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HomeMy WebLinkAboutVehicle Title_Car_12/18/2013 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04179 Identification Number Year — Make — Body — WT -L -BHP Vessel Regis. No. Title Number — r i - 1� �� � 11FADP3F2XEL231121 2014 FORD 4D 2867 113899800 1 t � Registered Owner: Date of Issue 01/14/2014 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 registerthe vehicle, mobile home orvessel: http://Www.hsmv.state.fl.us/html/titlinf.htm I NINE!! Ii i tfADP3F2XEL231t21 2014 FdRDII 28 8ti $8(i1gtefi&Isstr4bSrtIGaec{ s P : Color Prim ary Brand.* Secntirtary Brand L� L1s¢ Rev IsSUe 1 Hra s ✓ I N I WH 1 : ;PRI ATE Odometer Status or Vessel Manufacturer: or OH u6e }lull Motpnal Prop bate,of tssag 15 MILES 12 /1$.J2Q13''AGTUAL �Qt /14/2Qt4 Date Registered Owner £ VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 1 st Lienholder ®` NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA :.DEPARTMENT OF H4NA.Y SAFETY At�tD'A@OTORVERICLES i � 6/-9 �Con tml Number 1 31 04 7 . 7 .V Clayton Boyd Walden Julie L. Jones Director �.ExecutNe pire0tor TRANSFER OF TITLE BY SELLER (This section must be'cornpleted at the time`of sale) ` Federal andlor state law require that the seller state the milege.p*1i ser's itame, ,mlingprice and date sold in connection Withthe transfer of ownership; _ Failure to complete orproviding it tidse statitne6i mny:result in fints�and7or.imprisopmenk •Ibis title is wan anted to be free faun any liens except a, noted ou the fwe df thecci icaie mdlbehiotor vchielc or vessel descri6M is hereby transtGrcil to; Seller Most Enter Pwchaser'sNamc:_ _--.. ... Address;_._ � Seller Most Enter Selling Price ___ -- - - - - -- SelFsr Mtust F,.ntcr Dade Sold •�.��,._.. :� L'We state that this ❑ 5 dr ❑ 6 digit odometer now reads I_ _4i_ , _I (1 -l ..I )f I (no tcotln) miles,'dute read _ f ind I hereby ccrhly drat to the best :of my knowledge the odometer reading 1. reflect AC'T'UAL MII.EA(3F,. 2. is IN EXCESS OF T7S Iv1F.CHAMCAL LIINI'I'S. 3:::ts NOT 3'HE AC'TT MII.'EAGE. UNDER PENALTIES OF PERJURY, t DECLARE THAT I HAVE READ THE FOREGOING:DOCUMENT. AND THA3.THE FACTS STATkD IN IT ARE:TRUE. SF..L VR Musl (X)•f.>'ELLER rirtusl S'tgnAere' - -- - -- - -- -- - '-- St' . ns c g " - Print Here: Sell ing Healer's lecenseNmnbcr Tax-N6 ,Tak Celltxde$ Auction,Name - LicenawN nber t PURCHASER Must tl NUILC,liA4FR yY -.°b- " ' PnnC Hen: : � ):'rantHelk •.;-� - �^'sX -�` 5 "Y e o =`.�,� �<+."�.,�;�.. y ' � ✓ ^:, c. rr4'�,^...''�F""�'' a , ^c' _ ;. NDTJGE PSNALTY RS6tUIRSD 8Y 4A�A! IF �fE?7 SUBtA1T � a � ; €t' -- 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. EicR.nse N 1 '` rr. tt a y, � . 'Gatleeted 4 a : SeWnRDeale�Me Add re�s. ': DateS6ld fl - P4YChasersNa�te(sr :.: :` AddrEss U I/WE STA? E THAI THLS 5 Olz b DIGIT bDO1NETE. NOW READS (IVO,1 ENTf3S) JvLILE$, DOT! READ Ai4D HERESY CERTIFYTHA TOTHE& ESTOPMYKNOWLFDGE THEODOMETERREAD_0' m CAUTION CAItIrFULG'Y 1 - REFLECTS F;CTUAL Mli.$AGE 2 :IS;I(al EXCESS OF ITS MELCIANICAC LIMITS 3 3S NOT THE:ACTIIAI MILEAGE F , . BEFOR;E'YOU (EXCESS 17F ITS MECHANICAL LIMITS WARNING � ODOMETER DISCREPANCY CHECK A, BOX APPLIES TO 5 DIGIT ODOMETERS) V Purchaser Must Co- Purchaser Must m SigaHcre: Sign Here: �a Print Here: 'Prim Here: w' Seller /Agent Must Auction Name (WbeuAppllcahle); Sign Here: Print Here: . Auction License Number: SelUug Dealer's Selling Dealer's Tax: ,.: ',rax License No.: ". Na he- N": ' Collected: m Selling Dealer's Address: Date Sold: d .. . . C3 Parcbsser'sName(s)t ::;;; ":::: .: 'Address: I /WE STATE THAT THIS 5 OR DIGIT:ODOMETER N0W READ . r'� 6 S y , a (No TENTHS) MILES, DATE READ /_ / , AND I HEREBY EM .. :..: ..: .. CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING.: CAUTION READ CAREFULLY ©1 REFLECTS ACTI7AL MILEAGE 2. IS IN $XCESS.OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - :ODOMETER DISCREPANCY i CHECK A 80X APPLIES TO 5 DIGIT ODOMETERS) Z t? Purchaser Must CO-Purchaser Must Q, . Sip Here: .,Sign. 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