHASE:R Most Segt Hegel w ,.. .r SiAli.kleee' _ l im t Hua _ NQTIGE: PENALTY t5 REQUIRED BY I A1R! IF NC3fi SUBPoNTTBD FOR TRANSFER WtTH1N 30 PAYS AFTER. DATE C1F Punt HASR xrm 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. 4DA111 TF,f{>;' R"(.IPIC4TYO i. - cfkeal snl; ttttt laws ricl[t xe wtfi au saa[c tln.aiileag<. sn coturceWmii (fh rrut5fer of b�}ngrship, 2duni)o complctz.or pNtrdui£3'fahe - staff den[thR'4 restilim fm2s �2nNor [mpnsonn[ent :. SCIlii gDeslee,s DAIl r Tax TaF : , Collected Selling Dealer ?s Address.:, - :Date Sold: c Purchaser s Natdc(sj _ _ Address 4 L'\VC�:STATE THAT THIS 5 OR fi ➢IGiT ODOMT €TER NOW READS xX (NO NO TENTHS} MILES DATE READ / r , AND I HEREBY CERTIFY THATTO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: > CAUTION: READ CAREFULLI 1� I. REFLECTSACTUAL MILEAGE .❑ 2 fS IN EXC'ES$ OF ITS YtLGHANICAL LIMITS : 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCFSSOFITS MECHANICALLIMITS WARNING - :ODOMETER DISCREPANCY ? CHECK.ABOX APPLIES TO 5 DIGIT ODOMETERS) 2 Purchaser Must Co- Purchaser -Must U `w Sign Here: _ _ Sign Here: m t Print Here: .:. Print Here N a _ Seller /Agent!Must -. Auction Name (When ,Applicatile): _ Sign Here: Print: Here: Auction License Number: Selling Dealer's Selling Dealer's Tax Tax License No.: `lame: No.: Collected: w Selling Dealer's Address: - _ Date Sold: Purchaser's Name(s): -- _ _ Address: G I/WF 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: m CAUTION: READ CAREFULLY ❑ 1.. REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF. ITS - MECHANICAL Lltvfl - :I5 ❑ 3. IS NOT THE ACTUAL MILEAGE. F BEFORE) OU - (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY � CHECKABOX APPLIES TO S DIGITODOMETC-RS) - z Purchaser Muss Co-Purchaser Must Sign Here: ._ _ -- --- — ___. - -- Sign Here: q Print Here: Print Herz: 6 w 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: w Selling Dealer's Address: Date Sold: Purchaser'sName(s): _ .Address: Z F ESTATETHATTHIS -❑ < OR ❑6D1G17.'ODOAtETERNO \V:RE.ADS FE FIX {NOTENT}IS)MILES. DATE READ /_/ ,AND711EREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: r CAUTION: READ CAREFULLY �. L RtrLECTSACTUAL MILEAGE 11 � IS �I N EXCESS OF ITS NIEC.RAMCAL LIMITS . El 3. IS NOT THE ACTUAL- MILEAGE. F .:$EFORF, YOU (EXCCL'SS OF;ITS MECHANICAL, .LIMITS WARNING - ODQMETER.DISCREPANCY ,zCH,CKABOX :); /\:PPLIES 1'O . ,DIGIT ODOMETERS), . Purehaser Must s: .Co•Yurcheser Must : ,Sign Here 7Sign Her - SClletlAg4Pt Most 1u4posr Naing.(VL hen Ap(Yhcabtc) SIga.He e _ • Prsrlt:Herc* ;a .s:. _ .A@crigw Lrs'ense �'srtN7zr M �`` —