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Manufacturer Address
t . Icetwood Homes U FL
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P.O. Cifawer PP
PlInt Cit`�, FL 33564-90K Plant Number
Date of Manufacture, HUD No.
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Manufacturer's Serial Number and Model Unit D 1��S::, , tion
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Design A proval by (D.A.P.I.A.)
This marrufactuted home is designed to comply with the federal manut2clutell home
construction and safety standards In torte at time at manufacture.
(For additional Information, consult owner's manual.)
0 The factory Installed equipment Includes,
Uj Equipment Manufacturer Model Designation
Z For healing
For air cooling
For cooking
Retnget-tor A-0: SMLVA—
15
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Wanher
Clothes Dryer
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Manufacturer
Model Designation
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For air cooling
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FILE COPY
1 of 1 4/1/201712:59 PM
Mail Lien Satisfaction to: Dept of Highway Safety and Motor Vehicles, Nell Kiriunan Building, Tallahassee, FL 32399-0500
Identification Number Year TMake-
FLFLM79A09615DP �1991 FTi4D
2 Re?istered Owner:
41 DANIEL JAY REGAN OR BRENDA LEE REGAN
486 NETTLES BLVD
JENSEN BEACH, FL 34957
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N
Mail To:
DANIEL JAY REGAN
486 NETTLES BLVD
• JENSEN BEACH, FL 34957
Body `—` WT-L-BHP Vessel Regis. No. Title Number
Hs
I42' I I61325045
Date of Issue 05/02/2012
T# 7071-43799
B# 1925569
Lien Release
Interest in the described vehicle is hereby released
Title
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 safe 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:
http9MA+nu.hsmv.state.fLusRVmUtitrinf.html
A
PRiVFITE
04/10/I991
�TBe
— Odometer Status oc VessefManUfacture[ or t)H use
Hull Ntatenat
prop*-
Date o[ Issue
OS/02/2012�
Date
RegI ere d Otvner ':
DANIEL..JAY.RE.AN:OR'BRENDA LEE REGAN.'
486 NETTLES BLVD
JENSEN .BEACH, FL _ 34957' .
4.
1s(lienholder
NONE
DIVISI6N6Ff6TORISTSERVICES TALLAHASSEE. _' A FLORIDA
DEPARTMENT OF HIGHWAY SAFETYAND 'MOTOR VEHICLES
Sark r Lambert
Jule L Jones
Director(� Q
O 9 6, 5 2
Executive Director
Control Number tJ. J
24 /1` 096911592
TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale.) . .
Federal ond/or state lame require that the seller state 1M mileage, purchasers name, selling prim and date sold in Lvnna-tion with the transfer of ova nership: "-
: F�ilme to wmplete or prodding a false statement may result in mines and/or imprisonment.
This tick is warranted to be free from arty fiem except as rioted on the face of the ceniticaic and the
motor vehicle or vessel descn-tied is hereby transferred to:
Sella Must,Entcr Rmiiase! Name - Addrecc:
-
S9kriSiu�t Fins, Selling Pict ' ;,• . Seller Most Enter Date Sold
Uw a state that this - 5 yt : fi dtert udomefer rrow reads X
0 0 l I, I 1 I I_ f.L J (no tenths) miles, date read
t
and I hereby certify that to th. best of my knowledre th odometer tend me
Q_ 1 rcf)em AcTuAL \IILEAOE ; ' . -Q L is D; EXCFSS OF n's NiECHANICAL LLCM.
_ 3. is NOT7iE AC)'UAL M)IFAGE
UNDER PENALTIES OF PERJURY, I DECLARE THAT) HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE'._
sELLERNio i CO-SII-LERi1lust
-
/- Sren Here. '. :. ,. �.. Sign Here
. .
Print 11=.!
Sellrn=.Dealer s ImnseNuinber : - ..::..' ::..:: :Tax I\o
'Tax Cbllcdedc :.
: ,. Arrctrvni.\ame -' -License Nnmlier
-
.: �`
STATE OF FLORIDA
s
i
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
Neil Kirkman Building - Tallahassee, FL 32399-0620
Notice of Sale of Motor Vehicle, Mobile Home or Vessel
r
Section 319.22(2), Florida Statutes, provides that by filing this form, you can avoid 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:
r Name: Purchaser(s) 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.
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Pnut Here_
uetraw LicenseNu+nbcr....'.::
" SelliogDe3lers :.• ;,
.. Selling Dealer's
sToc -:- Taxi.
License ISo
Name:
_
No.. . Cal[ec(ed..
1
j Seihog Dukes Adtiros�
G,
_ -Date Sold.--T--
4 Purehdser's Names) -.
-
:Address -.
u I{WE -STATE THAT TEI[S - S OR
O READS
- 6 DIG}T OQ\PETER NOVAND
`(Nl b TENTHS) MILES, DATE READ /_� ! $}
I HERE
.T7: :.. .' - ;..:
:; ,.'• .:: - - ..
'-.. :. CERTiFY,THAT TO THE BEST OF?, Y KNo\VL£DOE THE ODOMETER READING
CAUTIO\ READ CAREFULLY
❑ .I REFLECTS-ACTUALhfILEAGL ❑, 3
IS QJ EXCESS OF ITS MECHANICAL LIMITS IS AOTTHE ACTUAL MILEAGE
Z.: BEFORE I u :
(EXCESS OF r7S h1ECHANICAL LIILITS tVpRFF[NO ODOSIETER DI$CREPANCl
CHECK A BOX .:
..z
� < Pgrchaser. Must
`�� S� Here
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- � Co-Purcliaser Muni' -
Q Pnnt Here• - -
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�, -
- .Print Hcie /.
u` 5eticrll ntMust
ti.
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�Auetion Name (tYhcn Applicable)
Sign. Here:'-
Print Here:^
Auction Gcene Numtmr --: -
•'' -`
Selling l?eolcr s -Selling Dealer's
T!
;'LicenseNo:
Name
- -'.No.�
;.`CglleCted -
-
m
..
Scltigg Dealer s Addreis
Date Sold
a;�
Purchaier's..Kame(s) <. .- _ ::
•.' -:Address, -
p
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1/�VE STATE THAT FH[S S OR 6 DIGIT ODO�IETERNOw. READS Xk .,:'(NO TENTt{S) Ni]LES DATERERD
/� / AND I HEREB}
u
CERTIFYTHAT TO TREBEST O£ MYKNOWI EDGETRE ODOMETER READING,
c -
C- t Tt0- READ CrREFULLY L. ); RLFLEC%'S ACTUAL hfIL1:AGE �
❑ i is kr--ReESs OF r15 ry1ECHANICAL LIMITS i
FS THE
Irr5REYOU {EXESs OF lTSRI
NOT ACTCIAL MILEAGE, .
tVAR1tIG OAO\SETEAI)I§CREPAACY;';
tD"IEtEFO'.. .
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