HomeMy WebLinkAboutVehicle Title_Boat_11/30/2015 Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399 -0600 T# 882249387
B# 570252
Identification Number - Year - Make Body - WT -L -BHP - Vessel Regis. No. Title Number 'III5'I II
� WELEHA46D999 1999 WEL VS 28' FL9685LG 81081494
Registered Owner: Date of Issue 11/30/2015 Lien Release
Interest in the described vehicle is hereby released
TEQUESTA POLICE DEPARTMENT BY
357 TEQUESTA DRIVE Title
TEQUESTA, FL 33469 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
the certificate of title.
Mail To: 2. Upon sale of this vehicle, the seller must complete
TEQUESTA POLICE DEPARTMENT the notice of sale on the reverse side of this form.
357 TEQUESTA DRIVE 3. Remove your license plate from the vehicle.
4. See the web address below for more information and
TEQUESTA, FL 33469 the appropriate forms required for the purchaser to
title and register the vehicle, mobile home or vessel:
hftp://www.hsmv.state.fl. us/htmittitlinf.html
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s
Identification Number Year Make f Body Wr -L -BHP Vessel Regis. No Title Number
WELF9A46D999 1999 WEL VS 28' FL9685LG 81081494 Lien Release t ='
- : Interest In the described vehicle is hereby released t
Prev Color Pnmaty Brand Secondary Brand No of use Prev Issue Date By
,.
,- State Brands
FL VESSEL 11/30/2015 ,
Tale h; .
fLa• Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue
WELLCRAFT MARINE CORP FBGLSS OUTBRD 11/30/2015 ;Date_
Registered Owner
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
1st Lienholder
NONE = .
- a
DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
a r� ' ab . .a
Clayton Boyd Walden �} Terry L. Rhodes
y Director Control Number 1 235 9 10 2. L Executive Director
42 /3 122235910
i
sds :i
--• TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) •-y
-= Federal and/or state law require that the seller state the mileage, purchasers 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 transferred to:
... {J Seller Must Enter: Purchaser's Name: _ Address:
Seller Mu::t Enter Selling Price: Seller Must Enter Date Sold:_
I/We state that this ❑ 5 or E] 6 digit odometer now reads 1_I_I_I,L _IJ_X_1 tenths) miles, date read and I hereby certify that to the best of my knowledge the odometer reading: a3
C 1.. reflects ACTUAL MILEAGE. E 2. is IN EXCESS OF ITS MECHANICAL LIMITS. [] 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. ` 1
r SELLER Must CO- SELLER Must
Sign Here: Sign Here:
Print Here: Print Here:
Selling Dealer's License Number: Tax No.: Tax Collected:__
Auction Name: License Number: ..
PURCHASER Most CO- PURCHASER Must -;
j Sign Here: Sign Hare: — - -- - ---- - - - - -� — `_'.
Print Here Pont Here:
,�_-- NOTICE: PENALTY 15 REQUIRED BYLAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE.
�_ � � • � � nib E.. t�a .i,, rt � - �
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.
l t .. Pt: g ,>nprisont, e
R DERTIFt ATION:= .Fed0atabtl'state ]aws requn¢ thafyou.sEate tlte`tiuleage in.ctuvhmtioavith trartsferb£.o cis ' ; fru7ure to coni" ete oc. "' oviilid .a £.i estatement ma ;re... to 6nas a;!d/R,r
SrBing SeBing ttealer'S Tat lax
Liceuse'No.: " Name: No.. Collected.
Selling beaters Address: bateSoldt '-
a Itarcltaser s Name(sJ: Address
0,. -
z- I/WE THiS 5 OR 6 DIGrr NOW READS XX (NO TENTHS) MILES DATE READ _ / 1 - _ - - , AND I HEREBY .
- - - - - - CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER REAAINCr -
a
CAUTION READ CAREFULLY 1. REF_ i,ECTS ACTUAL MB.EAGE - -- p 2. IS IN EXCESS OF ITS - iYtECHANICAL LIMITS - Q 3.TS NOT THE ACTUAL MILEAf3E -- -- -
:BEFORE YOU - _ - (EXCESS OF ITS MECHANICAL LIMITS - � - -WARNING - - ODOMETER DISCREPANCY, -
- CHECK A BOX - APPLIES TO 5 DIGIT ODOMETERS) - -
Purchaser Must Co- Purehaser Must - - - -.
- Sign Here; - Sign Here: -
a Print Here: Print Here: -
F -
a s
- a. 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: -
j Selling Dealer's Address: Date Sold:
A Purchaser's Name(s): Address:
Q
- u _II WE STATE THAT THIS ❑ 5 OR ❑ 6 DIGIT ODOMETER NOW READS y (NO TENTHS) MILES, DATE READ - ,-,.._ f _ ! , AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETEk READING:
m _ CAUTION: READ CAREFULLY ❑ 1. REFLECTS ACTUAL MILEAGE 1 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 5 DIGIT ODOMETERS) - -
Purchaser Must - - Co- Purchaser Must - - -
Sign Here; Sign Here: -
m
Print Here:
Print Here:
-p - -
z
0
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
O Purchaser's Name(s): Address: - -
- .I/WE STATE THAT THIS F15 OR ❑ b DIGIT ODOMETER NOW READS ; r -, ` iP! XX (NO TENTHS) MILES, DATE READ _ ! __._: / , AND I HEREBY -
- CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER REAII_ ING:
r . CAUTION: READ CAREFULLY_ ❑_ r. REFLECT_ S ACTUAL MILEAGE -- Z.- 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 5 DIGIT ODOMETERS) - - -
- 'Purchaser:Must Co Must
- - - _ - -
Sign Here :. ' - - Sign Here: -
-c4 ,FnufHere.- Print Here `
Seger /Agent Must _ __ Auction Name (When Applicable) - -
3iga Here:' .
n License Numhor -
Auctw
42 AGY# - - SUB# — RPT# TBSS � 'III T# `
CNTY# — - -- - - - -- —
_ L# 816519
,3 CPT: 4252 882249387
-- - - -- _ STATE OF FLORIDA j B# 570252
AUDIT# 122235910 ' S# 41746823
APPLICATION FOR VEHICLENESSEL
- - - -- - CERTIFICATE OF TITLE
TITLE NUMBER VEHICLENESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT /LENGTH GVW /LOC j
MANUFACTURER TYPE
- --
81081494 WELFHA46D999 1999 WEL VS 28' 1
DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH
MO. DAY YEAR CODE MATERIAL TYPE DESTRUCTION
11 15 TRT VESSEL FBGLSS OUTBRD GAS CA ;BIN SALT _ FL9685LG
BIRTHDATE RESIDENT CNTY
SEX MO. DAY YEAR Y N ALIEN RES.#
Applicant/Owner's Name & Address
TEQUESTA POLICE DEPARTMENT X 42
357 TEQUESTA DRIVE
TEQUESTA, tat OWNER FL /DL# OR 2nd OWNER FL/DL# OR
Q FL 33469 F.E.I.DX UNIT#
VOLUNTARY CONTRIBUTIONS
AGENCY TITLE FEE SALES TAX GRAND TOTAL
FEE
6.75 4.0 I 0.00 10.75
Action Requested: TRANSFERTITLE Brands:
PREV. STATE DATEACQUIRED NEW U EDS ODOMETER/ VESSEL MANUFACTURER ODOMETER
DECLARATION
CERTIFICATION
FL 11/30/2015 XX WELLCRAFT MARINE CORP ❑
LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DLAND SEXAND DATE OF BIRTH DMVACCOUNT #
I
NAME OF FIRST LIENHOLDER:
ADDRESS SALVAGE TYPE
I
i
SELLER INFORMATION
NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER
i
ADDRESS
i I
DEALER LICENSE NO.
CONSUMER OR SALES TAX EXEMPTION #
SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $
TRANSFER OF TITLE ❑ PURCHASER HOLDS VALID UNPAID BALANCE DUE SELLER, BANK OR OTHERS
IS EXEMPT FROM EXEMPTION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00
FLORIDA SALES OR El VEHICLE / VESSEL WILL BE 212, FLORIDASTATUTES
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
:REASON(S) CHECKED ® OTHER OTHER ❑ SELLING PRICE VERIFIED
APPLICANT CERTIFICATION
INNE HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYS/WATERWAYS OF THIS STATE.
1 CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED.
I CERTIFY THAT THIS MOTOR VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION.
I/WE HEREBY CERTIFY THAT I/WE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN
EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLENESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. I/WE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLAIMS.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
Signature of Applicant/Owner Signature ofApplicant/Co -Owner
HSMV 82041 REVISED 02/06 SCAN CODE MVT
I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES
THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.
CNTY# AGY# SUB# RPT# III 816513
T#
42 3 CPT 4252 " - "= ` 882247246
STATE OF FLORIDA 570249
AUDIT# 122235909 M APPLICATION FOR VEHICLENESSEL s# 41746411
CERTIFICATE OF TITLE
TITLE NUMBER VEHICLE/VESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT /LENGTH GVW /LOC
MANUFACTURER TYPE
81081494 WELFRA46D999 1999 WEL VS
I- 28'
�� II
DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH
MO. DAY YEAR CODE MATERIAL TYPE DESTRUCTION
11 30 , 15 DUT VESSEL FBGLSS OUTBRD GAS CABIN SALT FL9685LG
BIRTHDATE RESIDENT CNTY
SEX MO. DAY YEAR Y N ALIEN RES.#
Applicant/Owner's Name & Address -
ROBERT WILLIAM DEVLIEGER II ; 07 56 �X 38
2007 EASTERN SE - -'X�
GRAND RAPIDS, Ml 49507 1st OWNER FL /DL# OR 2nd OWNER FL /DL# OR
F.E.I.DA UNIT#
i
-- VOLUNTARY CONTRIBUTIONS —
AGENCY TITLE FEE SALES TAX GRAND TOTAL
F
6.71 5 4.75 0.00 11.50
'Action Requested: DUPTITLE Brands:
PREV.STATE DATE ACQUIRED NEW USED ODOMETER/ VESSEL MANUFACTURER ODOMETER
DECLARATION
j CERTIFICATION
j FL 04/26/2006 XX WELLCRAFT MARINE CORP ❑
LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL/ DLAND SEXAND DATE OF BIRTH DMVACCOUNT #
NAME OF FIRST LIENHOLDER:
--
ADDRESS SALVAGE TYPE
SELLER INFORMATION
NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER
ADDRESS
DEALER LICENSE NO.
CONSUMER OR SALES TAX EXEMPTION #
SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ 30,000.00
UNPAID BALANCE DUE SELLER, BANK OR OTHERS
'TRANSFER OF TITLE ❑ PURCHASER HOLDS VALID
,IS EXEMPT FROM EXEMPTION CERTIFICATE INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00
FLORIDA SALES OR El VEHICLE / VESSEL WILL BE 2t2, FLORIDA STATUTES
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
REASON(S) CHECKED ❑ OTHER ® SELLING PRICE VERIFIED
APPLICANT CERTIFICATION
I/WE HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYS/WATERWAYS OF THIS STATE.
I CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED.
I CERTIFY THAT THIS MOTOR VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENTAND IS NOW IN MY POSSESSION.
VWE HEREBY CERTIFY THAT UWE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERE IS AN
EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLE/VESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. VINE FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL CLAIMS.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENTAND THAT THE FACTS STATED IN ITARE TRUE.
Signature of Applicant/Owner
Signature ofApplicant/Co -Owner
HSMV 82041 REVISED 02/06 SCAN CODE MVT
I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES
THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
wAw,fihsmv,qov/offices
Notice of Sale and/or Bill of Sale for a Motor Vehicle,
Mobile Home, Off -Highway Vehicle or Vessel
Notice of Sale (Seller must complete sections 1 & 3). The purchaser's signature in section 3 is optional.
Bill of Sale (Seller and purchaser must complete sections 1, 2 (when applicable) & 3).
1. Motor Vehicle, Mobile Home, Off - Highway or Vessel Description
Year
Make/Manufacturer
Body Type
Model
or
1999
Wellcraft
�Vs
N/A
AT
Certificate of Title Number
Vehicle[Vessel Identification Number
� WELFHA46D999
I/we do hereby sell or have sold and delivered the above described motor vehicle, mobile home,
off-highway vehicle or vessel to:
Print Name(s) of Purchaser(s)
Ron Mclemore
Address city State Zip Code
FL
Date of Sale 1/2/2016
Selling price 11,350.00
2. Odometer Disclosure Statement (Required For a Motor Vehicle)
Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failureto
complete or providing a false statement may result in fines and/or imprisonment.
WE STATE THAT THIS MOTOR VEHICLE's F-7 5 DIGIT OR F-�' 6 DIGIT ODOMETER NOW READS
(NO TENTHS) MILES, DATE READ AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE
THE ODOMETER READING:
_71
1. REFLECTS THE ACTUAL MILEAGE. F 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. 3. IS NOT THE ACTUAL MILEAGE.
Affidavit (When applicable):
3. Certification
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
Seller's Printed Name 01114J.L
Cok-tRo
Date
ryiam&
Seller's Address city Zip Code
345 Tequesta Drive Tequesta FL 33469
Co -Seller's Signature (when applicable)
Co -Seller's Printed Name (when applicable)
Date
Co -Seller's Address (when applicable) city State Zip Code
Purchaser's Signature
Purchaser's Printed Name
Date
Ron McLernore
Co -Purchaser's Signature (when applicable)
CO-PUrchaser's Printed name (when applicable)
Date
OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL
WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
Check your local phone book government pages or visit the following website for current mailing
addresses: hgp-://www.flhsmv.qov/offices/
HSMV 82050 (Rev. 06/11) S
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
vAvw,fIhsmv._qov/offices
Notice of Sale and/or Bill of Sale for a Motor Vehicle,
Mobile Home, Off -Highway Vehicle or Vessel
Notice of Sale (Seller must complete sections 1 & 3). The purchaser's signature in section 3 is optional.
F I Bill of Sale (Seller and purchaser must complete sections 1, 2 (when applicable) & 3).
1. Motor Vehicle, Mobile Home, Off - Highway or Vessel Description
Year
nufacturer
Body Type
FModel
Color
1999
-aft
�Vs
N/A
WHT
Certificate of Title Number
VehicleNessel Identification Number
� WELFHA46D999
I/we do hereby sell or have sold and delivered the above described motor vehicle, mobile home,
off-highway vehicle or vessel to:
Print Name(s) of Purchaser(s)
Ron Mclemore
Address city State Zip Code
FL
Date of Sale 1/2/2016
Selling price 11,350.00
1 $
2. Odometer Disclosure Statement (Required For a Motor Vehicle)
Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failure to
complete or providing a false statement may result in fines and/or imprisonment.
WE STATE THAT THIS MOTOR VEHICLE's F 5 DIGIT OR 6 DIGIT ODOMETER NOW READ s D EIF —1, F] 1-1 El -
(NO TENTHS) MILES, DATE READ AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE
THE ODOMETER READING:
1. REFLECTS THE ACTUAL MILEAGE. 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. 3. IS NOT THE ACTUAL MILEAGE.
Affidavit (When applicable):
3. Certification
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
Seller's Printed Name
Date
M&A
Seller's Address
rjy, city Zip Code
1-a
345 Tequesta Drive Tequesta FL 33469
Co -Seller's Signature (when applicable)
Co -Seller's Printed Name (when applicable)
ate
Co -Seller's Address (when applicable) city State Zip Code
Purchaser's Signature
Purchaser's Printed Name
Date
Ron McLemore
Co -Purchaser's Signature (when applicable)
Co -Purchaser's Printed name (when applicable)
Date
OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL
WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
Check your local phone book government pages or visit the following website for current mailing
addresses: http://www.flhsmv.qov/offices/
HSMV 82050 (Rev. 06/11) S
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Nell Kirkman Building, Tallahassee, FL 32399-0600 TR 882249387
Identification Number Year
WELFHA46D999 1999
Registered Owner:
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
B# 570252
Make Body WT -L -BHP Vessel Regis. No. Title Number
WEL VS 28' FL9685LG 81081494 61 IS11 &.0 9 1111
Date of Issue 11/30/2015 Lien Release
Interest in the described vehicle is hereby released
Maillb:
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
1=1
M
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
the certificate of title.
2. Upon sale of this vehicle. the seller must complete
the notice of sale on the reverse side of this form.
3. Remove your license plate from the vehicle.
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:
hftp:l/www.hsmv.state.fl.us/html/titlinf.html
09
V, ld�
V f4
Identification omb" Y
'WELFRA4 D 99
Make..- Body WT�L-BHP Vessel Regis. NQ.
281 FL9685LG �81081494
Title Number
Lien Release J
Interest in the ascribed vehicle I in rebyribleased
P
i�.rav,� C oJor Primary Brand
No of
Secondary Brand Use
Prev Issue Date BY
state,
Brands
j Ft
VESSEL
11/30/2015
I Title
Odometer Status or Vessel Manufacturer or OH use
Hull Material Prop
Date of Issue
WELLCRAFT MARINE CORP
FBGLSS OUTBRD
11/30/2015 Date—
Registered Owner
TEQUESTA POLICE DEPARTMENT
357 TEQUESTA DRIVE
TEQUESTA, FL 33469
1 st Lienholder
NONE
DIVISION OF MOTORIST SERVICES
"'f"
TALLAHASSEE FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
Clayton Boyd Walden
Director
Terry L. Rhodes
Executive
Control Number
Director
42 /3 122235910
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 mileage, 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 my liens except as noted on the face of the certificate and the
motor vehicle Or vessel described is hereby transferred to:
Seller Must Enter PUTchaser's Name A- on
Address:
Seller Mast Enter Selling Price:_ 1i4_U
Seller Must Enter
Date Solk-1--a
I/We state that this F] 5 or U 6 digit odometer no. reads I X
7" 0' ___J,jj_j__j.j_ j (no tenths) miles, date read ---
and I hereby certify that to the best of my knowledge the odometer readirg:
1. reflects ACTUAL
AGE D -2 -is IN 7CESS OF ITS MECHANICAL LIMITS.
3. is NOTTHE AcTUAL MILEAGE
UNDER PENALTIES ��WU DE
z
RETHATIH E�JiEAD THE FOREGOING DOCUMENT AND THAT THE
FACTS STATED IN IT ARE TRUE.
SELLER Must
CO -SELLER Must
Sign Hem.
Sign Here:
----- ------ ----------
lo�
Print Hemnithatu&-i
Print Here:... ---, -------------- - - ----
-
Selling Dealer's License Number: ...
....... rax No.:
--Tax Collcctedi-----
AuctionName:
— ---------License Number:
PURCHASER Must
CO -PURCHASER Must
Sign He rc—
Sign Here:___---___-__
. ........
PrintHere, Print Hem ------------- ... .........
NOTICE: PENALTY IS REQUIRED BY LAW IF NOT SUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE.
Q
9
STATE OF FLORIDA
DEPAR,rMEN'r OF FlIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
2900 Apalachee Parkway a Neil Kirkman BUilding - Tallahassee, FL 32399-0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
Section 3 19.22(2), Florida Statutes, re(ILIirCS that the Seller file I Notice orSale with the department within 30 days alter tire sale or transfer of the motor vehicle, vessel or
mobile lionic. Filing this forin removes any civil liability for the operation of(he sold motor vehicle, vessel or mobile home. III addition to filing this form, we suggest you
keep �t Copy 01'YOUr bill ol'sale (we suggest it be notarized), certificate of title or other type of' transaction document showing the vehicle was sold. Complete the information
below, tem- 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.
II have this -4— day of 204-4., transferred by assignment of and delivered Florida Certificate of Title to:
Name: Purchaser(s) Purchaser's DLJID
First MI Last
Address —..------.-.......-- . . . ..... . .. . .......... Selling Price $A43 So.
UNDER PENALTIESOF PERJURY, I DECLARETHAT 'VE R - _,,,,-,HE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
-Seller's
Seller's Signature Co
10 TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY ORTO THE
NOTE: THE SUBMISSION OF THIS F RM, ACCUR 0 PEETH TO A
ADDRESS ABOVE WILL. ALLOW THETITLE CLERK TO UPDATETHE DIVIV DATABASE TO REFLEar THETITLE RECORD AS "SOLD". HOWEVER,
THE OW114ERSHIP STATUS WILL NOTCHANGE UNTIL THE 13URCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.
0 E 0
W, I
Tax
.... . ...... .. . No.:
— - ---------
M
11w 8,1WIT THAT THIS [-j-, OR El 6 DIGITODOMEIIER NOW READS
(No DAFT READ t AN
MILF�S
D
- - ------------ ----------- - A( ress: — --- — ----------- --
r)
CERTIFY 11 IAT i,orim BESTOF MY KNOWUDGETFir oj)o
E] 6 DIGITODOMErl',R
CAirrioN: READ CARElflul.11Y
1. REFLEV'I'S ACTUAL M11,11'.AGE
2. IS IN EXCESS OF ITS MKIIANICAL LIMITS
3. IS NOT THP ACTUAI, M ILEAGEL
CERTIFY'l HA'r TO THP, BFST OF
BEFORE YOU
CAUTION: READ CAREFULLY
(Cxcuss oF ITS mECHANICAL. LIMITS
WARNING - ODOME,
'TER DISCRUANCY
CHECK A BOX
AITIA'FSTO 5 DIGITODOMEITEIRS)
(FXCFSS OF ITS MI.CHANICAL LIMITS
4
R
Purchaser Mirst
Co -Purchaser Nitist
APPLIES'l 0 5
Sign Here: — - -------
Sign Here:
Pe,
Print Here:
Illim nor,: ------------ -
Co -purchaser Must
Sigil Here;
M
Seller/Ageld Must
Auc(ion Narne lWhen Applicable):
hint llore�
—
Sign Here:
--------------- -
Print Here: . ...... . ..... - ------
ALICtioll License Nerlbel:
Selling Dealer's Selling Dealer's
Tax
Tax
License Nam Name:
No.: ..... . ... . ............... . ......
Collected:
w
Selling Dealer's Address:
........... ....
Date Sold:
Cl
Purchaser's Naniers): . . ... . ..... ...... . ....................
..................... . ....... Address:
n
We
I/WES"FATETHATTHIS 0 5 OR 1-1 6 DIGITODOMETER NOW READS
(NOTENTHS) MILES, DATEREAD—/—/ANDI
HEREBY
CERTIpYTHAT TO THE BESTOF
MY KNOWLF',I)GETHF, ODOMETER READING:
CAUTION: READ CAREFULLY E-1 1. REFLECTS ACTUAL MILEAGE
1 is IN EXCE S 01 ITS MECI IANICAL LIMITS
-S
E-1
3. IS NOTTIIE ACTUAL MILEAGE.
0
7.
BEFORE YOU
(EXCESS OF I FS NiFfHANICAL LIMIT'S
WARNING' - ODOMETER DISCREPANCY
CHECK A BOX
APPUESTO 5 D161TOOOMFIERS)
z
2
Purchaser Mu�t
Co-purchasel, Must
Sign Hee;
. ...... Sig,, Ite- ............
W
PriorHere: ------------------------------------------------------------------------------------------------------------------------------
-- Print Here:
Seller/Agent Mu,t
Auction Narne (When Applicable):
Sig]) - --------- - -----
Illicit Hoe: --------------------------
Auction Liense N iber: - - - -------------------------------
- -
selling Dealer's Selling Dealer's
Tax
Tax
License No.: -------- Name: . .. . .. ...... ...
- ----------------- - -- - - No.:
Collected:
c4
Selling Dealer's Arldresst
. . . ....... . ......
Date Sold:
M
I archasci s Nariae(s):
- - ------------ ----------- - A( ress: — --- — ----------- --
r)
i/wr, STATETHATTHISE-1 5 OR
E] 6 DIGITODOMErl',R
NOW READS (NOTFINTI IS) MILES, DATF READ
CERTIFY'l HA'r TO THP, BFST OF
CAUTION: READ CAREFULLY
1.
REFLECT'S ACTUAL MILFAGE 2 IS IN FXCFSS or, ITS muCHANICAL LIMITS
El
I I EF ORE YOU
(FXCFSS OF ITS MI.CHANICAL LIMITS
CHECK A BOX
APPLIES'l 0 5
11twebaser M,c,(
Co -purchaser Must
Sigil Here;
- - - ------ Sign Hele:
hint llore�
—
- -----------Ilifilt I [ere:
E, ',, ,I - I Auction Name (When Applicable): -
Arcli i LicQose Number
— / — / —, AND I FIEREBY
MY KNOWLEDGE THE ODOMETER READING:
3. IS NOT THE ACTUAL MILEAGE.
WARNING - ODOMETER DISCREPANCY