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Home My WebLink AboutVehicle Title_Truck_10/05/2015_Police (4) M Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04684 fi�,' . Identification Number Year — Make - Body — WT -L -BHP Vessel Regis. No. Tdle Number - 1FM5K8AR8FGC52070 2015 FORD UT 4536 12044270 Registered Owner: Date of Issue 10/05/2015 1. Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR ey t 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 or vessel: http://www.hsmv.state.fl.us/htmi/titlinf.htmi � � i ll �. ,s . ,�`y . 9 � ;i ;3 f . , ; r , .t:. s, 1� y - v . i Identification Number Year - Make - Body — WT-L-BHP — Vessel Regis. No. Title Number 4� \ Lien Release 1 FM5K8AR8FGC52070 . 2015 FORD UT 453f .1 120442700 1 Interest in the described vehicle is hereby released Prev t e Color Primary Brand Secondary Brand Brands Use — Prev Issue Date - B N i BLK POLICE 1 1 01 POLICE Title Odometer Status or Vessel Manufacturer or OH use Hull Material Prop — Date of Issue - y � Date 26 MILES 04/28/2015 ACTUAL 10/05/2015 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 1 st. Lienholder ' NONE' DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES . eh ✓�'�`n � Number '23388609 �- 7 -® i q Clayton Boyd Walden Terry L. Rhodes E= Director Executive Director ®ps. TRANSFER OF T11 t_c of SELLER (This section must be completed at the time of sale.) = Federal and /or stale law require that the seller state the milege, purchaser's name, selling price and date sold in connection with the transfer of ownership. - Failu a to complete orproviding aE•dse statement may result in fines and /or imprisonment. x . "Mis 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: a. n Seller Musl Enter Purchaser's Name: _ -- Seller Must Enter Selling Price: Seller Mmi Fnter Date Sold: IlWe state that this ❑ 5 or❑ 6 digit odometer now reads 1 - 11 - I1 - I j_11_11_1,1 x I (no tenths) miles, date read and I hereby certify that to the best of my knowledge the odometer reading: L reflects M71'IIAL MILEAGE F-1 2. is IN EXCESS OF US MECHANICAL LIMITS. 3. is NOT THE A(, MILF.AGF UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. t�' = SELLER Most CO- SELLER Must Sign Here: ------- -- _..----- --- -- -- - Sign Here:. -- - - - -- -- - -- - -- -- Print Here: Print Hcre; • n Selling Dealer's LicenseNumber' Tax No.: Tax Collected: Auction Namc License Number- :1 PURCHASER Most CO- PURCHASER Must i!9 Sign Here: —�.._. Sign Here: " P rint Here: Print Here: NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE "�.fyi �,.:i• ?xt; u; •q.. .r "s; M M! r gasp, 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 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 CLEFIK 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. gbOMETER.CERTI 'ICAT[O.N Fedeg0 _ d state laws require that y(, state the mileagc in c6iinectiup wit}btjansfeY;vtt�.ownGnhtp Ftilurc iu complete or providingafaixe.Stdt �,[ iC tigtilt m 1itww.ltiNur pppris22ntpcllt Selling DealePS Selling Dealer's Tax LIcC'irsC No.. Name: No.i `` .' (:olleeted. Se(tiigDealer s Address Dtffe Sold q Purchaser's Name(s): Address: UWEST ATE THATTHIS 50R ❑ 6 DIGIT ODOMETEEt;NOW READS -: XX (NO TENTHS) MILES, DATE 'READ _! AND IHEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING. r CAUTION: READ CAREFULLY F 1. REFLECTS ACTUAL MILEAGE. ?. IS IN EXCESS OP ITS MECHANICAL LIMITS 3 IS THE, ACTUAL M¢ SAGE. m BEFORE YOU T (EXCESS OF ITS MECHANICAL LIMITS ,�vARNtN:G - OAOM)rm. DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) t U Purchaser Must Co- Purchaser Must - - y Sign Here: t Sign Here: a Print Here: Print Herc: tT Seller /Agent Must Auction Name (When Applicable): Sign Hcre: Print Here: ,; Auction License Number: Selling Dealer's Selling Dgler's Tax :Tax - License No.: Name: No.: 'Collected: Selling Dealer's Address: 'Date Sold: O Purchaser's Name(s): Address: `ILWE STATE THAT THIS 5 OR ❑ b DIGIT ODOMETEI}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 ❑ L REFLECTS ACTUAL MILEAGE ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3. IS NOT THEACTUAL 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: Sign Here: w x ❑ 'Print Herr. Print Hcre: O. 3 w Seller /Agent Must : Auction Name (When Applicable): Sign Here: Print Hero: : Auction License Number: Selling Dealer's Selling Dealer's Tax '..Tax - License No.: Name: No.: Collected: :w Selling:Dcaler's Address: Date Sold: Purchaser's Name(s)- Address: w Z UWE STATE THAT THIS E] 5 OR ❑ 6 DIGIT ODOMETE .NOW READS ,', XX (NO TENTHS) MILES. DATE READ-/ _ / - , AND I HEREBY U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: REAP CAREFULLY L REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT T+IF ACTUAL MILEAGE. ti BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS ' : )YARNING ODOMETER DISCREPANCY CHECK A BOX APPLIES TO 5. DIGIT ODOMETERS) c, Purchaser Must ' - Co- Purchaser Most Sign Here' Sign Here: � Print Hera: Print Hcre: - Seller /Agent Must Auction Name (When Applicable): - Sign'Hgra h pool Hem: Atiction License Number: