HomeMy WebLinkAboutVehicle_Truck_08/24/2015 A04689
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500
Identification Numbet Year — Make — Body — WT -L -BHP Vessel Regis. No. — Title Number
iFDUF4HY5FE030693 2015 FORD CB 6603 119963958 I I
Registered Owner: Date of Issue 08/24/2015
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 'Co:
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:
http://www.hsmv.state.fl.uslhtml/titiinf.htmi
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Identification Number Year Make Body WT -L -BHP Vessei Re is. No. — Title Number — „
"� h ,�,•.� Lien Release
'� r! 1 FDUF4HY5FED30693 1 2015 FORD I GB 6603 1 19963958 Interest in the described vehicle is hereby released �
' Prev — Color Primary Brand Secondary Brand 4o of Use Prev Issue Date g
SCate an s :.
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N WHI PRIVATE Title
Odometer Status or Vessel Manufacturer or OH use Hull Material Prop — Date of Issue —
Date
118 MILES 08/24/2015 ACTUAL 08/24/2015
Registered Owner r
VILLAGE OF TEQUESTA :=
345 TEQUESTA DR
TEQUESTA FL 33469.
1 st Lielllolder
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DIVISION OF MOTORIST SERVICES TALLAHASSEE », FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
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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 stale the milege, purchaser's name, selling price and date sold in connection with the transfer of ownership. " - -
Failme to complete or prnviding a tialse statement may result in tines and(. imprisonment
•��'� This title is wavanted to be Gee firm any liens except as noted on die face ofthe certificate and the motor vehicle or vessel described is hereby trausfe=red to:
Seller Must Enter Purchaser's Name: Address:
.o.�. Seller Most Enter Selling Price: Seller Must Enter Date Sold:
I /We stale that this ❑ 5 or ❑ 6 digit odometer now reads 1 11_11 1 _ 11 1 1.1 X I (no tenths) miles, date read mid I hereby cenity that to the best ofmy knowledge the odometer reading:
❑ 1. reflects ACTUAL MILEAGE. F] 2. is W EXCESS OF rrs MECHANICAL LMTS. ❑ 3. is NOT'rHE 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 Must CO- SELLER Most
Sign Here: Sign Here:
Print Here: _ Print Here:
Selling Dealer's Licen,eNmtber: _ _ _ Tax No. _ Tax collected: __ _ '•
' Anction Name License Nwnber:
4 '1 PURCHASER M.sl (.;0.1 LrRCHASER Musl.
Sig. Here: _ Sign Here_
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Print Here: _ Print Here:
NOTICE PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE
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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 Sate 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 tiling 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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OIOMETERCERTIFICATION +Feder�d t, dstoleLnvs7 cyriirethatyouti tate the nailstgemcimneaainttwith. nyinIiofc- m-htpFailureto tar- at,b� t,lcrt,nt ma; r"'[1tm tines mad/or unprL +onnteat
,Selling Dealer's Selling Dealer's Tate - 'lax
Liccr s No.: Name: - No.: Collected:
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Selling Dealer's Address: Date Sold:
Purchaser's Name(s): Address:
I/WE STATE, THAT THIS 5 OR 6 DIGIT ODOMETER NOW READS :,, XX (NO TENTHS) MILES, DATE READ — I l.. . AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
m CAUTION: READ CAREFULLY El I. REFLECTS ACTUAL MILEAGE ❑ 2. 1S IN EXCESS OF ITS MECHANICAL LIMITS F] 3.:IS NOT THE ACTUAL MILEAGE.
t ., BEFORE. YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY
z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
z Purchaser Must Co- Purchaser Must
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Sign Here: Sign Here:
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� Print Here; Prim Here:
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Seller /Agent Must Auction Name I When Applicable):
Sign Here:
Print Here: Auction License Number:
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name. No.: Collected:
Selling Dealer's Address: Date Sold:
y
e Purchaser's Name(s): Address:
m UWE STATE THAT THIS R 50R 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:
J
m CAUTION: READ CAREFULLY ❑ I, REFLECTS ACTUAL MILEAGE ❑ ?. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NOT THE ACTUAL MILEAGE.
z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
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Purchaser Must Co- Purchaser Must
Sig. Hers• Sign Here:
u
z
M Print Here: Print Here:
z
Seller /Agent Must Auction Name (When Applicablel:
Sign Here:
Print Here: Auction License Number:
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name: No.: Collected:
Selling Dealer's Address: Date Sold:
Purchaser's Name(s): Address:
s
I /WE STATE THAT THIS 50R F1 (DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ / — / , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:
r CAUTION: READ CAREFULLY F-1 I. REFLECTS ACTUAL MILEAGE ❑ Z. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE.
BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS;
z Purchaser Must Co-Purchaser Mast
Sigh Here: Sign Here:
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Print Here: Print Here:
.Seller /Agent Must. Auction Name (When
Sign Here:
.� « Print Here _ Auction License Number).