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Home My WebLink AboutVehicle Title_Truck_08/25/2015 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0500 A04476 I� r Identification Number Year - Make - Body WT -L -BHP Vessel Regis. No. — Title Number - 11FTEX 2015 FORD PK - 4390 119969335 r . Registered Owner: Date of Issue 08/25/2015 Lien Release VILLAGE OF TEQUESTA Interest in the described vehicle is hereby released 345 TEQUESTA DR By • TEQUESTA FL 33469 Title Date ► IMPORTANT INFORMATION 1. When ownership of the vehicle described herein is transferred, the seller MUST complete in full the Transferof 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. 136 BRIDGE RD 3. Remove your license plate from the vehicle. TEQUSTA FL 33469 -2714 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.html RQ , G Identification Number Year - Make - Body - WT -L -BHP Vessel Regis. No. Title Number - I I 4 I Lien Release t FTEXiC86FKE06161 2015 FORD PK 4390 f 119969335 Interest in the described vehicle is here hyreleased:' Prey ?� State Color Prknary Brand Secondary Brand s — Use Prev Issue Date BY N I Bra nd WHI PRIVATE I Title Odometer Status or Vessel Manufacturer or OH use Hull Material Prop — Date of Issue - fi, I Date 121 MILES 08/21/2015 ACTUAL 08/25/2015 <. Registered Owner VILLAGE OF TEQUESTA - 345 TEQUESTA DR TEQUESTA FL 33469 1 st Lienholder NONE fl . " ► DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES Number ®' �® Clayton Boyd Walden 2 2 2 7 6 6986 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 ownership. _ Failure to complete or providing afalse stat mentmay 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: a r {7 M Seller Must E P Enter urch ' asers Name: A .,: -- ... _..__.----- ----- --_.__ - -- --- Address: Syf• Sell" Must Enter Selling Price: ___ Seller MostEnterDateSold: - I/We state that this ❑ 5 or ❑ 6 digit odometer now reads I I I — I I - 1,1 - 11_ 1,1 X I (no tenths) miles, date read_ _ _ _ _ _ and I herebv certify that to the best ofmy knowledge the odometer reading: _ ❑ 1. reflect: ACTUAL MILEAGE El 2 . is IN EXCESS OF FPS MECHANICAL LM41TS. 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 Most CO- SE111A Must Sign Here: -- - -- .___ -- __ -_- -_ Sign Her.: Print Here: Print Here: v Selling Dealer's LicenseNmnber: Tax No.: Tax Collected: 3 ` Auction Name License Number: �- PURCHASER Must CO- PURCHASER Must -� Sign Here: Sign Here: --- -- -_. - -. . -- - - -- -- _ -- -- -- / Print Here: NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE, i\ I 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. QI70TvJy £`P�iCB'(Z Fudu;rnl afi{t 'state larucrequne that you �sta[e the xtilcaga m corpection wi[h�iraotiCer of pwpersM lare to comple, {e to prav'd`ritg.a £algeztateme+tt ma'pgtTtm Sxaas'agtU(;rr Selllttg floaleT "S ;: Selling 0eAler`s Tax ;" Tax Lt oseNo Name No.: rollertett _--_ _ Selling Dca[er s Address :: Date Sol¢, , w Pacthaser's Nema(s) Address: w ..,.�. z t/WE STAT$'FHAT'tHIS 5 OR 6 pIGIT ODOMETER:NOW READS - XX (NO TENTHS) MILES. DATE READ _ / _! itND I HEREBY U CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING; CAUTION. READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE F] 2, IS IN EXCESS OF ITS MECHANICAL LIMITS ❑ 3, IS NOT THE ACTUAL MILEAGE, :BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - 0,06 FTEk DISCREPANCY Z > CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) E .7V. Purchaser Must `- .. Co-Purchaser Must y .Sign Here: Sign Here: w rZ Print Hem Print Here: - F H C 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: - m A Purchaser's Name(s): Address: w U VWE STATE THAT THIS 5 OR El bDIGIT ODOMETER NOW READS, XX (NO TENTHS) MILES, DATE READ _ / _ / AND I HEREBY a CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING: CAUTION: READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE El 2. IS IN EXCESS OF ITS MECHANICAL: LIMITS 3. IS NOT THE ACTUAL MILEAGE. BEFORE, YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER' DISCREPANCY Z CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS) Z 2 Purchaser Must Co- Purchaser Must Sign Here: Sign Here: m C4 n Print Herc: Print Here: z O Seller /Agent Must Auction Name (When Applicable): N 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: a Purchaser's Name(s): Address:. A z I/WE STATE THAT THIS E] 5 OR ❑ 6 DIGIT ODOMETER NOW READS FT XX (NO TENTHS) MILES, DATE READ _ / _ / , AND I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING:- CAUTION: READ CAREFULLY ❑ 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 CHECK A BOX APPLIES TO S.DIGIT ODOMETERS) z F Purchaser Must �: F Co-Purchaser Must y Sign ,Were :. ' Sign Here ' Ile Print Here: -- rx F SeN /Agept Must Auction Name (When. Applicable); i� Pian(Hcra Auction License Number: