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Home My WebLink AboutVehicle_Truck_08/21/2012 A05098 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 I Identification Number Year — 1 Make —Body F WT -L -BHP Vessel Regis. No. Title Number — r 1 12012 FORD TK 5009 109621047 M � Pi ' 1FTFXICFOCFC37049 Registered Owner: Date of Issue 08/21/2012 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 purchaser to title and register the vehicle, mobile home orvessel: http://www.hsmv.state.fl.us/htmi/titlinf.html �( , ! .� r r � t, 1 r •r,.�3lr it i 1 � y''�'�IOIiS'if < < 0 - '�''>. 5 Itlenhficattorr Number YeSt Males Bady WT L BHP V essel Regis No Title. mber ' 1 1 � I ten ReleasC i. 1 FTFX 1 CFOC C37fl4 0) 2 QR[3 TK I 5009 # 109621047 Interest n the described vehlefe 15 hereby r. age8 Prev I Color Prlrnaty Brand I Secondary Brand �— lo o Use Prev Issue Date' ` gy sNte 1'WHI I ran s RIVATE 1 Title Odometer status" or Vessel Manufacturer or*OH use Hull Material Prop Date of Issue 25 MILES 07/17/2012 AC 1 108/21/2012 Date Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 ] m .Lieuholder ®' NONE 0 DIVISION OF MOTORIST SERVICES TALLAHASSEE ra > FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES �_ ' ZLJT - tml Number h 6 M. y. 10 89554 U Clayton Boyd Walden Julie L. Jones ® Director Executive Director TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federid andf.r . aide h —re u gn e: that lire seller slal¢Iheao&gc, purchaser ", mm�e, selling priceand[tole Sold in Conn ection eviili the 1, anstr' in o aerslri1i. -.�. F'ailtrrc In complete or providing a false ,laternent may result iu floes and /or impri. —ounl. '11iis title. i., —noted to be free G-am any lien, cscept ie n�ted onihe face ofthe certificate and theinotor vehicle or ve =sel described is hereby a:uoiletred:to: t�' Seller Musl Enter Paarchascr 'sNmne: Ad[Iress: ' Seller Most F.nlcr Selli tag Price: - Seller Must Enter Date Sold: j I /we slate that flik F] 5 orF] 6 digit m odoetern —rends 1_1 =1 1,1_11 I x I (no lmtlh,) miles, date read and I:hereby ceaiify that to the be.l ofnry kn um owie(Ige the ododer,coding: -� ❑ L reflects ACTUAL MILEAGE. F 2. is IN EXCESS OF ITS MECHANICAL LIMITS. D 3. i, NOT THE ACRIAL M[LEAGE. _ G UNDER PENALTIES OF PERJURY „I DECLARETHAT IHAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN ] IT ARE TRUE. MIA e SELLER MI CO- SELLER Nfwl Sign Here: .. Sign Here' Print Hcrc• .: PrintHete - : Scllutgt2calet LjecnSeNunlber•, - . _ 'F'axNo 'CwY {ollected: 3`lturiC' nse duchOR ;. _ . Ntnliber: a HASERMu�t ".' ..: CCl�71ftR[;H.4Sfiti'Nhas ; PURC t ' Sign Here: �1 �7npt HG'e: Pelnl H rc iIOTIGE PENALI S 19 t2QUIRtlllt IFt1[1X 541HM1T3ED FOR TRlINSFER 1N1TN11N 3Q RAYS AFTER [1ATE qE P14`RE... 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. � e � a } ceded( and. state taws iequ,seihat vQU Siate the mileage>t}4vnRW�ton\vlill trat�ibF JSnt�nats�tpt lo�pnf e7e pra�Fd '. _� tp§:res tII!fua 5udrpr - r ;,; r SetlmgDenlgrs, >: Selltbg Depler s . T9Y Tax i*e .. :' 1'Vu ° j `Collected SellfpgDealer's Address Pate 5otd n. Purefiaset''s Neme (s). Add y ]AVE STATE THAT THIS ❑ 5 OR � 6 DIGIT ODOMETER NQN READS � , 1� � (NO TENTHS) MILES DA E ?READ _, AND I HEREBY . CERTIFY THAT.10 THE BE5TOF MY KNOWLEDGE THE ODOMETER- READING, > m CAUTION: READ CAREFULLY ❑. 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICALLIMITS ._ E] 11s'NOT THE ACTUAL MILEAGE. F BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - rODOMETER DISCREPANCY:' - CIiECKA:BOX APPLIESTOSDIGITODOMETERS) - -' f '. Purchaser Must Co- Purchaser Must - Y, .Sign Here: _ Sign Here; 5 :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: Selling Dealer's Address: Date Sold: O Purchaser's Name(s): Address:. n ti � i - 1 /WE.STATE THAT THIS [ 5 OR ❑ 6 DIGIT ODOMETER NOW READS L.1:rJ.._- . XX (NO TENTHS). MILES, DATE READ _ I 1 ,AND 1 HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING c CAUTION: READ CAREFULLY ❑ L REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING- ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) z Purchaser Must Co- Purchaser Must 'A Sign Here: Sign Here: n Print Here: Print Here: -_ - z 0 U . Sieller/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: Selling Dealer's Address: :Date Sold: -°-' ' Purchasers Name(s): - Address: n — 0 z 1?WESTATE THAT THIS ❑- 5 OR ❑ 6 DIGIT ODOMETER NOW READS F 1 4 ' I X] (NO TENTHS) MILES, DATEREAD i _ / , AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: ZI > CAUTION: READ CAREFULLY L REFLECTS ACTUAL MILEAGE ;❑ 2. IS IN EXCESS OF ITS MECHANICAL. LIMITS 3. IS NOT THL ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCRE.P.4NCY w :CHECK A$OX :APPLIES TO 5 DIGIT ODOMETERS) z : . Purchaser Must . Co- Purchaser Must ;Sign Here:- - ' "Sign Here:: `X PrirtYHCre` ..Print. Here: _ t- sew Nan ::.. . i1ue40R Name (t\ hen ARVllcabTe) C, ; .#'PRfiF#rre n .AUcbun.LlY.eixsa^` ' Y `� `w "`:; Mr -iL f