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Home My WebLink AboutVehicle Title_Truck_10/14/2014 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04790 I� Identification Number Year — Make — Body — WT -L -BHP Vessel Regis. No. — Title Number - 1FM5K8AR2FGA66556 2015 FORD UT 4536 116543236 Registered Owner: Date of Issue 10/14/2014 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 forthe purchaserto title and registerthe vehicle, mobile home orvessel: http://www.hsmv.state.fl.uslhtml/titlinf.htmi ldenttfication Number Year Make Body WT L SIP Vessel:Regts tJo Title Number Lien Release 1 FM 5K8AR2 FGA66556 2415 FpRD UT 4536 ( 118543236 Icderest tQ the d0scnbed vehidle is hereby rele Prev —Color. JJ Primary Brand I Secot3dary grand. I Bra o Llse Prev: Issue bate ste N WHI l: 1 eran I P Tate / . _ R IVAT E 111 — Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue Date 27 MILES 09/18/2014 ACTUAL 10/14/2014 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 1 st Lienholder NONE ® m 1'ry DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES 0 Clayton Boyd Walden Control Number 117 7 0 9 9 3 5 Terry L. Rhodes Director Executive Director TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federal and /or state law require that the seller state the milege, purchaser's name, selling price and date sold in connection with the transfer of ownership. Fnilrve to complete orproviding afalse statement may result in fines and /or imprisonment This title is warmnted to be fie from any liens except as noted on the face of the certificate and the motor vehicle or vessel described is hereby transferred to: Scl ter Must Enter Puihaser'sName: Address: Seller Must Enter Selling Price:_ _ Seller Mast Enter Date Sold: I:'Are state that this ❑ 5 or ❑ 6 digit odometer now reads 1_11_11_1 1_1 1_111.1 X I (no tenths) miles, date Lead and I hereby certify that to the best ofmy knowledge the odometer reading: ❑ 1. reflect, ACTLIAL MIL.EAGF- R 2. is IN EXCESS OF ITS MECHANICAL. LUvI TS. 0 3. is NOT THE AC:TCIAL MILEAGE. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SELLER Must CO- SELLER Must Sign Here: _ : Sign Here:_ .. _.__.._ ... .... . Print Here: Print Here: Selling Dealer's LicenseNmnber: . _ Tax:No: Tax Collected`. Auction Name License Numbec: / .. PURCHASERMust > '. r�(:U•Pl1RC.':�H.AS'ER D.Insi c : Si$n Here: Pivri4rc: NOTICE: PENALTY IS REQUIRED BY 1A5W IFNLXT SUBMITTED FCR TRLWSFER -WITHIN 30 DAYS AFTER:DATE'OF PURCHASE 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 DLID 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. OR7fHt C$RIF)CATOJstedeihl$t� laiYSF Ymloiie chat you state the viiloage m councGitort with trafisC& o$ oSrnerslt p P�thire to cpmpCOtc at ptoGtdiA Mfats9 stbtemeut may result in fines sd/or tprybp7lmpo( SellingD2aleF selling Dealer's 7Wx Tax llCeoS6ltb. :, Nahte: No Collected: Seging- Dea►er!s Addres$ r ' Date Sold: Pueellaset'$Narile(,$) Addi;ess _ UWE STATE THAT TIME] S OR 6 DIGIT ODOMETER NOW READS f .E (NO TENTHS).MILB DATE READ _ 1_ / , AND 1 HEREBY U _ CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING. m CAUTION: READ CAREFUL 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICALLIMIFS 3. IS NOT THE ACTUAL MILEAGE. • BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY CHECKA BOX APPLIES TO 5 DIGIT ODOMETERS) Purchaser Must Co- Purebaser Must Sign Here: Sign Here: Print Here: Print Here: C v`. 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 A Purchaser's Name(s): - Address : A w WE STATE THAT THIS ❑ 5 OR F� 6 DIGIT ODOMETER NOW READS s :-n- XX (NO TENTHS) MILES, DATE READ _ / / , AND I HEREBY Q CERTIFY THAT TO THE BEST OF MY KNOW NOWLEDGE THE ODOMETER READING: J m CAUTION- READ CAREFULLY ❑ I. REFLECTS ACTUAL MILEAGE 2. IS [N 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) Z 2 Purchaser Must : Co-Purrhaser Must Sign Here: Sign Here: _ p Print Here: Print Here: O y 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 Setting Dealer's Address: Date Sold: a w Purchaser's Name(s): Address: 0 D w FIJI; R Z I/WE STATE THAT THIS 5 OR 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _ /_ / , AND I HEREBY U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY (E] I. REFLECTS ACTUAL MILEAGE -❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY . CHECK A..BOX APPLIES TO 5 DIG1T ODOMETERS). v : Purchaser MnSr .. . Co ftrehasgr Must Sign Hera, - - .Sign Here PnRtHere Pool Here _ Setle r /Age�IcMust 4ucttoa Name (when Apltixabtel t BflntFterl Atte4oQt scNltn)llec