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HomeMy WebLinkAboutVehicle Title_Truck_10/05/2015_Police(3) Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04682 Identification Number Year — Make — Body — WT-L -BHP Vessel Regis. No. — Title Number 11FM5K8AR4FGQ52O65 12015 FORD UT 4536 120442591 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 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 orvessel: http:l/www.hsmv.state.fl.us/htmi/titlinf.htm] ^ 4�4 , ■ �� � �; i ;fn i. Si a;22,• © sio i ar' i ;2• f i Rpm Identification Number Year Make Body — WT -L -BHP ' — Vessel Regis. No. Title Number c � Lien Release f ;'. nl, 1FM5K8AR4FGC52065 2015 FORD 'I UT 4536 1 120442591 I Interest in the described vehicle is hereby released z S ate Color Primary Brand Secondary Brand &Vo oj s — Use Prey Issue Date B N IBLK POLICE 01 POLICE ;.. Title I — Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue — ~ 22 MILES 04/28/2015 ACTUAL I10 /05 /2015 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 l st Lienholder " =: NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE Jz FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES 8 0 7 / � 4 7 trut Number "� �Z ^ /1 ' a 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 milege purchaser's name selling price and date sold in connection with the transfer of ownmhip. - Failure to complete orproviding afalse statementmay result in fines and /or imprisonment " P..': • ' Tbis title is wahranted to be free from any liens except a: noted on die face of dhe certificate and the motor vehicle or vessel described is hereby transferred to: r . Seller Marl Enter Purchacer'sName: y� ' e -- - - - -.. -- -- -- Address:-- ----------- -....- ------- - - - - -- •ter �? Seller Must Enter Selling Price:_ - _____ Seller Must Enter Date Sold: L'We state that this F 5 orF� 6 digit odometer now reads 1_I I_I I_I, I_ II_ II 1.1X I(no tenths) miles, date read _ - - _and Ihereby certify that to the best ofmy knowledge the odometer reading: 1. reflects ACTUAL NELF:A(iE. El 2. is IN EXCESS OF ITS MECHA NICAL LIMITS. 3. i s NOT THE AC - RIAL MILFAGE. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. i SELLER Most CO -SFJ LFR Must -- Sign Here : . ............__ Sign Here: Y• Print Here: Print Here: - •' •:��' Selling Dealeh's LicenseNaunber: _ Tax No.: 1 Collected: Auction Norne License Number: PURCHASER Must CO- PURCHASER Must 9 Sign Here _ - T - - - -- _ - -- -' -- - -- Sign Flere, — - --- : _ . - T . --- -_ �J print Hire: Print H­ W r a i t NOTICE PENALTY IS R BY LAW IF NOT SUBMITTE FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE .14141 I NTA L �,• k.o <, ,.tl ss. 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 petforation and mail to the address above or submit to your local tax collector's office or license plate agency. I have this day of tr4nsferred 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. ODOMETER.CERT[ffCATiO.N FeQSgF anal &rate Incas require that yuy state the mileage in cii[Itteetiutr Yvith,tjans'Fer i3f:owhGrshtp'Fajlure to complete or vhIm a fats , P Pro g t> tlL�uflPcv`cf�atutip!isbnnteHt f Selpog,Dealer'g �; Selling Dealer's '• `Licp'nse No..` Name: `NoLd .' 4ColleeYed: "" Selling Dealer S. Ante Sold c a. Purchasers Name(s). Address: o r.,a I/WE STATE THATTHIS 5 OR 6 DIGTT ODOMETER NOW READS (NO TENTHS) MILES. DATE Ri•AD 1 /' A(:1D I HERF w CERTIFY THAT TO THE BEST OF MY KNON!LEDG,E. THE ODOMETER READING a� CAUTION: READ CAREFULLY I. REFLECTS ACTUAL MILEAGE. � 2. IS IN EXCESS OF ITS MECHANICAL LIMITS F i [$ NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS wARN1NO ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) w 1 z � Purchaser Must Co- Purchaser Must Sign Here: _ £ _ Sign Here: w � Print Here: Pont Here: rY [i 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: j No.: Collected: m . Selling Dealer's Address: "Date Sold: w q Purchaser's Name(s): Address: U WWE STATE THAT THIS F 5 OR ❑ 6 DIGIT ODOMETER NOW READS „ XX (NO TENTHS) MILES, DATE READ _ l _ f , AND I HEREBY U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY F L REFLECTS ACTUAL MILEAGE El 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NQT THE'ACTUAL MILEAGE. Z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING *ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) - - 2 Purchaser Must Co- Purchaser Must Sign Here: i Sign Here: w a . p Print Herr. ` Prim Here: O f w Seller /Agent Must Auction Name (When Applicable): h Sign Here: Print Hera Auction License Number: Selling Dealer's Selling Dealer's Tax ..,Tax - - License No.: Name: No.: Collectedt Selling Dealer's Address: S' Date Sold: A Purchaser's Name(s): Address: w : z UWE STATE THAT THIS F1 5 OR ❑ 6 DIGIT ODOMETER�N'OW READS XX (NO TENTHS) MILES, DATE READ _/ _ / AND I HEREBY u 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. 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 C +� Sign Her@. Sign Here: p Ptint:Here. Print Here a Salter/Agent. Must Aac {ion Name (When Applicable):. SigdHerc {. �� ¢nnt Here Auctwn License Number.