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HomeMy WebLinkAboutVehicle Title_Car_02/22/2012 Mai Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 T# 698058522 B# 2033167 - Identification Number -- Year - - - —Make Body - WT -L -BHP Vessel Regis. No. I- Title Number . 1FARP21E29CL315401 j 2012 FORD - 4D i2804 108274949 Registel'edOwnet': Date of Issue 02/22/2012 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 TOR LEASING (� the notice of sale on the reverse side of this form. MEARS MO 3905 EL TOR ROAD 3. Remove your license plate from the vehicle. 4. See the web address below for more information and ORLANDO, FL 32808 the appropriate forms required for the purchaser to title and register the vehicle, mobile home of vessel http://www.hsmv.state.fl.us/hti I - Identificaton NW+n6e7 heat iAake Body fNi L BHP 1 Vessel Regis No; I Title Number { IEA�IP3E2 2912; FORT) 4,15 2$04 1 108:274949; lren Release - I #or si in f I dascrtbgdvetuCre as hSreby,retea5� P[ev Colpr Primary and Seop da y g and No Of _ Use Prev Issue Rate State' ..Brands... i FL III j PRIVATE f . Odorneter Status or Vessel MarlufacturerorOM use Hull Material - Prop - Date of Issue 10 MITES 0112 ACTUAL � 02 /2 2 12012 Date�' _ Res�isteral - - - VILLAGE OF TEQUESTA Q 345 TEQUESTA DR ' TEQUESTA, EL 33469 I Ist Lienholdef 01/23/2012 ! MEARS MOTOR LEASING I 3905 EL REY ROAD ORLANDO, FL 32808 ® DIVISION OF MOTORIST SERVICES TALLAHASSEE f ps'' -, •, FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES Sandra Lambert Julie L Jones Director Executive Director Control. Nu 0 216 9 4 8 8 ® 7 /6 1 2169488 ® - - -- TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) F'edetel ;Ind /or slatc.luw require that the seller snue purch,isw's name, e, wilill" r n ice and clatesolcl i wall n. ection wi0,the tr. tee of mnfrrsNI, - Failu x re to complete ur prooidlnu fase l settel-lit may result in fines and/or imiso prnment. 'Pierc t tlz ix win ;anted to br free frnfi an J- hc.m except as noted on the face of the ceititicatc and the nimor vehicle nt w—I d— ib_d c 1 c.r.1 r na r.k red v,: Seller Must Enter Put $aser's Nnnie: Address: Sell r \dust Filter Srll r, Price: Sell,. Mu t Elie, Dili, Sold: h \ \'r state 1hnPlh E] 5o, 17 ri digit odcrm a aibw. *pde l_II f fno tenths) mile datz read and I he eby ce td% that to the beet of nil kw "'I dg the , 1' n n te' zad[m' L r. fleets ACTUAL iMILIiAGE 2. is IN EXCESS OF I'I:S MECHANICAL LIM]'I;S. LJ 3. is NOTTHE AC 7l'AL MILEAGE. UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SELLER Must _ CO- SELLER Mu,t Si¢n Here: Sig., Ilae: '. Print Hew: - _— Print Here:____ S'8141 D i4I,05 Ljc ) e MitiJbei. ' ' inx No.: _ rax Collected 1fi tr L. \,qm License Number +Pts li:C HASRJ2 Nfuk CO - P[JRC'HASER ibIP.ct ,Ir ere- Print NOT,,IEE PEN&TYIS RE*QIA 0 iV LAW IF NOTSUBM{fTTBD pR TgAMSF613 WITHIN 30 DAYS AFrER DATE pF p1J♦�HASE ., r , r • 0 o ne ® 0 ® 0 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 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. # „ C f WAI Alp.. MA *A iiia kCe'; �Irite that Ai,-,-f! the ttiil oni tt , vetFEt.trat�3et of ot3netshlp #astute EQcottiplel'a,or rattvfiding q$aS aYa1T}+t�' Un,1 5 ;Se71Grg De81et' ' Ivasae Yo .`Lo)legtett 7sC Y9i - DgtG S"klil ! 1ddress I R C TI I,AT I HIS 3 OR b DICrtT ODOMETE$ N019 READS (NO TENTHS) MILLS DATEREAD .._+ {tCBY C'ERTIFYTHAT TO THE BEST OF S1Y,KNOWLEDGE TTtE ODOMLTLR REAf�IiJG, :. UAVf ION READ CIRFFUI I,k - .El i REFLECTS ACTUAL MILEAGE 2 IS IN EXCESS OF ITS EtECHeWICALLIMMM ;�❑ 3 TS SOT THE ACTUAL MIC I--AC L (EXCESSOFITSMECHANICALLM4ITS WARNING - O.DOh1E.TfRl11SCRLPANCY 'CHECKA.BOX APPLIESTO 5 DIGIT ODOMETERS) Purchaser Must Co- Purchaser Muse 7. Sign Hcre: Sign Here: r .. Print here Print Here: - - Srner'Agent Musl .Auction Name (when Applicable): Sigh, Htrc: i Print Hero: Auction License Number Sult ag Dealers - Selling Dpler's Tax Tax License NU.:. Name: No.c ' : Collected:. Selling Dealer's Addressi -Date Sold: d Purchaser's: Namc(s): Address: I tiVE STATE:, THATTHIS E] 5 OR ❑ 6 DIGIT ODOMETER NOW READS , XX (NO TENTHS) MILES. DATE READ r ; AND I HEREBY CRRTIFY THAT TO TILE BEST OF MY KNOW(.,EDC',I-, TFIE ODOhIL ri.lt READING. M CAUTION: READ CAREFULLY _ 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS - MECHANICAL LIMITS 3 IS NOT THE ACTUAL L , MIL AC L. BEFORE 1 OU (EXCESS OF ITS MECI IAN ICAL 1,4 NUTS )YARNING - ODOMETER DISC REPANC Y . - CHECK A:BE)X APPLIES TO 5 DIGIT ODOMETERS) - ..Pumhaser MuA - Co-Purchaser Most - Stgn.H Ee _ _ Sign Here: Prmf ilere; - Print here: `i SOIcrlAgent Most - Auction Name (When Applicable):: r,. gigriil rc _ - - -- Print Here: _ Auction License Number: Selling heeler's - Selling Dealer's Tax - : Tax - License -No.: ' Name: No.: - C ed ollect: s Selling Dcoler's Addtess: -Date Sold: ^,__ G Purchaser's Name(s): _ - Address: i I WE S n11 E'1T1 AT I "(IIS - O 5 OR ❑ 6 DIGIT ODOMETER NOW READS XX ( \O TFNTHS) MILES, DATE READ . AND I HE H) .... .. -. ":, CERTIFY TI IAT T.O THE BES "r OF MY KNOW LEDGE. 11 IE ODOML (LR.REAI)3NG C16.TI ON: RRAD C 1REFULLY �� 1 REFLECTS ACTUAL MILEAGE :❑ 2. JS IN EXCESS OF ITS MECHANICAL LIMITS 3 IS N OT THE ACTUAI M11 >L 1C C A UTEFORE YOU.. ., -: :, (EXCESS-OF - .ITS MECHANIC Al, .LIMITS .: .. WARNING, ,DpOMf- T};.Ra)ISCRF;PA APPLIES TO.5.DIGIT ODOMETERS) a s / ::r•.. �-, 1?urctaeser 1•tUSI _ `Cu- Purchaser N7u61" aw _ -Sigm Here Pant H7src - Drip€ Here s `'+ s. s SpjleYi°AgeA4.•tust Z. tuC#toa Name (1T'hen tpglrcable �� `°� ` �� > '� . s '��. s t y`` o ''b r'At1>;tn4r oriSetpmheF �r ,, ODOMETER DISCLOSURE STATEMENT Section 580.7 of Chapter V of the National Highway Traffic Safety Administration Act of 1984 requires that you must complete and return this form to the lessor. Failure to complete or providing false information may result in fines and /or imprisonment. Date: 1/28/15 The Bancorp Bank Lessee Printed Name: 3905 El Rey Road Village of Tequesta Orlando, FL 32808 Lessee Address: 345 Tequesta Drive Palm Beach, FL 33469 ODOMETER READING Odometer Reading (not to include tenths of miles) The lessee named above certifies that to the G 1 ! C best of his/her knowledge the odometer O " reading reflects the actual mileage. Please check only if one of the following applies: ❑ The odometer reading reflects mileage in excess of the designed mechanical limits of the odometer. ❑ The odometer reading is not the actual mileage and should not be relied upon. VEHICLE INFORMATION Make: Ford Model: Focus Year: 2012 Body Type: Sedan Vehicle Identification Number: 1FAHP3E29CL315401 Lessee's Signature: Date Signed / 20 X Month - Day Year Lessor Signa Date Received X G{it.- / / 20 Month Day Year i