HomeMy WebLinkAboutVehicle Title_Truck_04/16/2014 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 T # 798905211
B# 504179
Identification Number Year �� Make Body T WT - L - BHP Vessel Regis. No. Title Number
1FTFXiCF4EFA9493 4 12014 FORD�TK 15009 1114779922
FIFTE I
Registered Owner: Date of Issue 04/16/2014 Lien Release
Interest in the described vehicle is hereby released
• VILLAGE OF TEQUESTA By
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/htmVtitlinf.htm]
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ld�ntrfcation Number tear Make Body N/Ti BHP Ves5e1 Figgt§ Title Number
21t'TFXICF¢3;F9934 20:1.4 FORD TK 5009 14779922 eri.l3etease
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nest n the deSCrib vehicle is heTei3yreleasecf
Prev Color Primary Brand Secondary Brand No of.
r State Ts? PrevIssueD. BY NEW
Fvmi Brart>�s
I>RIWATi�
Title
[ Odometer Status or Vessel Manufacturer or OH use Hull Mai Arap Date of Issue 4.
30 MILES 03/21/2014 ACTUAL 04/16/2014 Date
Registered Owner
VILLAGE OF TEQUESTA
345 TEQUESTA DR
TEQUESTA, FL 33469
1 st Lienholder
NONE
DIVISION OF MOTORIST SERVICES TALLAHASSEE = FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
c
Boyd Walden Control Number 4 h Julie L. Janes
j B Director 1 9 3 ..LL 1 14 5 «lf
Executive Director
42 /3 110931456
TRANSFER OF TITLE BY SELLER (This section must be corhpleted at the time of sale,)
Federal and /or state law require that the seller state the mileage, purchmer`s name, sellingpi'ice acid date sold in connection with the transfer" o €ownership.:
:i.. 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 fare of the catiewate. thmotor vehicle or vessel described is hereby transferred to
Seller Most Enter Purchasers Name: : Address:
Seller Most Enter Selling Price: Seller Must Enter Date Sold:
I/We state that this El 5 or ❑ 6 digit odometer now reads — — J•IJ- --- =I_Xj (oo tenths) miles, date read and I hereby certify that to the best of my knowledge the odometer reading:
] ,reflects ACTUAL MILEAGE. F 2. is IN EXCESS OF M MECHANIC.ALL,FMITS. 3. is NOT THE ACTUAL MILEAGE..
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE
SELLER Most CO °$ELL.ERMust'
Sign Here:
Sigg
..Print Here;
Selling Dealc2s License Number. 'I'az.No Tax: C011e tzd:
Auction Name: - #aeejtse,Nvmlier. '
PURCHASER Mast
>r0- P[)12C;`IASF,it ivtptl
Ssgit�ipte _'
Frrnt Hera ,
NOTJGE PENALTY 3SREO4fREDBYLAWfFNOTSUBMF fTEDFpRTFfAiJ$F�RVfIETHIM �S` FFl1RCHASE
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.
A,fCATXO)7 Fcdoral. and state I. : i44 that gyitktate in'l�aagGJlt y v trolY 'r�, tiaC �s ar oi! oii. - yt. hs7prc W camp ., or protidiug a false sdaECment may fi ` ttt n; m .•E ,,rl ,<
a.: z Selling ' Th* Tai
�� Name No. : 'Ctdlected. .::
Pnfh•Dea1e[ ?s Addmas Date bold
Prtkehases"s Naine(s). A4dress
THATTHIS 5 OR ❑ 6 DIGIT ODOMETER NOW READS .�e. (N O TENTHS ) MILES, DATE READ / / AND I HEREBY
��
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER :READING .'
m CAU ?Yt)6I: READ CAREFULLY F] I. REFLECTS ACTUAL MILEAGE -� 2 iS:IN EXCESS OF ITS MECHANICAL LIMITS El 3. IS NOT THE ACTUAIL MILEAGE,
BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
c7 Purchaser Must Co- Purchaser Must
Sign Here: Sign Here:
Print Here•. Print Here:
$CUer /Agent Must Auction Name (When Applicable):
Sign Beta
Print Hew Auction License Number:
'Selling Dealer's Selling Dealer's Tax Tax
LlectiaeNot: Name: - No.: Collected:
54 Selling Dialer's Address: Date Sold:
;j Purchase ?'s Name(s): Address:
1 /1VE STATE THAT THIS 5 OR ❑ 6 DIGIT ODOMETER NOW READS t, (NO TENTHS) MILES, DATE READ / / , AND I HEREHY�'
- CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE AND READING:
CAUTION: READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE _ E] 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:
Print Hcre: Print Here:
c SellerlAgent Must - Auction Name (When Applicable):
Sigh Hero,
Print Hem;. Auction License Number:
Selling Dealer's Selling Dcaler's Tax Tax
.LleehsePfb'.; Name: - No.: Collected:
m Selling Disler's Address: Date Sold:
o POchaser's Name(s): Address:
41 l mE STATE THAT THIS ❑ 5 ORE] 6 DIGIT ODOMETER NOW READS t „ XX (NO TENTHS) MILES, DATE READ _ /_ / , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER. READING:
m CAUTXOV( READ CAREFULLY El 1. REFLECTS ACTUAL MILEAGE El 2. IS IN. EXCESS OF ITS MECHANICAL LIMITS El 3. IS NOT THE ACTUAL MILEAGE.
BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A.BOX ,APPLIES TO 5 DIGIT ODOMETERS).
Pnrehaiel'Must * - .Co- Purchaser Must
' :Sigu fler4 S, gn Iiere:;,
d
Print Hart;
CJlgkt(kl5tust Auction Nau(e (When Apphcable)
. «a r Ailcfrpµ L�ceuse I (weber .
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