HomeMy WebLinkAboutVehicle Title_Boat_05/08/2013 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 T# 753874213 B# 470020
Identification Number ---- -Year - - -- Make— Body T WT -L -BHP Vessel Regis. No. Title Number
WELE0901M83B300 1983 WEL VS 30' 111175395
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Re Owner: Date of Issue 05/08/2013 Lien Release
Interest in the described vehicle is hereby released
TEQUESTA POLICE DEPARTMENT By
357 TEQUESTA DRIVE
TEQUESTA, FL 33469 Date
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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
TEQUESTA POLICE DEPARTMENT the notice of sale on the reverse side of this form.
357 TEQUESTA DRIVE 3. Remove your license plate from the vehicle.
4. See the web address below for more information and
TEQUESTA, FL 33469 the appropriate forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
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http:// www. hsmv .state.fl . us /htmVtitlinf . htlnl a,c�
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' Idenbficatlort Number year Makft -Body WT L -BHP Vessel Regis Title Number �-
WELE0909.M83B300 j 1983 WXL � �S 30 f 111753997 Lien Release
( d vehicle Is hereby released t
Interest in the describe
ry Brand Seconda
F rev Color Prima T - No of use Issucbate By
%
ry Brand _ , —
Stafe : Brands L
SP VESSEL c
Title
Odometer Status or Vessel Manufacturer or OH use - ---7- Hull Material -- Prop -. � Date of Issue
WELLCRAFT MARINE CORP !FBGLSS OUTBRD 05/08/2013 Date
Reelisicied Owner M
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
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1st Lienholder
NONE
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DIVISION OF MOTORIST SERVICES TALLAHASSEE Fix. FLORIDA
.� t t DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Boyd Walden
094692202
Julie L Jones
u Director Control Number Executive Director
42 /3 94692202 rte.
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal arid
- fate law rz 9 ut that Cite elle, state nun re I n h i " s nan" p,i z s
nd d.¢c Id m n t
<enon w tr
with the ans(tr of ownzrship.
Failme fc ec,nplete o, fa 'idm of dye t umnent mt t ie alt hnz: nd /u ,mµs ,mot :_
Thietitle is ve rant, d tote free -from a t} lier —xcept as noted oa the face of the eerht cate aad the motor vehicle or teem described is hcn•by as xteued to.
Seller Must Enter Purcha. 'SNance:_ Add,:____
Sell -Must Ent c Selling Pt Selle Masi Lt . i Date Sol,]: Sad
]AVe state that this 0 5 o E 6digd odo, er,, note.reado�._f— i��- _f_;i_,i_X_i (no:t,,ah,i niks, date - gad and I hereby T
ce,tifi [],at totheLe t of,ay knowledge theodomeie r,ading: �
Fj 1. reflect, ACTUAL MILEAGE. � 2. is IN EXCESS OF IFS MECHANICAL LIMITS. D 3. is NOT HE ACTUAL MILEAGE.
F
UNDER PENALTIES OF PERJURY, IDECLARE THAT1 HAVE READ THE FOREGOING DOCUMENT AND THE FACTS STATED IN IT ARE TRUE.
SELLER Must CO SELLER Must
Sign here: S n l Icre: _
Print Herzt__._ .Print Hzre'.
Sell ,g Deal -, License Number: Tai 'raz Cbllectz <l:
Amnon Name Lie,a � Naunbo,
•i
Pi RCHAS
CO ER M. t Pt RC H aSER Milst
:Sign Here: ;..
`sign Here.
Print He,,: P tut flat -
NOTICE: P�NALTYJS'Al! QUI46E Y LALYIF NFJT SiiBA11TTED POR:TFiANSFER.WTHIN 30 DAB'S AFTEIRDATEOF PURCHASE.:
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
Neil Kirkman Building - Tallahassee, FL 32399 -0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
Section 319.22(2), Florida Statutes, provides that by filing this form, you can avoid 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) 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.
L]DO;wt>yTE,R C6RTIPICA7'[O`"'' - l:ed¢mi attd:5tate lawgrityun�, that ypo State th¢i[mga rh [SOnilCttteh ay3ttttrattster o$otivtterglup ,FBthlre to cotrtplete: or ptovldmg a fake:51atz4t�at rh2y t'esulf rn fiaEb3nd/br [fnpristAiWegt _
- - SOiqg Dealers ,: SeNtdg De81or'3 Ta ;' ` - %,Ta7
`lame .: >. .'. .:?' No . :'£ollected
W .
o� Se Dealor7s Address; 'Date Sold
O Purchaser's kvathe(s): _ Address:
I/WE:STATE THAT THIS 5 OR ❑ 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _ _! - -: AND I HEREBY
m CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: '
v:
? IS IN EXCESS OF ITS MECHANICAL `� 3 IS NOT THE ACTUAL MILEAGE.
r CAY3TION; READ CAREFULLY : L REFLECTS ACTUAL MILEAGE E] - -
BEFORE, YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER = DISCREPANCY
w CHECK A BOX APPLIES TO DIGIT ODOMETERS)
n
Purchaser Must Co- Purchaser Must
n :Sign Here: _ Sign Here: _
Print Here: .� Print: Here:
x
� - 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: i No.: Collected.
u Selling Dealer's Address: _ Date Sold:
4 Purchaser's Name(s): _ Address:
p
N
Z 'UWE STATE THAT THIS E-1 5 OR ❑. 6 DIGIT ODOMETER NOR' READS � � XX (NO TENTHS) MILES, DATERE 4D J i , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
..1
'.CAUTION: READ CAREFULLY ❑ 1. 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-
- CHECKABOX APPLIES TO 5 DIGIT ODOMETERS) -
Purchaser Must, Co- Purchaser Must
Sign Here: _ Sign Here:
p Print Here: Print Here:
z
0
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: f ______
m Selling Dealer's Address: Date Sold:
a
O Purchaser's Name(s): _ Address:
A
z - UWE STATE THAT THIS ❑ 5 OR ❑:6 DIGIT ODOMETER NOW READS � : F XX (NO TENTHS) MILES, DATE READ _ / ! , AND F HERESY
U CERTIFY TFIAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER .READING.. :
:J
>- CAUTION: READ CAREFULLY ❑_ I. REFLECTS ACTUAL MILEACrE F IS IN EXCESS OF ITS MECI IANICAL LIMITS 3 IS NOT THE ACTCAL MILEAGE,
m BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS NVARNENG - ODOMBT,ERDISCREPANCY
Z
„ CHECK A SOX APPLIES TO 5 DIGIT ODOMETERS)
Z
Purchaser Co- Purchaser Must
y. . Sign Het: - ., t :Sign Here.
G
Print Eae: P.rtni Her ,
Au .S.e..lkrlAgent. Must cltoA `tame (When Apphcable)t.
��� PaREHere . -' .AuStWO Lpzrise'Vumber'
CNTY# AGY# SUB# RPT# aFT= IN 1I III T#
wffn 6 88278
42 3 CPT 3610 - _ 753874213
STATE OF FLORIDA B# 470020
AUDIT # 94692202 _ APPLICATION FOR VEHICLENESSEL S# 16159221
COO {yE
CERTIFICATE OF TITLE
TITLE NUMBER VEHICLEIVESSEL IDENTIFICATION # YR. MAKE MANU A MAKE or BOODY VEHICLE COLOR WT /LENGTH GVW /LOC YPE
111753997 WELE0901M8313300 1983 WEL VS m 30'
DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH
MO. DAY YEAR CODE MATERIAL TYPE DESTRUCTION
--T OS 08 13 OUT [ VESSEL I FBGLSS OUTBRD GAS OPEN
BIRTHDATE RESIDENT CNTY
SEX MO. DAY YEAR Y N ALIEN RES.#
Applicant/Owner's Name & Address
TEQUESTA POLICE DEPARTMENT F TFI [ 42
357 TEQUESTA DRIVE
TEQUESTA, FL 33469 1st OWNER FUDL# OR 2nd OWNER FUDL# OR
F.E.I. D.# UNIT #
VOLUNTARY CONTRIBUTIONS
AGENCY TITLE FEE SALES TAX GRAND TOTAL
FEE
6.75 8.00 0.00 14.75
Action Requested: ORIG USED TITLE Brands:
PREV. STATE DATE ACQUIRED NEW USED ODOMETER / VESSEL MANUFACTURER ODOMETER
DECLARATION
CERTIFICATION
SP 05/08/2013 XX WELLCRAFT MARINE CORP ❑
LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DL AND SEX AND DATE OF BIRTH DMV ACCOUNT #
NAME OF FIRST LIENHOLDER:
ADDRESS SALVAGETYPE
SELLER INFORMATION
NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER
ADDRESS
DEALER LICENSE NO.
CONSUMER OR SALES TAX EXEMPTION #
SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $
UNPAID BALANCE DUE SELLER, BANK OR OTHERS
TRANSFER OF TITLE ❑ PURCHASER HOLDS VALID
IS EXEMPT FROM EXEMPTION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00
FLORIDA SALES OR ❑ VEHICLE / VESSEL WILL BE 212, FLORIDA STATUTES
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
REASON(S) CHECKED ® OTHER OTHER ❑ SELLING PRICE VERIFIED
APPLICANT CERTIFICATION
UWE HEREBY CERTIFY THAT THE VEHICLEIVESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYS/WATERWAYS OF THIS STATE.
I CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED.
I CERTIFY THAT THIS MOTOR VEHICLEfVESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION.
IAVE HEREBY CERTIFY THAT I/WE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLEfVESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN
EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLEfVESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. WVE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLAIMS.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Signature of Applicant/Owner Signature of Applicant/Co-Owner
HSMV 82041 REVISED 02/06 SCAN CODE MVT
•
The United states Government •
Certificate to Obtain Title to a Vehicle" •
(Must Be Machine Prepared. See Instructions on reverse.) ❑ Duplicate If Checked
he undersigned Department or Agency of the United States Government certifies that the vehicle •
lescribed herein, the property of the United States Government, has been transferred this 6 day of
Ma y 20 - 1 - 3 , to the Transferee designated herein; and that this is the first transfer of such
fehicle in ordinary trade and commerce subsequent to acquisition thereof by the United States ;
x"overnment.
Vehicle Identification No. Certificate No. _ _ •
WELE9901M83B --300
year Make of Vehicle Series or Model Body Style
1983 Wellcraft Scarab CC •
Faaei No. of Cylinders Weight (Shippin) Purchase Price 0
GVWR
w Gas 2 985 2985 — ._.__— ____._� •
Transferor(Aoo_ mble office, i.e., depeAment or agency, subunit and address, ZIP Code) Transferee (Name of dealer, Individual, etc. and address including ZIP Code)
Hoine:i ^i.d Security Investigations Tequesta Police Department i •
SAC - Miami 357 Tequesta Drive j
11226 N 20th Street Tequesta, FL 33469 l
Miami, FL 33172
•
Date of Statement ���_.— __....._�_�._�__�_____�._ •
Odometer Disclosure Statement Ma 1, 2013
, ederal Law (and State law, if applicable) requires that you state the mileage upon transfer of ownership, failure •
ra complete or providing a false statement may result in fines and /or imprisonment.
I. Homeland Security Investigations that
Transferor's Name (Seller)
h odometer now reads igo (Fort engine hour and 200 miles and to the j
Odometer Reading (No Tenths)
oest of my knowledge that it reflects the actual mileage of the vehicle described above, unless one of the following
r
tatements is checked.
{�(1) 1 hereby certify that to the best of my knowledge the odometer reading reflects the
amount of mileage In excess of Its mechanical limits.
(2) 1 hereby certify that the odometer reading is not the actual mileage:
WARNING - ODOMETER DISCREPANCY.
transferor's Signatur Seller) Printed Name -(Not Tyyed) and Title Date
C �' j, Lys, o2'e /i
rransferee's Si ature (Buyer) Printed r arrte (Not yp�dj�nd Title j' Date
.--LL /� � `"rte l r
D 13 3 2 0 D STANDARD FOR FR 1 (Rev. 03-3
A ALTERATION OR ERASURE Prescribed by GSA FP<•nR (45 CFR) 107.45 303 -3 •
VOIDS THIS CE RTIFICATE Previous Edition Not Useable NSN 7540-00-634-4047 0 ;
VILLAGE OF TEQUESTA
May 8, 2013
Martin County Tax Collector
Division of Motor Vehicles
Attn: Ruth Pietruszewski, CFC
11734 SE Federal Hwy
Hobe Sound, FL 33455
To whom it may concern,
hereby authorize Sgt. Max Lally, of the Tequesta Police Department, to sign on
behalf of the Village of Tequesta in order to obtain title to the recently confiscated
boat.
Please feel free to contact my office at 561- 768 -0463 should you have any
questions.
Sincerely,
Michael Couzzo
Village Manager
pGE
Attest: ORPO:� =�
! is �
m :cn^
Lori McWilliams, MIV��`�
Village Clerk FD .
"'•., O;c . 195
+a,, n neteeN
345 Tequesta Dr., Tequesta, FL 33469
561- 768 -0440 Fax: 561- 768 -0697
www.tequesta.org
MEMORY TRANSMISSION REPORT
TIME :05 -08 -2013 15:11
FAX NO.1 :5617680697
NAME
FILE NO. 555
DATE 05.08 15:10
TO 97725467360
DOCUMENT PAGES 2
START TIME 05.08 15:10
END TIME 05.08 15:11
PAGES SENT 2
STATUS OK
** *SUCCESSFUL TX NOTICE * **
Village of Tr�quktis #a
Vlllagg GlOrk'a 0111,00
345 Tequc-eata brie®
T ®questa. FL 33469
567- 766 -0440
Tbr C1MV Wro— Lori McWllllams
IF-Vt 772 - 546 -7360 Parise 2
Phono: Ep-tee 5/8/2073
Roe ,0 ,0r
O "Wu- ft D Por Rovlow D ploasa Roply 10 par Your Roquost
FOR SGT. MAX LALLY
39GTBCII,ES{ka R.Taquesta, FL 339W
667 7860140 FC»C66f �OB9'!
vuwWta9.2slcior5l
T
.te Village of Tequesta
Village Clerk's Office
345 Tequesta Drive
Tequesta, FL 33469
561 - 768 -0440
r
To: DMV F r o m: Lori McWilliams
Fax: 772 -546 -7360 Pages: 2
Phone: Date: 5/8/2013
Re: CC:
❑ Urgent ❑ For Review ❑ Please Reply a Per Your Request
FOR SGT. MAX LALLY
345TequesIaDr.,Teq.jes4 R- 33469
5617680440 Fax 5617680697
www. org