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Home My WebLink AboutVehicle Title_Truck_02/13/2014 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 323930500 T# 790116806 Year �� T B# 955787 - 11FTEW 2013 I FORDapK 4968gHP Vessel Regis. No. 10912759 �'lll'I I Registered Owner: Date of Issue 02/13/2014 Lien Release r VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released • g 345 TEQUESTA DR Title TEQUESTA, FL 33469 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 the certificate of title. Mail To: 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 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 or vessel: http://www.hsmv.state.fl.us/html/titlinf.htmi -- Iderftihoabon l+littit(� r Year Mak$ ?�(ady �' Vy'I' t, Ves'selliegts !�R `;'Ti)lt; Nut�ei s IIJT WI*'XSDFA .4a 55 2013 FO1tU 4J68 107127 9'. f q�itfietQase - . : ntert§sJ:stthe des�ntzedvehieJe isttere ieleased � Prey Cntor Phi+iatyt3(and SeGt)ndary B(dnd, No of Use: Prgtrfssue:Date By State Brands 'P�LIV,A�'E�2f13 {20id 11t1e � QdGfnefer &tatus or Vessel Manufacturer or OH use Hull Tulafenal ` j Prop pate !Jf Issue 26 MILES 12/31/2012:;ACTUAL I 02f13/2014 Date Registered Owner DUPLICATE VILLAaGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA, FL 33469 I st Lienholdet NONE ® DI VISION / OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES ® Boyd Waldeh 115 Julie L. Jones Director Control Number E lie L. Jones 42 /1 115038924 TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) - Federal andlor state law require that the seller state the mileage, purchaser. name, selling price and date sold in co —lion with the transfer ofownership.. Failure to complete or providing a false statement may resul in fines :ul l/m tmpr6onmetxt This tide is warranted to be free from any liens except as noted on the face of the ezrtifrcatmand the motor vehtete or vessel described is hereby transferred to: Seller Must Enter Purchasers Name: , Address: Seller Must Enter Selling Price* Seller Must Enter Date Sold: I/We state that this of di it odometer now reads ❑ 5 ❑ ( � �--- �— J,J�J� -3C� (no tenths) miles, date rcad and I hzreby Certify that to the best of my knowledge the odometer reading: Q I >:retlecta ACTUAL MILEAGE. ❑ 2. is IN EXCESS OF rrs MECHANICAL:LIMrn. EJ 3: is NOT THE ACTUAL MILEAGE. UNDER PENALTIES OFPERJIIRY, I DECLARE THAT 1 HAVE -READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATER IN IT ARE TRUE. SELLER Must' '. CO.SEGt.ER Must <Sign Isere: Sign.�lerc: Print Here Print Him: Sclhetg Rzaler'.ti Lreenoe Number T.x Tarn eoEleeted <: 7 ';.: AuctrorrNiime ..... :....... . . ..:...:. .;..... ;... - . L,tcYUxe Numbcr . . P6R&A51 Must CO Pi1KCHASE . ust PrurtHerz Prmt]re 16( IyIGPKNkdffiNfREI 1HYLt1WiFNOSt16Ml,*TE#1 RAND F9N3fj!?AYAPYFtpt�T£DRP HAfiI FORT S+ €6 .:4# 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. 5 oI]aMi' $ selcArl[)Jv `Fcdcm�',ae y, Ypa} trta�` getGt,fi)atsstraa'a�:?>lvre«,ar t, +Aol.i. wnm SellfiigDpah (x�ling L1e8teF's t� ,,; : . . i ,� F ,�; , Egatne• . }sto i i � ��i x it il �4�ected a r x S#IUag �jcr?sAddre� DE9fRSold .� — q PuFCAascF "SlVarile[3) Address S3'P'E THA3' TH1,9 5 OR.� 6 DIL'iiT'OAOMETFR NOW R}fADS ?C (N.O> TENTHS) N1I.L DA`!'E:RBAD, f / ATa}ISF 1REBY p v ,. ,. CERTIFY TI#A'f':TO Tt4E .AV ST OF IyIY �LU#OWLE13Gl; TfLE ODQIvIETER REA,DTNG.:.: m CAUTION R AU CAR1':FUY t.Y 1 1tEFI,ECTS ACTUAL MILEAGE <� Z [S:IN EXCESS OF ITS MECHANICAL(- L[N![TS � 3 iS.tr1'OT THE:A.CTt1A1..MIUCAG$ BEFORE YOU (EXC ESS OF ITS MECHANICALLIMITS WARNING ODOMETER DISCREPANCY CHEC A Bt7X APPLIES TO 5 DIGIT ODQMETERS) v Purchaser Must Co- Purchasef Must cn .Sign �llere - - Sign Here: T m Print Here! Print Here: a �. Seller /Agent Must Aoctioa Name (Wheu:.ApPI[eable): Sign Here: — Print Here: Auction License Number: Selling Dealer's Selling Dealer's Tax _ 'rax License No.: I. :.: .i Name: '. No.; .' "' � :Collected, .. Selling Dialer's Address: _ : .Dare 901d: .... .. °: A Purchaser'srName(s): Address: m I WE STATE THATTHIS 5 OR 6 DIGIT OAOMETER NOW READS �� a XX (ISO TENTHS] MILES, DATE READ r / / . AND I HEREBY CERTIFY THAT TO THE BEST OF MYIfNOWLEDGE THE;ODDMETER READING: m CAUTION: READ CAREFULLY t. REFLECTS ACTUAL MILEAGE Z.'1S IN GXCESS OF ITS MECHANICAI. LIMITS 3. TS' NQT TH$ ACTUAL MILEAGE. - BEFORE YOU (EXCESS OF ITS MECIIANICALLIMITS WARNING: :ODOMETER DISCREPANCY CHECK A SOX APPLIES TO 5: DIGIT ODOMETERS) z7 ; Purchaser Must: Co- Purchaser Must Sign Here: Sign Here: p PriirlHere; _ Print I{cre:,: ' Sellet /Agent Must 'Auction Name (When Applicable): Sign Here: Print Here: : Auction. License Number,:' Selling Dealer's Selling Dealer's Tax Tax License: ; Name: No.: > Collactad: SeilingDGaler'sAddtesst _ ' ��DateSold: Purchaser's Name(* Address: I WE STATE THAT THIS 5 OR:Q 6 DiG[T ODOMETER NOW RE :H (NO TENTHS) MILES, DATE, READ � / „_ / AND THEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING::, CAUTION REAP CARElizal Y I REFLECTS ACTUAL MILEAGE 2 ;TN IS EXCESS OF ITS MECHANICAL LIMITS ❑ 3 :IS, NOT TTIE;A.C'l'[IAL 1'v1ILEAG;r F BEFORE YOU ( EXCESS OF: ITS MECHAFIIOAi LIMITS GVARNING7D R OMETE btSCR1 PANCY CHECK A AP PLIES TO, S DICrIT.ODOMETEIZS), z Purchaser Must: C'o pnre ser MusC Here ss Prind l- Ord,_ Y� Prato FWte Must s[uctlop tame (rJt heo xlppifcsb3ej ti 1 > ,+x { r� j # � „� �,� 1 � k� i �# �lY+- �--+ �p—: w t • .•,^"m- ^:; '.. ; �Ir I�°5t`sy��.� 3 a j, , ti: IMPORTANT INFORMATION SECTION 320.0605, Florida Statutes, requires this registration certificate or an official copy or a true copy of a rental or lease agreement issued for the motor vehicle described be in possession of the operator or carried in the vehicle while the vehicle is being used or operated on the highways or streets of this state. SECTION 316.613, Florida Statutes, requires every operator of a motor vehicle while transporting a child in a passenger car, van or pickup truck registered in this state and operated on the highways of this state, shall, if the child is 5 years of age or younger, provide for protection of the child by properly using a crash- tested, federally approved child restraint device. For children aged through 3 years, such restraint device must be a separate carrier or a vehicle manufacturer's integrated child seat, for children aged 4 through 5 years, a separate carrier or seat belt may be used. SECTION 627.733, Florida Statutes, requires mandatory Florida No -Fault Insurance to be maintained continuously throughout the entire registration period; failure to maintain the Mail To: required coverage could result in suspension of your driver license and registration. VILLAGE OF TEQUESTA Important note: If you cancel the insurance for this vehicle, 345 TEQUESTA DR immediately return the license plate from this registration to a Florida TEQUESTA, FL 33469 driver license or tax collector office or mail it to: Dept. of Highway Safety, Return Tags, 2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate will prevent your driving privilege from being suspended. CO /AGY 42 / 1 T# 790117671 FLORIDA VEHICLE REGISTRATION B# 955789 PLATE CITY200171 DECAL Expires NO EXPIRATION YR/MK 2013/FORD BODY PK COLOR WHI Reg. Tax Class Code 97 VIN 1 FTEW1 CM8DFA94155 TITLE 110712759 Init. Reg. Tax Months Plate Type CVR NET WT 4968 County Fee Back Tax Mos Mail Fee Credit Class 97 DL/FEID 596044081 -01 Sales Tax Credit Months 0 Date Issued 2/13/2014 Plate Issued 4/27/2001 Voluntary Fees Grand Total 0.00 IMPORTANT INFORMATION VILLAGE OF TEQUESTA 1. The Florida license plate must remain with the registrant upon sale of vehicle. 345 TEQUESTA DR 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to TEQUESTA, FL 33469 a replacement vehicle. 3. Your registration must be updated to your new address within 20 days of moving. 4. Registration renewals are the responsibility of the registrant and shall occur during the 30 -day period prior to the expiration date shown on this registration. Renewal notices are provided as a courtesy and are not required for renewal purposes. 5. I understand that my driver license and registrations will be suspended immediately if the insurer denies the insurance information submitted for this registration. CVR - CITY VEHICLES CNTY# AGY# SUB# RPT# oe o 1 'III WWI ',til bi t', IT # 17995 42 D 3820 7 90116806 STATE OF FLORIDA B# 955787 AUDIT# 115038921 a� APPLICATION FOR VEHICLE/VESSEL S# 23061855 CERTIFICATE OF TITLE TITLE NUMBER VEHICLENESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH GVW/LOC MANUFACTURER TYPE 110712759 1FIFEW1CM8DFA94155 2013 FORD F p7K 4968 DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESS STR WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DEUCTION 02 13 14 FT PRIVATE l BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN RESM Ap ILLA hams 8 Address VILLAGE OF TEQUESTA [6 345 TEQUESTA DR TEQUESTA, FL 33469 1st OWNER FL/DL# OR 2nd OWNER FL/DL# OR F.E.I.D.# UNIT # 596044081 -01 VOLUNTARY CONTRIBUTIONS AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 0.00 0.00 0.00 Action Requested: TITLE CORRECT Brands: PREV. STATE DATE ACQUIRED NEW USED ODOMETER / VESSEL MANUFACTURER ODOMETER DECLARATION FL 01/09/2013 XX 26 MILES 12/31/2012 ACTUAL ❑ CERTIFICATION LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DL AND SEX AND DATE OF BIRTH DMV ACCOUNT # NAME OF FIRST LIENHOLDER: ADDRESS SALVAGE TYPE 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 $ TRANSFER OF TITLE ❑ PURCHASER HOLDS VALID UNPAID BALANCE DUE SELLER, BANK OR OTHERS IS EIX MPT FROM E=4PTION 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 EXEMPT ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION 11WE HEREBY CERTIFY THAT THE VEHICLEWESSEL 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 VEHICLE/VESSE. WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. WYE HEREBY CERTIFY THAT ME LAWFULLY OWN THE ABOVE DESCRIBED VEHICLWVESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN EXISTING WRITTEN LIEN INSTRUM T17 INVOLVING THE VEflCLFJVESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE VWE FURTHER MUM TO DEFEND THE TITLE AGAINST ALL CLAMM 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 02106 SCAN CODE MV'I' I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.