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Home My WebLink AboutVehicle Title_Truck_10/05/2015_Police (2) Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04683 Identification Number Year — Make - Body — WT -L -BHP Vessel Regis. No. — Title Number - 1FM5K8AR1FGC52069 2015 FORD UT 4536 120442596 Registered Owrler: 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 t 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 lvfail 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://www.hsmv.state.fl.us/html/titlinf.html ® W`. Identification Number Year — Make - Body — WT -L -BHP — Vessel Regis. No. Title Number Lien Release V` r! 1 FM5KSAR 1 FGC52069 1 2015 I FORD I UT 4538 120442596 Interest in the described vehicle is hereby released a Prov Color Primary Brand Secondary Brand Aoo — Use — Prev Issue late B Stat N F BLK I POLICE I 01 I POLICE Title Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue — 25 MILES 04/28/2015 ACTUAL 1 10/05/2015 1 Date S� Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 pM 1 st Lierlllolder NONE N~ w w DIVISION OF MOTORIST SERVICES TALLAHASSEE Y s FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES Number ar: 12388608 / ®= * Clayton Boyd Walden Terry L. Rhodes E Director Executive Director 0 =- _ 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 dale sold in connection with the transfer of ownership. Failure to complete or providing afalse statemenlmay result in fines and /or imprisonment. +� 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: - �� Seller Musl Enfer Purchaser's Name: Address Seller Must Enter Selling Price: - _ _ -_ _ — Seller Must Enter Date Sold: L'We state that this ❑ 5 or F 6 digit odometer now reads 1 1 1_11_1.1 X I (no tenths) miles, date reful and I hereby certify That to the best of my knowledge the odometer reading: ❑ 1. reflects ACT11AL MILEAGE. ❑ 2. is IN EXCESS OF ITS MECHANICAL LUdrl'S. � 3. is NOT THE AMTAL MILEAGF_ UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SELI,ER Must CO- SELLFR Mast Sign Here: ._ _ _. - - -_. Sign Here:- _ ' Print Here: _ _ Print Here: .. :L• Selling Dealer's LtcenseNumber: Tax No.: Tax Collected: M Anclion Name _ License Nmnber: PURCHASER Most CO- PURCHASER Must f w Sign Here: Sign Here: ..o- PrmtHere: PrintHcre: NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE I � —�,•S• ip:f: r'•.i {'. iwlr li;11; •.M14, ..i, i::\ ( r�5.. q'it. /i s s,•t:� STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES 2900 ApalacheeiParkway • 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 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, ACCUftATELY 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. r� . ODQAI 7$R C$RTIfiICATiQN Fede[gi "IItttl state laws require that yt 0 state the o leag4 to Cpn'rrect ott With G' 1 of owhcrsbfp Fa luro 20 complete or p[ovtJ Pg a IxisC tYdT.i K ilt ml6lea, n6Vtlr 3tupk`f1[n[t Cht e Se14agD4alePS;. SellingDuider's <. LicOose Na.; Name: §eRW Dealer's. Addren ASte Sold o Purchaser's Name(s): Address: . . w I/W. STATE THATTHIS E 5 OR ❑ G DIGIT ODOMETER] NOW READS ,� : XX (NO TENTHS) MILES. DATE READ _! / , AI1D I HEREBY - CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING m CAUTION: READ CAREFULLY El 1. REFLECTS ACTUAL MILEAGE F12. IS IN HXCESS OF ITS MECHANICAL LIMITS I „US NOT THE ;ACTUAL MILEAGE F , _ BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS ,.WARNING ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) z V Purchaser Must Co- Purchaser Must Sign Here: Sign Here: w a 'Print Here: .Print Here: F C u- 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: ;, Selling Dealer's Address: ' Date Sold: w M Purchaser's Name(s)- Address: „7 F Z UWE STATE THAT THIS 50R 6 DIGIT ODOMETER'NOW READS XX (NO TENTHS) MILES, DATE READ / .^.._ I - , AND I HEREBY w CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: ' CAUTION: READ CAREFULLY F - 1 1. REFLECTS ACTUAL MILEAGE F 2. IS IN EXCESS OF ITS MECHANICAL LIMITS F] 3. is NOT THE ACTUAL. MILEAGE. Z BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY w CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) - - 2 Purchaser Must: %( Co- Purchaser Must Sign Here: Sign Here: 04 q Print Here: Print Here: Z O w Seller /Agent Must Auction Name (When Applicable): Sign Here: Print Here: Auction License Number: Selling Dealer's Selling Dealer's Tax Tax License Nos Name: - No.: Collected. Selling Dealer's Address: Date Sold: Q Purchaser's Name(s): Address: Z. UWE STATE THAT THIS ❑ 5 OR 6 DIGIT ODOMETEPjNOW READS i XX (NO TENTHS) MILES, DATE READ _ 1 _ / , AND I HEREBY u CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: m CAUTION: READ CAREFULLY El 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 S DIGIT ODOMETERS) z I � Purchaser Must; Go- Purchaser Most Sigp :Here: Sign Here: - Prin6Herc: Prim r a' Hct ' Seller /Agent. Must Auction Name (When Applicable): I►� pent Herd A,uctign LiccPSc Number;