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Home My WebLink AboutVehicle Title_Truck_09/29/2015 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04256 l Identification Number Year — Make — Body — Wt -L -BHP Vessel Regis. No. — Title Number - .• 1FTFWIEF3FKE18321 2015 FORD PK 4889 120365514 � Ker' ISterecl (?wI }era Date of Issue 09/29/2015 t� 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 0 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: ll http://www.hsmv.state.fl.us/html/titlinf.htmi .. �n��trrn�ir�r��n�r�nn��r��nn �� u rr�r�i�rr�r�t�n�r�r� ..... ■ hL.' ■ } &I A Identification Number Year — Make —Body — USTf -L -Blip — Vessel Regis. No. — role Number +� 4 Lien Release 1 FTFW 1 EF3FKE 18321 2015 I FORD 1 I PK l 4889 1 1 120365514 1 Interest in the described vehicle is hereby released I State Color ' Primary Brand { Secondary Brand Brarvds Use '— Prev Issue Date By y N I BLU POLICE I I 01 f POLICE , rule I — Odometer Status or Vessel Manufacturer or OH use Hull Material Prop bate of Issue — i, Date 118 MILES 09/29/2015 ACTUAL 109/29/2015 Registered OwDer VILLAGE OF TEQUESTA 345 TEQUESTA DR _ TEQUESTA FL 33469 I sl Lienholder p NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES i " y i � �rol Number �`l C� .� � ,} y�i �. ") a? / ��/i • �� s* Clayton Boyd Walden Ter L. Rhodes Director Executive Director _ TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) Federn l andlor state law regnire that the seller state the milege, purchaser's name, selling price and date sold in connection with the transfer ofownership. Failure to complete orproviding a false statement may 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 :md the motor vehicle or vessel described is bereby transferred lo: .g Seller Mint Enter Purchasers Name: .Address: `. Seller Must Enter Selling Price:_ Seller Must banter Date Sold: F I /We slate }hat this F orF 6 digit odometer now reads 1 - 11_11_1,1_1 I_II_I.I X I (no tenths) miles, date read and I hereby certify that to the best ofmy knowledge the odometer reading: 1. retl eels ACPOAL NM F.AC;F D 2. is IN EXCESS OF ITS MECHANICAL I,1MrrS. ❑ 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 Must CO- SELLER Mull .. Sign Here:_ Sign Here: ____...__. _._w_. ____-' --__- .• ,• Prin[Herc: Print Hcrc �N ... Selling Dealer's l,icenseNuunber. Tax No.: Tax Cgllected: Auction Name _ Licen,e Numuber: _ PURCHASE Most CO-PURCHASER Mull v Sign Here: Sign Here: Print Hcre: _. _ _._. ..._. Print Here: NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE M G ��, i•iit'F. \i a• • 'ih., ,3.If: J'.Yi, .f. w;il {'' ..5... 3 ff ' it�� " _ ,•i ce . 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 CL$RK 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. ObQMET t CERTiFYCATION - Federal and state laws require that you state the mileage in c6mtectiuo With rra sfei l prshlp'Failure to complete or providing a faisestatetuentttiay.,desult in:ftt cs anil/ rr impr w m e�tt SelU6g Dea[ePS:: Selling Dealer's Tax Tax Name: No.: :: Collectedr - : . rl Sekting Dealer's Address :Date Sold, J. , Purchaser's Name(s): _ Address: _ ..:.:. uu w I/wH STATE T1iATTHTS ❑ 5 OR F1 6 DIGIT ODOMETEiR NOW READS Y , :a (NO TENTHS) MILES, DATE READ —4 / , AND I HEREBY .; CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING. r CAUTION: RE 1D CAREFULLY r] 1. REFLECTS ACTUAL MILEAGE. ❑ 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU fEXCESS OF ITS MECHANICAL LIMITS WARNING- ODOMETER DISCREPANCY CHECK A BOX _ APPLIES TO 5 DIGIT ODOMETERS) z O Purchaser Must Co- Purchaser Must M Sign Here: Sign Here: m Print Here: t Print Here: F C Z 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: w : Selling Dealer's Address: Date Sold: 5 w Q Purchaser's Name(s): Address: 4z u WE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _ / _ / , AND I HEREBY 1/ CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: READ CAREFULLY L 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 z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) e7 Purchaser Must Co- Purchaser Must 4 Sign Hem: Sign Here: Ix m Print Here: Print Here: 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 No.: Name: No.: Collected: m Selling Dealer's Address: Date Sold: A. Purchaser's Name(s): Address: 0 .. w UWE STATE THAT THIS 5 OR 11 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _/ _ / , AND I HEREBY U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: 3 CAUTION: READ CAREFULLY ❑ I. REFLECTS ACTUAL MILEAGE F-12. IS IN EXCESS OF ITS MECHANICAL LIMITS F] 3, IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY to ' CHECK A BOX APPLIES TO 5. DIGIT ODOMETERS) Purchaser Must. -- Co- Purchaser Must Sign Here: Sign Here: Print � Print Isere: � - ; Print Here: Seller /Agent Must Auctio n Name (When Applicable): Sinn Here: s Pt He : - rint rc Auction License Number: