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HomeMy WebLinkAboutVehicle Title_Truck_10/05/2015_Police Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04681 Identification Number Year - Make - Body - WT-L -BHP — Vessel Regis. No. — Title Number 11FMSKBARXFGC52068 2015 FORD UT 4536 1 120442492 - Registered Owner: Date of Issue 10/05/2015 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 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: http://www.hsmv.state.fl.uslhtml/titlinf.htmi •.w�� �rt��nr��n�n�r��rr�r�rrlr��t��rr ,y, © Identification Number Year - Make - Body UVtT -L -BHP - Vessel Regis. No. Title Number - (� Lien Release 6, \ wi 1 FM5K8ARXFGC52068 1 2015 FORD UT 4536 1 120442492 I Interest in the described vehicle is hereby release Prey State eren Color Primary Brand Secondary Brand ds Use Prev Issue Date B N I BLK I POLICE I 01 I POLICE Title , - Odometer Status or Vessel Manufacturer or OH use Hull Material — Prop Date of Issue - Date -e. 22 MILES 04/23/2015 ACTUAL 10/05/2015 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 1 st Lienholder NONE v a. f DIVISION OF� MOTORIST SERVICES /J TALLAHASSEE n FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - Euntrol Number 123388606 ':a a Clayton Boyd Walden Terry L. Rhodes E" 3� 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, purchaser's 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 and /or imprisonment. r This title is warranted 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: ' • }fit Seller Must Enter Pur'chaser's Namc: ___. Address: Seller Must Enter Selling Price:_ - _ _ Seller Most Enter Date Sold: VWe state that this ❑ 5 orF� 6 digit odometer now reads 1_11- 11 - 1 1_11_1.1 X I (no tenths) miles, date read _ _ -_ __ and I hereby certify that to the beast ofmy knowledge the odometer reading: F7 1. reflect ACTUAL MILEAGE F1 : is IN EXCESS OF ITS MF CRAMCAL 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- SELLFR Must - ::. Sign Here: Sign Here Print Here: _ Print Here: .: '• Selling Deal er's LicenseNumber: Tax No.: Tax Collected: Auction Name _ _ License Numher: �46 1 PURCHASER Mnst CO-PURCHASER Most }i Sign Here: --- ------ -- - - -- -- Sign Here: — I ff' Print Here: _ Prim Here:__ NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE — e 1 t .� ® r } SY i;,, t. 'S *.a'• a �li '� /,. %i% i of :•.55: ri; 1 :in% :•.5•�,: ,;rl, suit, ..5... ;r P ;�� STATE OF FLORIDA DEPAFITMENT 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 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) V 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. ObQM)"'IER ON- F44ecaf'anil &tale laws require that ycp state the mileage in c6rmecnup With >t'ranstei' oF:ownw'vsMp- :Failure to:complem or providinga fah l]n j I ur.unpti. Inmcrtt Se1Ung D4aIenS Selling Depfer's Tax r ? ulCtx �LicOoseNo..' Name: "; 'Nb:C ^ , :CbNeeCed. ,: h . Selling D4ateti s Address Atha 9oM w Purchaser's Name(s): Address: ...� I/" E ,. x STATE THAT THIS a 5 OR ❑ 6 DIGIT ODOM (N ETERNOW READS XX O TENTHS) MILES, DATE. KEAb G CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER ,READING: m CAUTION: READ CAREFULLY F I. REFLECTS ACTUAL MILEAGE. 2. IS EXCESS OF ITS MECHANICAL LIMITS B IS: NOT THl:ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS AR, NG OAOWT.ER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Z Purchaser Must Co- Purchaser Must Sign Here: Sign Here: a ` Print Here: Print Here: z E Seller /Agent Must Auction Name (When Applicable): Sian Here: Print Here: Auction License Number: Selling Dealer's Selling Dealer's Tax :Tax License No.: Name: No.: - Collected :` a Selling Dealer's Address: 'Date Sold: C Purchaser's Name(s): Address: p :� :'r U UWE STATE THAT THIS 5 OR 6 DIGIT ODOMETER�NOW READS XX (NO. TENTHS) MILES, DATE READ ,_;_ f { , AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: READ CAREFULLY ❑ I. REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NOT THE - ACTUAL MILEAGE. Z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY m: CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) - D Purchaser Must Co- Purchaser Must Q Sign Here: Sign Here: a n _Print Her.: Print Here: Z. 0 U Seller/Agent Must Auction Name (When Applicable): h .Sign Here: Print Hem: Auction License Number: Selling Dealer's Selling Dealer's Tax -Tax License No.: Name: - No.: Collected. m Selling Dealer's Address: Date Sold: a a A .Purchaser's Name(s): Address: o Z UWE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER;WOW READS . ' XX (NO TENTHS) MILES, DATE READ _! _ / , AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: 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 CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Z Purchaser Must ` _ Co- Purchaser Must Sigel Here, _ _ Sign Here: u O FrinLHerc: Pont Here: - x i . $ellerlAgont.Must �, Auction Name (When Applicable): - - :Sip (Herc '- pi Print Flerc £ Auction Lice se Numbev