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Home My WebLink AboutVehicle Title_Truck_09/11/2015 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A05750 Identification Number Year. — Make - Body — WT-L -BHP Vessel Regis. No. — Title Number - 1FM5K8AR8FGC52067 2015 FORD UT 4536 120171831 I M Registered Owner: Date of Issue 09/11/2015 Lien Release 0 VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 0 345 TEQUESTA DR ey 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: http://vvvAv.hsmv.state.fl.us/html/titlinf.html ■ MEN& Tim M. 1 4 lidentification Number Year — Make — Body — Wr -L -BHP — Vessel Regis. No Title Number — i Lien Release . I FM5K$Ait8FGC52067 2015 FORD UT 4536 1 120471831 Interest in the described vehicle is hereby released 1� State i Color - - Primary Brand Secondary Brand Brandfs — Use Prev Issue Date B N I $LK PRIVATE Title — Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of issue — Date n: 25 MILES 04/28/2015 ACTUAL I 109/11/2015 Registered Owner VILLAGE OF TEQUESTA 345 TEQUESTA DR TEQUESTA FL 33469 a:. 1st. Lienholder NONE DIVISION OF MOTOR SERVICES SER / EES y ///�/11�` TALLAHASSEE r � FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES 39Q C 'v" I/VC,�L'V ].�tlM Number 12 96524 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 sel ler 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. 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 trmstemed to: Seller Must Enter Purch --, ,Name: Address: r Seller Must Enter Selling Price: - __ _ Seller Must Enter Date Sold: UWe state that this ❑ S or ❑ 6 digit odometer now reads l . 11_11_1 I_ I_I_I,I x I (no tenths) miles, date read and I hereby certify that to the bear of my knowledge the odometer reading: ❑ 1. reflects A(.'r(rAL MILEAGE. 2. is IN EXCESS OF ITS MECHANICAL LrAETS. 3. is NOT TBE AMIAL MILFAGF_ 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- SELLER Must Sign Here: __ -- _ Sign Here:_ ' Print Here: :._.. -- _. Print Here: � ScIIing Dealer's LicenscNmnher: Tax No.: Tax Collected: t }� Auction Name License Number: PURCHASER Most - _ CO- PURCHASER Must Sigh Here: :. Sig" Here: -� Print Here: _ _ _ Print Here: NOTICE PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DRYS AFTER DATE OF PURCHASE 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 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. ~ ��EItCTIt*(AT10Z3 Federal and tateiaws'irgw+ ether' youatatexhekljlaxgavecunuectirni .withtiYUtsfErgfowuarsiup Folltuetocompleocnrprov�tliugafalsasrattm entmayieSbltvstrtndTx1>'egnx 5et#toq�Il�Ifer's ' Selling ilCater'9 ibx ::Tate , z tcaiseNo No Collected — 7 7: §allies Deafens Address Date Sold a. pmleLese;'s NAnie(s)` :. _:: Address. .. ry UWE, $J'a?:TE'I'f{AT `CHC5 ClS OR El 6 DIGIT'.PDOMETER NOW READS MILES. DATE READ _ I i�RERy �j d CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING m CAUTION. READ CAREFULLY ❑ L REFLECTS ACTUAL MIL RAGE [J IS IN EXCESSI OF ITS MECHANICAL LIMITS 3, IS NOT THE'ACTUAL MILEAGE. BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING ODOMETER DISCREPANCY w : CHECK A BOX .APPLIES TO 5.DIGIT ODOMETERS), Purchaser Must ` Co- Purchaser Must y Sign Here: Sign Here: d w m Print Here: Print Here: y rL C. Se11eHAgentMust Auction Name (When Applicable): Sign Here Print Here: - Auction License Number: Selling Dealer's Selling Dealer's Tax : Tax License No.: Name: - No.: - ' Collected: m Selling Dealer's Address: Date Sold: d w Q Purchaser's Name(s): - Address: w U i/WESTATE THAT THIS 5 OR ❑ 6 DIGIT ODOMETER NOW READS XX (NO TENTHS) MILES, DATE READ _ / �, / - , AND [HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:.' w CAUTION: READ CAREFULLY D 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. Z BEFORE YOU (EXCESS OF rFS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY . CHECK A BOX APPLIES TO 5 _DIGIT ODOMETERS) Purchaser Must - Co- Purehawr Must Sign,Here: Sign Here: w rr p Print Here: Print Here. Seller/Agent Must Auction Name (When Applicable); -Sign Here: Print. Here: _ Auction License Number: Seeing Dealer's Selling Dealer's Tax -:Tax - LicenseNo.: - _ _ Name: No.; ' ,Collected: - ..� P4 : .Selling Dealer's Address: Date Sold:: Purchaser's Name(s): Address: w I[WE STATE THAT THISEIS OR R 6 DIGIT ODOMETER NOW READS (NO TENTHS) MILES, DATE READ AND DIHEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: READ CAREFULLY ❑ 1. REFLECTS ACTUAL MILEAGE a 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE YOU (EXCEr S OF IT$ MECHANICAL LIMIT$ WARNING - .ODOMETER:DISCREPANCY CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Purchaser Musk, - :Co- Purchaser Must Sigh Hete ? '! Sign Here: ¢ , Pntt "H re Print Here: A. '1 '.... Seller /Agent Must e1,ecGOq Name (When Applicable), Stgtt `Ildre h Yrrrlt Here. Aucuon Li, o c Number umber „ ��