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Home My WebLink AboutVehicle Title_Truck_02/25/2014_Water Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A06041 1 Identification Number Year — Make — Body — VUT -L -BHP Vessel Regis. No. Title Number — 1FTMF1EMSIEFA71221 2014 FORD PK 4765 114288500 Registered Owner: Date of Issue 02/25/2014 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 register the vehicle, mobile home or vessel: htt p:llwww. hsmv.state.f1. us /htm Utitl i nf. htm I -4 O il 1 ININ --- #dentificivion Nujnger tear ` Make Roily UV} (E�1P '.+— lksaeP'Regls No- Idle Number . FT—NF i EM9 E ie17 X22 t 2014 EORQ . : , :Pk 471;5 114288500 In the described vetiicle Is hereby ret�ase¢' "rev E Color P1fma[y Brand Secondary land.: Brans Use Pre4lssue Date By / 4. N WH <PR Title le — Odometer Status or Vessel Manufacturer or OH use' Hull Material Prop Date of Issue — Date 23 MIL ES 01/31/2014 ACTUAL 02125/2014 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA OR TEQUESTA FL 33469 7 st Lienholder ® NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE ` FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES l� Control Number 2 113 007 7 ® Clayton Boyd Walden Julie L. Jones Director Executive Director P TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federal and/or slate law require that the seller state the milege, purchaser's name -, selling price and date sold in connection with the transfer of.woership. _ Failwx to complete orpmviding a false slaternent may result in fines and/or imprisonment - This title is warranted to be frce 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'cNames Address: - - - --- --- - - - - -- Seller Must Enlor Selling Price- _' Seller Must Enter Date Sold: I /We state that this F] F 5 or 6 digit odometer reads 1_1 I_i , _ I_1I_I.1 X I too tenths) miles, date read.____ —., _ -. and I hereby certify that to the hest of my knowledge the odometer reading: 1.. reflects ACTUAL- MILEAGE.. � :2. is IN EXC FSS OF ITS 1ytECHANICAL IXVI`] •S. 3. is NOT THE ACTUAL. MII,EA(3& CINDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SEf L.ER Must.- GO:SEIS.Ett Must ' Sign here:'_ : :Sign Print Heir:_ Itriat here: SallrngD aler' L icenseN mb -- -- .Tai 140;: - - — Tax Collected Ircr.nse Nuumber. :.: PURC13ASERbYfu,t :" „ ... f`4)- L'URCI3ASI,ftrT�ust. Stgp Herr; Ego ere,- — - - ?s Print Her[ NOTICE PENAL 1S REtWIRED )aY 4A>r11 IF N4T $EIBhgTTED TRANSFER 1NRHIN 30 DAYS AFTER DATE OF PURCHASE Ng ° ® I ff el ° I ® ° 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 DUID 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. EItn'44�ero?sEtitAc. 6tterntfiporpaogldia6tEtgint, }4st "mftitg• p i Sohn $eah r�s Addrnsar .r to gold Purr!hater etVatiie(7h ` Addr:ess. Dr UNE STATE TtTAT TItIS StSIL ❑ h DIGIT ODOMETER N61i READS (NO'TENT Hs) MILES DATE RE F. / f AND T HEREBY CElzTIFV THAT1'O THE BEST OF MY KNOWLEDGE THE.ODOMETER READING-' : AUTTOIY REAfl C U4Y .:❑ }REFLECTSACIUAT M1t> AGE pSS O ITS M ECY AN ILTI UL I 3 'WARIIINFr ODOMETERD AG CHECKABOX APPLIES TO 5 DIGIT ODOMETERS) M PmrchaeerMust Co-Pnrchaset Must Sign Here: Sign Hem: 'Print Here: r ' ; Print Here: .. :. Seller /Arent Must Auction Name (When Applicable): Sip Here: Print Hone: Auction License Number: Selling Dealers' eln Sng Dealer's TAIL Tax I ieense No.: Name:: r Collected: SeBin$ Dealer's Address: _ Date Sold: Q Purchaser's Name(s)• Address: UUVE STATE THAT THIS 0 „ (NO TENTHS) MILES, DATE READ /_ AND I HEREBY 3Y OR 6 DIGIT ODOMETER NOW READS :..,.. XX / CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m 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 CHEC[C A BOX APPLIES TO 5 DIGIT ODOMETERS) Purchasex Mus! C'o- Purchaser Must Sign Here Sign Here: Print Here: Pmt Here:. Seller /Agenf Must Auction Name (When Applicable): Sign Hem: Print '.Auction License Number: Sang Dealer's 7 SeningDealers Tax Tax License Na: Name: No.: Collected: W4 Selling:}lealer's Address: Date Sold: Q Purchaser's Names) Address: z 5 OR ❑ 6 DIGIT ODOMETER NO W READS (NO TENTHS) MILES, DATE READ /� / ANDIHEREBY v VF STATE t � TTki5 CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING,..:; M CApT)iON READ CA1ZlFUEI.Y : ( REF't, ECTS A�TIIAL MILEAGE ,_� 2 iS;IN $7CCF,5$ OF.rrS MECHANICAI. LIMITS 3. IS NOT THE ACTUAL MILEAGE, . � Ile OR) YOU . (EXCESS OF ITS MECHANICAL LIMITS IN WARNG 0001 ETER DISCREPANCY CItECK A BffX APP1 IES TO S,DIGTT ODOMETER$) ,2 Pure),Ner]vlt�t ^ Co- rchaser Must +v Sign Heft -Sign Flere t" .. Px)dt;H2a'C: ':• z. i ; PQlet'tA . Se8et6 pt bfmt + �° $ tkuttlog IV#li%4 (When AiW ab(A �OW� I CNTY# AGY# SUB# RPT# T# 7 2 4 821 5 42 3 EAH 3809 TM' STATE OF FLORIDA B# 498975 AUDIT # ' APPLICATION FORVEHICLE/VESSEL s# 23409970 CERTIFICATE OF TITLE TITLE NUMBER VEHICLENESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR W ULENGTH GVW/LOC MANUFACTURER TYPE 114288500 1FTMF1EwEFA71221 2014 FORD FPK DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL TYPE DESTRUCTION FI T5 14 FORT PRIVATE BIRTHDATE RESIDENT CNTY AppftcaniJ SEX MO. DAY YEAR Y N ALIEN RES& E O T EQ Address ❑ VILLAGE OF UESTA 345 TEQUOTA DR L-1 KM TEQUESTA, FL 33469 1st OWNER FURL# OR 2nd OWNER FUDL# OR RE.I.DA UNIT # VOLUNTARY CONTRIBUTIONS i AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 4.75 75.50 0.00 80.25 Action Requested: ORIG NEW TITLE Brands: PREV. STATE DATE ACQUIRED NEW USED ODOMETER / VESSEL MANUFACTURER ODOMETER DECLARATION 01/31/2014 XX 23 MnM 01/31/2014 ACTUAL El 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 SALVAGETYPE SELLER INFORMATION NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER ADDRESS DEALER LICENSE NO. CONSUMER OR SALES TAX EXEMPTION # 85801583307907 SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ UNPAID BALANCE DUE SELLER, BANK OR OTHERS 'PRA}\i3FER OF TITLE ® PDRCSASffit HOLDS VALID IS EXEMPT FROM EXt'ION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 000 FLORIDA SALES OR ❑ V=XCLE / VESSEL WILL BE 212, FLORIDA STATUTES USE TAX FOR TIM USED EXCLUSIVELY FOR RENTAL REASONS) CST== ® OTEER EXEMPT ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION ME HEREBY CERTIFY THATTHE VE ICLOVENELTO BETnum WILL NOT BE OPERATED UPON THE PUBUC HIGHWAYSIWA'TERWAYS OFTHIS STATE ICE RTIF YTHATTHECERMCATEOFTTTLEISLOSTORDESTROVM 1 CERTFFYTHATTHLS MOTOR VEHIW.EEVFSSE_ WAS REPOSSESSED UPON DEFAULT OF THE LIEN DLSTFRMIE$NTAND Is NOW IN MY POSSESSICK IIAB HE ESY CERMTHAT UWE LAWFULLY OWN THE ABOVE DEStIMED VE ICLENESSE., AND MAKE APPLICATION FOR TITLE IF LIEN B BEND RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN EXISTING WRITTEN LIEN 11NSTRUM@IT INVOLVING THE VE ICLEVESSEL DESCRIBED ABOVE AND HELD 13Y LIE NIOLOER SHOWN ABOVE WM FURTHER AWIEE M DEFEND THE TITLE AGAINST ALL CLAMIS. UNDER PENALTY OF PERJURY, l DECLARE THAT I HAVE READ THE FOREGOING DDCUMBNTANDTHATTHE FACTS STATED IN IT ARE TRUE Signature of ApplicantiOwner Signature of Applic"Co Owner HSMV 82041 REVISED 02/08 SCAN CODE M T1' I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.