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Home My WebLink AboutVehicle Title_Car_11/07/2013 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A03837 I� Identification Number Year — Make — Body — WT- L- Vessel Regis. No. Title Number I ' 1C3CDZAG2EN119815 2014 DDOG 4D 3479 1 113305532 J Registered Owner: Date of Issue 11/07/2013 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.uslhtmiltitlinf.html ldentficatiortNprriber Yeat Ma1ce $idy tlU3 [ 8HP `=— Vessel Regis Na.Tdle Number : Lien Release 1 . 6 - 3CDZAG2 E41 0:9 5' 4014 nO DG .. 40 ! 3479 1.:13306532' Interest m the described vehicle is hereby released "! f Color Primary Brant} See urdary Brand loo t>se Ptev Date - g [:PRIVATE _ _ I N. B.LK Title Odometer Statuspr Vessel Manufacturer of OH use bull Material Prop Date of Issue 10 MILES 09/2612013 ACTUAL 11/07/2013 Date Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 I st Lieitholder • NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE � r "` � FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLE'S � w �7. O �! / "control Number 114494507 � Clayton Boyd: Walden Julie L. Jones Director Executive Director • O TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federal and/or state law require that the seller slate the miles, purchaser's name. selling price and date sold in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. This title is warranted to be free from any liens except as noted on the face of the certificate and the motor vehicle or vessel described is hereby transferred to: Seller Must Enter Purchaser's Name: Address: Seller Must Enter Selling Price: Seller Mast Enter Date Sold: L'Westa[r that this 5rr❑6digitodom Vk eternowrU I_ I1_ 1 , I I.I _i .I XI (notenths)miic,dateread and I hereby certify divot to the best of my knowledge the odometer reading: Fj 1. reflects ACTIIAI, MII;F:AGE.. �. 2, s DV EXCF,SS OF ITS MF:(:H,4NTC:AL I,II•,fITS. �. 3. is NOT 7'f: A <,'1'I]AL MII,EAGk;. UNDER PENALTIES OF PERJURY, 1 DECLARE THAT ( HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SELLER Most - GO- SEI:;LE2Mu.1 - ' Sign'Hcrc_ - .. .F6 ntf3ere:. __-... _. .._ .__ .: _ PrigI Here Sell mgDcA r', I'icc cNember ` T-No.' _ -'Cat Collected r_ tdocrtsel4uhtber: St'_ Here M a ` Nt sTtCt? P1 NAI 1 Y 1S ROUIRE SUBMITTED FOR TRANSFER VYE7HIN 9p DAYS AFTU MATE OFPUkCI#ASE WIDE =1111 1 1 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 DLAD 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. ..ODQA�E'TER:CF I4FICATY02! (-Fodut7tl�andxWtO'lawsioqumrt} tat Ytiu start Utd AN sec 6i conyKeftgttwitb ttansferofAw.i}ashtp. Failure fo complete. or p'pvtdmg afalsestafftn mt mb :exult 4n fmcm obd/o7 ttnprisawmettF: ?. Scllittg Dealer ez :: Sektng Dealers Taut ?C9z License Nalate. x� SelliggDcalgr'i<Addross. � DatcSold O Purchasers Nisnie(s) Address 0 I/WE'STATE THAT THIS 5 OR 6 DIGIT ODOMETER NOW READS (NO TENTHS) MILES, DATE READ AND i HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER: READING; Fj CAUTION: READ CAREFULLY 1 REFLECTS ACTUAL MILEAGE 1 IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY CHECK BOX APPLIES TO 5 DIGIT ODOMETERS) Purchaser Must Co-Purchaser Must ti Sign Here: Sign Here: Print Here: Print Here: ..: Serer /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:: r. w Selling Dealer's Address: Date Sold- 0 Purchaser's Name(s): Address: UWE STATE THAT THIS ❑ 5 OR ❑ ,� 6 DIGIT ODOMETER NOW READS � (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 F1 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 1:1 3. IS NOT THE ACTUAL MILEAGE. F� BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) 2 Purchaser Must Co-Purchaser Must Sign Here: Sign Here: n Print Here: — - -- .. Print Here: _ O w Selter /Agent Must Auction Name (When Applicable): f° 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 Purchascr'sName(s): _ _ Address: � f Z IfWE STATE THAT THIS 5 OR G DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ /_ ! AND I HEREBY CERTIFY THAT THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: a m CAUTION: READ CAREFULLY a 1. REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. . F BEFORE YOU (EXCESS .OF MECHANICAL LIMITS WARNING CHECKA.BOX APPLIES. TO S DIGIT ODOMETERS) Purchaser Must Co baser MUS[ ;Sign Hero' '$ign Here: w Pnnl�Here �_ Printljctc SfJkr1Aout Must � .: � � .Aiicban Natge (XVhen Applinb16 S?$I?Ilerc i PXInfII' ere AixeRon.Ltcxri'seNurttber