HomeMy WebLinkAboutVehicle Title_Truck_10/14/2014 (2) Mail Lien Satisfaction to: Dept of High A04791
p g way Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500
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Identification _-
Number Year — Make — Body — WT -L -BHP Vessel Regis. No. — Title Number - - -
1FM5K8AROFGA66555 2015 FORD UT 4536 116543717 l fi`
Registered Owner: Date of Issue 10/14 1
Lien Release
VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released
345 TEQUESTA DR
• 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 belowfor more information and
the appropriate forms required for the purchaser to
title and register the vehicle, mobile home orvessel:
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Identification Number Year — White Bddy Nl -L BHP Ves @el:Regls Alo Title Number —
Lten Release
1M5K8AROFGA66 2015 FORD UT 4b36 l 1165437 i7 l interest to the desenbed vehicle is herebyrele�5 d
State Color Primary Brand Secondary &and Bra °n°s Use PrevIssue pate By
N WHI PRIVATE Title
- Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue =
27 MILES 09/18/2014 ACTUAL 10 /14/2014
Registered Owner
VILLAGE OF TEQUESTA
345 TEQUESTA DR
TEQUESTA FL 33469
1 st Lienholder
NONE
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EY'Y e9"
DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Control Number
� Clayton Boyd Walden 1177099 'd � r`
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, purchaccr'c name, selling price and date sold in connection with the transfer of ownership.
Failure to complete or Providing a false statement may result in fines andlor imprisonment.
This title is warranted to be free from any liens except w noted on the face of the certificate and the motor vehicle or vessel described is hereby transferred lo:
Seller Must Enter Purchaser's Name: Address:
Seller Must Fnter Selling Price: _ - _ Seller Most Enter Date Sold:
LtWc state that this ❑ 5 or ❑ 6 digit odometer now reads 1_I I_I I_I , I_I I II },I X I (no tenths) miles, date read I hereby certify that to the best of my knowledge the odometer reading:
❑ 1. reflect, AC.' RTAL MILEAGE:. 2. is IN EXCESS OF ITS MECHANICAL LIMTTS. El 3. i s NOT THE A('IVAL 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:Herp:_
.Print Here: Print Herc
Selling Dealer's LicenseNmnber. _ Tax;No.: Tax Collected
Auction Name
/ PT1R(.'HASF,R Mu,l CQ POR,HASER)Aust \
NOTICE: PENALTY tS REQUIRED BY 1 AYV IF Sla6Ml7#D FOR TRANSFER 4Y11 HNJ 30 D/kY5 AFTER DATE OF Pt1RCHASE
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.
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sY Cgkldt4i�Tla��F efSigle,laaSrQgtusc at you state the milc t4n wig trarf$feh of',biY�aSlttp Fallh7e taeQmpl'L�e or ��fdiGB 8 taisestatoment may result in fines and[or tinpY'tsgiattptL,'
$eB4ag'?14hI¢t`'s. : :. ` Sealing Dealer's ��. ,: 'Tax . Tax
E3eenee ' NA.aoe: lvo,. Collected:
Selling DealeesAddresS ate Sol
o Purclbaser''S iYaviets) Address
y Uwe STATE THAT THIS S Olt M ii DIGIT ODOMETER NOW READS � XX (NQ TENTHS) MILES DATE' READ _ /_ / AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER REAMNG.
m CAUTION: READ CAREFULLY :'� I. 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
CHECRA'BOX APPLIES TO 5 DIGIT ODOMETERS)
Purchaser Must Co- Purchaser Must
vNi Sign Here: Sign Here:
Print Here: Prim Hem:
H
c 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 D'ealer's Address: - _ Date Sold: _
w
C3 Purchaser's Name(s): . Address:
A
V IIWE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER NOW READS F- a (NO TENTHS). MILES, DA AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
m CAUTION: READ CAREFULLY El 2. REFLECTS ACTUAL MILEAGE El 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)
z
v Purchaser Must. Co- Purchaser Must
4 . Sign Here: Sign Here: _
q Print Here: ..Print Here:
Seller/Agent Must Auction Name (When Applicable):
Sign Hero:'
Print Here: Auction License Number:
Selling Dealer's - Selling Dealer's Tax : Tax
License No.: Name: No.: Collected:
Selling Dealer's Address: Date Sold:
w Purchaser's Name(s): Address:
ra
w
z I/WE STATE THAT THIS ❑ 5 OR 6 DIGIT ODOMETER NOW READS t R (NO TENTHS) MILES, DATE READ /_ / , AND I HEREBY
U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
r CAUTION: READ CAREFULLY ' � 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE.
M BEFORE YOU (EXCESS OF ITS MECHANICAL, LUT5 WARNING - ODOMETER DISCREPANCY
EI,CR; A 80X APPLIES TO 5 DIGIT ODOMETERS) .:
Z - Purchaser Must: :..0044rcheser Must
y... ,Sign Her*
Prutt Here -r Prrnt Hem:
SelleT4A 4e*, -lust -' .. quetlon en A a
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