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Home My WebLink AboutVehicle Title_Truck_07/13/2015_Police A04840 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 I� Identification Number Year — Make - Body — WT -L -BHP Vessel Regis. No. — Title Number - 1FM5K8ARXFGC52071 2015 FORD UT 4536 119489403 Registered Owner: Date of Issue 07/13/2015 Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR B y 0 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: II http://www.hsmv.state.fl.us/html/titlinf.htmi a :, ,�` = r:; i � • � � ,i� ,;, •',;; ,; •� - - — - Ide,Otlfication Number Year Make - Body WT -L -BHP — Vessel Regis - No. Idle Number _ f Lien Release '1 FM5K8ARXFGC52071 1 2015 I'FORD 1 { UT — 4536 1 119489403 I Interest in the described vehicle is hereby released" Prey Color Primary Brand Secondary Brand An% Use Prev Issue Date B "� State 1 6LK I POLICE 01 I POLICE I I Title a Odometer Status or Vessel. Manufacturer or OH use Hull Material Prop Date of Issue Date } r" l 23 MILES 04/28/2015 ACTUAL T 107/13/2015 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 . - 1 st Lienholder =' NONE �® y *,7 DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES ZL L �Etl N}mtber 124 0 91 Clayton Boyd Walden 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 al lege, purchaser's anal selling price and date sold in connection with the transfer of ownership. =` Failure to complete or providing u false statement may result in fines and /or imprisonnnmL r This title is wmimuted to be free from any liens except as noted on the face of the certificate and the motor vehicle or vessel described is hereby transferred to: lt Seller Must Enter Purchaseu'sNaaue: Address: \•: Seller Must Enter Selling Price: Seller Must Enter Date Sold: r• ii I/We state that this ❑ 5 or ❑ 6 digit odometer now reads I - 11 - 11 - 1,1 - 11 11 1.1 X I (no lenlhs) miles, date read and I hereby certify that to the best of my knowledge the odometer reading: L reflects ACTIJAL MII,E.AGE. F-1 2. is IN EXCESS OF ITS MECHANICAL LIMITS. [:] 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- SELLER Most Sign Here: _ Sign Here: Print Here: _ —__ Print Here: l! •} il Selling Dealer's LicenseNumubec _ _ Tax No.: _ _ _ Tax Collected: y Auction Name License Number: _ - \ PURCHASER. Mist CO-PURCHASER Most - Il _ -Sign Here: Sign Here: i , j - :Print Here: _ _ Print Here: NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMIT7ED:FOR TRANSFER WITHIN 30 DAYS.AFTER DATE OF PURCHASE p =z 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 mo'bile home. Filing this form removes any civil liability for the operation of the sold motor vehicle, vessel or mobile homZ. 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. ODgIiiETER t 2RTIt ICnTIOtf. Federat Slstate laws#equtte th@r ou state the ilesgC m eunneSUOawith:ftansler t fnw ersWp Failure tb eomptete or provtding:a fatsesratt iien[ Aiagnesulr fi+tesaildlotigiprys ttt .. .. ....,.. .. .. . . .. .: t Selljug Dealer's .'- # :,..::' : ' Selling Dealer's ' Tali eE s, 'License Name: ,N6.; ' :..,:CoBeMed. Sellbig Dealer s,ilddress. - Nate Sold, w Purchasers Name(s)- - Address: IIWE. STATE THAT THiSEI50R ❑6DLGITODOMETER NOW READS (NO TENTHS) MILES, DATE REA.II_7 ANDI.HEREBY ' CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: READ CAREFULLY ❑ 1. REFLECTS ACTUAL MILEAGE : F] 2. IS IN EXCESS OF ITS MECHANICAL LIMITS -❑ 3. IS .NOT THE: ACTUAL MILEAGE, F. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER - DISCREPANCY �> CHECK A BOX _ - APPLIES TO 5 DIGIT ODOMETERS) O Purchaser Must - Co- Purchaser Must N _Sign Here: Sign Here: - F - Print Here; Print Here: a -ri, 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 ca Purchaser's Name(s): Address: h u IlWE STATE THATTHIS.❑ SOR fiDIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ AND I HEREBY :1 CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: - m CAUTION: READ CAREFULLY L. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS :❑ 3. IS NOT THE ACTUAL MILEAGE. 2 BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING -- ODOMETER DISCREPANCY w CHECK A BOX APPLIES TO 5 - DIGIT ODOMETERS) - 2 2 2 Purchaser Must Co- Purchaser Must - Sign Here: Sign Here: w x Print Here: Print Here; z o , �. '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 Purchaser'sName(s): Address: _: [a - O X I/WE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER NOW READS • XX (NO TENTHS) MILES, DATE READ AND I HEREBY 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 w CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Purchaser Must > Co- Purchaser Most vqy.� Sign Here; - - Sign Here: p Pdnf':Here Print Here: Seller /Agent Must.- Auction Name (When Applicable): Siga'1'ltue �� Pnnt How. Auction license Number: