HomeMy WebLinkAboutVehicle Title_Truck_11/07/2013 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A05150
I� Identification Number Year — Make — Body — WT -L -BHP Vessel Regis. No. — Title Number — I
1S9A1HND5D1003124 2013 SUTP FT 29080 113513195
Registered Owner: Date of Issue 12/02/2013
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.f1. us /htm [/tit[ i nf. htm I
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ItltlDtifiCatron Nutter• ..Year II Ntake Bbri�+ i(%FT _L 13FIP VesstlRBgk Nd 'T'd18'Number ''``''tt
> C I I Lien Release
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SO 00. i124 2013 SEITP FT 2908►. 113513195.: lateresfin the described vehicle is hereby teledsed
Prev Color — primary Brand Seconiary grand = Erandfe else Prey {slue Date m.
' State
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k
N GRN PRIVATE.f Title
Status of Vessel Manufacturer or OH use Hull Mate Prop Date of Issue
I _ 12/02/2013 I Date
338 MILES 10/21/2013' ACTUAL
Registered Owner
VILLAGE OF TEQUESTA
345 TEQUESTA DR
TEQUESTA FL 33469
I st: Llenholdet
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DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTORVEHICLES
/ Control Number 114365765
Clayton Boyd Walden Julie L. Jones
Director Executive Director
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.)
Federal and /or state lawrequire that the seller slatethe milege, purchaser's name, sellingprice and date soldin connection with the transfer of ownership.
Failure to complete or providing afalse skdemeatmay result in tines and /or imprisonment.
This title is warranted to be free from any liens —Tfa, rioted on the face of the certificate and the motor vehicle or vessel described is hereby tr sferred to:
Seller Most Enter Purchaser'sName_ Address-
-- – -- -- --- - -----
Seller Must Enter Selling Price:__ - Seller Most Enter bate Sold:
1 1we stall: that this F 5 or F 6 odometer now reads i , I_I I II f X I (no tegths) miles, date read _ _ _ and Thereby certify than to the best of my knowledge the odometer reading:
1. reflects ACTUAL NUEAGF El 2:. is IN EXCESS; OF ITS MBCHAMCAL LIMl'1•S. _ 3. 1s NOT TH E At TUAL MILFAGE.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
SEtd.ER Must CO- SELI:EIt Mnst
Sign H
ere,:
going Dca oes Lrct7iscNrnnher: . Tac37a Tox Collected::
LlCerrs¢Narliber
.. I112CR.ES.SFJ3 Must - Ct>•:•PUFS;CHASEIt:Must
t0 Eiw • PENALTI';IS REtXUIRED $� iANf 1F NO$UB(dITTEO FtlR T1ANSFER {kkTWRQ gR DAYS AFtJ R DATE f,F PiFRtHASE
Via.. y. d�2.. "w'K'f L :W .. F�. .' :. .: ..;:.. .•.:. .., •�'...."..w ro: ^3 ?u... w^... atrr:'.
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.
Y I. CE3t' PFFiCATION- 1Brtd,jnd:srQiaawsng6tro:tilat you slate C th wilpage irf cun49snva *sut.naoefekot' pw{jcrskaPFalure to tomplcic or prov�Cing a Calseata(el'yepi h sesidtt8�,finey .. of nn z �ht i.
$e)apgDeate>•'s • < ' Selling Dealer's Tax Tpx
d S °Wtig Dealort� Address DateB°I�
Purcliasee's Naaie(s) Address
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I/WE STATE THAT THIS F] 5 OR ] 6 DIGIT ODOMETER NOW READS .a (NO TENTHS)' MILES, DATE READ / / :, AND i HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE CfDOMETER'READIIJG .
m CAUTION: READ CAREFULLY �❑ 1. 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 A BOX APPLIES TO 5 DIGIT ODOMETERS)
Purchaser Must Co-Purchaser Must
Sign Here: Sign Here:
rr
Print Here: Print Here:
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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:
w
0 Purchaser's Name(s): Address:
A
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:
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
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
Purchaser Must Co-Purchaser Must
Sign Here: Sign Here:
n�.
m Print Here: Print Here:
0
O
N 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:
A Purchaser's Name(s): Address:
q
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z UWE STATE THAT THIS ❑ 5 OR 6 DIGIT ODOMETER NOW READS ;: rXX (NO TENTHS) MILES, DATE READ _ /� / -: , AND I HEREBY
v CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
CAUTION: READ CAREFULLY 1, 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
w
CHBCKABOX APPLIES TO 5 DIGIT ODOMETERS) _
Purchaser Must Co-Purchaser Must
:Sign Acre" -Sign Here:
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oil Name, (When
Applicable)
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