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Home My WebLink AboutVehicle Title_Truck_07/13/2015_Police (2) A04841 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 Identification Number Year — Make — Body WT -L -BHP Vessel Regis. No. — Title Number — Yz }• Y 1FM5K8ARGFGC52066 2015 FORD U — T 4536 119489647 Registered Owner: Date of Issue 07/13/2015 � 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 the notice of sale on the reverse side of this form. VILLAGE OF TEQUESTA 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: http://www.hsmv.state.fl.us/htmi/titlinf.html all _ - Identification Number Year — - Make —Body •— WT -L -BHP Vessel Regis. Noy Title Number. — ' Lien Release f 1 FM5K8AR6FGC52066 2015 FORD UT 4536 ( ��ff 119489647 Interest in the described vehicle is hereby released.!� Prev Color Primary Brand Secondary Brand Bra ° ntls — Use Prev Issue Date B a I S BLK 1 POLICE I I 01 I POLICE Title Odometer Status or Vessel Manufacturer or OH use Hull Material' Prop Date of Issue — J i1 Jr {. 24 MILES 04/28/2015 ACTUAL I 07/13/2015 Date ti.. Registered 0umer VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 t _ 1 st Lienholder ; NONE a •o DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES ontrol Number 1223 4092 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 stale law require that the seller slate the milege, purchaser's name, selling price and date sold in connection with the transfer of ownership. Failure to complete or providing n false statement may result in fines sadior imprisonment. A '{ This title is worranted to.be free from any liens except as noted on the face ofthe certifiente and the motor vehicle or vessel described is hereby transterred to: Ji i7. Seller Must: Enter Purchaser's Name:_ Address: F� Seller Must Enter Selling Price:____, Seller Must Enter Date Sold: E"" '• DWe stale that this ❑ 5 orF 6 digit odometer now reads 1_11_11_1,1 11_11 - 1.1 X I (no tenths) miles, date read and I hereby cerlifv that to the best ofmy knowledge the odometer reading: ❑ 1. retl ects ACMAL MILEAGE. F 2. is IN EXCESS OF ITS MECHANICAL LIMITS. 3.isNOT "ITSAC1 "- 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 Must Sig. Her.: Sign Here: "+ "r Print Here: Print Here: !! i: jlt Selling Dealer's LiceuseNumber: Tax No.: Tax Collecled:___ r Auction Name License Number: E PURCHASER Most CO-PURCHASER Must - —� Sign Here- Sign Here: Print Here NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER 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 qr 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 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. : QIYgM�1'EJt C�R�'II`�irATIOP#� Federal a)lttatate 12�ys i:e(latre th @t}�ou state thett7ileage incbriteCUOn'with:taggrer of nwltershtp: Failure to Complete of teitkpt AWy te,5tjttin >itl;BS21ad1ot unptp~ SelUag Dealers ; Selling Dealer's Taxi :..Ltcetise . . -. Name: � SelNng bealet s ArtdresS Ante S61d .�.....T. _- a O Purchaser's Name(s)t. Address: .. UWE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER READS (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 MB:EQGE, F , BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING- ODOMETER DISCREPANCY Z CHECK A BOX - APPLIES TO 5 DIGIT ODOMETERS) -� Purchaser Must - Co- Purchaser Must Sign Here: Sign Here: w 'Print Here Print Here: rn C4 ru .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: a w o Purchaser's Name(s): Address: u 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: w 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 ul CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) - z n Purchaser Must - Co- Purchaser Must Sign Here: Sign Herz: w a p Print Here: Print Here: O Z Seller /Agent Must - Auction. Name (When Applicable): O1 Sign Here: - Print Hem: Auction License Number: Selling Dealer's Selling Dealer's Tax Tax License No.: Name: No.: Collected: w .Selling Dealer's Address: _ Date Sold: o - Purchaser's Name(s): Address: 0 z I(WE STATE THAT THIS F15 OR ❑ 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _ / _ / , AND I HEREBY c CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY El I. REFLECTS ACTUAL MILEAGE El 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 1-1 3 -.. IS NOT THE ACTUAL MILEAGE. 11 t .., BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY CHECK A .BOX APPLIES TO 5 DIGIT ODOMETERS) - O Purchaser. Must :' - CoTurchaser Must . u; Sign }(ere: Sign Here: _.. a = A Print Here Print Here: Seller /Agent : Most. Auction Name (When Applicable): Sign Here i [� Pim[Here Auction License Number