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HomeMy WebLinkAboutCertificate of TitleLIEN IST LIEN Moo RELEASE 2ND LIEN o B IDENTIFICATION NUMBER YR 2460DE3LDF2770A 72 DARI REGISTERED OWNER (LAST NAME FIRST) ` MALONE•MARY (—) AND LANE RUBY A 12531 SW 7 CT FT LAUD FL 33325-3466 ; IST LIENHOLDER ANTHONY J BLISS 13090 W SR 84 DAVIE FL 33325-3243 i IS1LLUb � � a _�, � •dad TITLE DATE DEL BODY WT-L-BHP VESSEL REGIS. N0, TITLE NUMBER HS 56' 5022075 DATE OF ISSUE 02/02/98 1 12/16/97 i ADDITIONAL LIENS . w�_- cpn rev -6an�r r��:ro ucq.-uio ypvttt� occN }cilgRtlTTFf)w I1Nf1FRFCcTIr1N 'i 7G.�9/g9q r)q. cL{1RIpq'STATIITF..S. TITLE ?O THF�MOTOR VFHICIF OR VESSEL 'DESCRIBED, BELOW -IS rVESTEDt,IN THE10V✓NERIS). NAMED HEREIN THIS ,OFFICIAL CERTIFICATE OF TITLE IS ISSUED y FOR SAID MQTOR VEHICLE OR VESSEL ul IDENTIFICATION .NUMBER l YR MAKEr MODEL BODY' WT-L-BHP VESSEL REGIS NO.'TITLE NUMBER 2460DE3LDF2.770A ; 72 DARK; I HS 56F 5022075' ODOMETER -DATE, READ' PREV tREG COLOR TYPE USE DMV P �Z I§SUE DA ODOMETER — EXEMFT>FL PVT t:. REMARKS M1 A o -.- , / .z 'HULL MATERIAL PROP DATE, OF ISSUE REGISTERED OWNER (LASVNAME FIRSTI MALONEr,MAR Y: LELEA O AND LANE RUBY A INTEREST' IN TH ABOV D IBED ICL I E F13 YRELEASED 12531 =SW 7 CT 1ST FT LAUD FL 3332.5 _346.6, x uEN' _ev ✓�;;`;; IST LIENHOLDER ; -'DATE 12/ 16/97 - ` LIEN❑ a' oZD, ,� a.6 ANTHONY' J BLISS , TITLE DATE, A 13090 .W. SR' 84 ADDITIONAL LIENS ,.:` � H - _ -DAVIE FL 33325 .3243 � ��` a > _ 2ND' LIENHOLDER DATE NONE :I DIVISION OF MOTOR VEHICLES `. , 3tTA SS RT EE ,. FLORIDA+r - f DEPAMENT OF 'HIGHWAY SAFETY i , AND MOTOR VEHICLES /[10 CnntmlNumbCr;' t!rt} �:•+ f - , r CHARLES J. BRANTLEY + u _FRED O, DICKINSON, III I DIRECTOR 'EXECUTIVE DIRECTOR- Y TRANSFER OF JITILEAY SELLER, ODOMETER CERTIFICATION Federal ands stato law require that you stato`tthe m,lealse m conbect,on with 'the transfer of ownership. Failure to complete artproVtdtog'a false .statement,'may"result pn .fines and%or lmprisoament. This title -is warranted andcortified to be free from any hen except as noted on the (ace of this certificate and the .motor vehicle or vessel descnbedits hereby:+transferrt Purchaser:- ~ Address, I/We state that this 5 or 6 d, rt odometer now reads rr' xx `t ` rCr, Selling Pricze: $ Date Sold - g ii❑❑❑�'.� (a tenths) a. -.. _ .ii If mdos; date, read and�,to, the bastiial my knowledge - CAUTION i0 0l l` hereby certify- that to' the best -of my knowledge the odometer readmg,'reile that it•reflocts the Lacteal mileage of the. vehicle described herein unless `DO�NOT�CHECK amount of'.mileage'in excess of its, mechanical. limits .' one of the odometer statemeat•bleeks Is, checked.r ;BOXtIF:ACTUAL 2 I,hereby certify that the odometer -reading is :not that-aetuai mdeaoo' MILEAGE t WARNING :°ODOMETER DISCREPANCY. ! }, UNDER PENALTIES OF PERJURY 1 DECLARETHAT I HAVE READ THE *FOREGOINGtDOCUMENT AND THAT THE FACTS -STATED IN :ITARE TRUE' "Signature�of i ,. ;c•= ,� i Prntod Name off I it Purchaser: ' Signature o f Pnnted,T�N Co-PureFaser. . ame S,gneture-of r q ^A/ Co Purchaser Seller,Pmtam edIV/ Signature• Co -Sellers Seller'A:. '��/'� \ / I /d1: /F F'7 Prated . ' .,(When Applicable) Co Seller.` - Selling, •Dealer' s Licenso Number Tax Coll cted S+� 'J uction me ANa4 t 1 STATE OF FLORIDA LIEN SATISFACTION a MOTOR VEHICLES AND MOBILE HOMES , SECTION 319.24(5)(B) FLORIDA STATUTES, PROVIDES THAT UPOWTHE SATISFACTION OF A LIEN, THE LiENHOLDFR WILL, WITHIN TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE, DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT TO T14E DEPAit\TMENT. IF THE CERTIFICATE OF TITLE WAS RETAINED BY THE OWNER, THE OWNER WILL, WITHIN FIVE DAYS OF THk SATISFACTION OF LiEN, DELIVER THE TITLE TO THE LIENHOLDER. THE LIENHOLDER WILL ENTER THE SATISFACTION IN THE SPACE PROVIDED ON THE FACE OF THE TITLE. IF THERE ARE NO ADDITIONAL I LIENS SHOWN ON THE TITLE. THE LIENHOLDER WILL DETACH THE COMPLETED LIEN SATISFACTION, AND FORWARD IT TO THE DEPARTMENT, WITHIN 4EN� DAYS. AND MAIL THE TITLE TO THE OWNER. SECTION 319.24(5)(C) FLORIDA STATUTES, PROVIDES THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN SATISFACTION FOR THE FIRST LIEN WiLL BE GIVEN TO THE REGISTERED OWNER BY THE LIENHOLDER. THE CERTIFICATE OF TITLE SHOWING A SATISFACTION OF THE FIRST LIEN WILL BE FORWARDED BY THE LiENHOLDER TO THE DEPARTMENT. VESSELS FOLLOWING SATISFACTION OF A LIEN, THE LIENHOLDER SHALL ENTER A SATISFACTION THEREOF IN THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE AND WITHIN 30 DAYS DELIVER THE TITLE CERTIFICATE TO THE REGISTERED)OWNER OR SUBSEQUENT LiENHOLDF.R. THE ATTACHED LIEN SATISFACTION SHOULD BE COMPLETED AND FORWARDED TO THE DEPARTMENT. I i Department of Highway Safety and Motor Vehicles Neil Kirkman Building Tallahassee, Fl 32399-0500 / ODO\II•TER 0t1117IFIC1,TION - Federal and stntc Inw.c -'p.im rh„, flac n.:1......a in ...........:. Scll g Ua Icr - U iiar's - r. ...... 1 P t providing n f L t t ant ) It n I'Unr ImprisonmaM. • .' •,A j '1 Taz f" 7 l:lccnseNl Ya1nCY y n �t r-,+ _ v y C .. Selll 161 s rrim Iir i d 1 I, aei'1 f l tt 11 Iiml ri I :w•rLid I arc n h l s 1 i t nsfericd o �d l an., s " ,v , rlo all f IIU 9 1(, 3 9 a 4 r x -:.✓. , r - • I/N tat Ih:n this n 5 dr❑ (hf' t li0 n ter n s rent 1 �� z<(1 7 i ih 27nda J t r 8 u J Io Iha b st of my knos ! dg • Vial it ren tx Iha• t 1 lJ 2 , n mflenne o} th ' - f biclo 1 . nh d h rtrn ,,nnl s mrc 1f 11 a PJgm Icr sliilemrnl blOcks.is hecAad x ' C:1UTION: DO N(T Cg1iC1(-aC1.li I I r h) nn fv th t to lh l+e�t of my Ano yl •dgc th dnrp l r dm - dz"' "x ' ;.r ' i 6 �,, 1 He BV c mf that IGe {-+ •� udpmcicr real ng 1s t t_ h=f I mi mih=u i BOX IF ACTUAL = r Mct ll c noum of m le gc' i c nril ncri icnl I r it ;: 1'4 ARNI\G 0005jF 1'F Il DISCRFP I\CY.= 1. MII! ICI; :. -" .; t 4 J: Sipl f ; uu If i dN IF, 1'aroiiakr.- "PurC6rcr % 5 SCIIC/1g 111 q. @ :SC�IC/AL In 1n'tm Now Whao 7/n 1 t nbr Numlrc r _ -s Scllin I)1 .. Dealer's '„ sl' .. °- i:icen c No. .' .• hnmc ,. - Np, f f Caz Scllinl„Uealar's.AJdresa `.' - .; ._ .. '.• .. ,:,"" ,,,... •' „^ • o ,M ,�xr u. alleet I - IA ssndr:rm�tl,Is till, mW •edify That 1lievrhiala dascrfbad her in I as bran lro r fcr 'a'tl ml (d tc) t'Ifll fMl t �" - c s ing _ �,,' •' lddt •st c I/tV t n Ilwt tliip ❑ 5 or ❑ b bmt Jin el r nm reads CCJ tl f ub } m IIF da[ tld and Q 11 a best army Ano vl dgc.tliat n r Octt Ihdn It al mdeaee f t •G1U;rioNo-U0 - th hale dcs(nhad It rem onl w 1 pf th xlpl l lee uatimm�t bincks,�S ch rl.ed. - : N01-CIIIiCI( Q L. I:brn-h) glilA +h l In th b •st or my k o sk9lbc W Jo l -i.r Jmb ds l,h ah) ag ufy�pmt the odotncter. raading is not the aat., s: mllen c BOX :II 1C fU 11. ' ';;rel1r n the amuot t of illikage;i 1 ln,ra,s pf.Its mach'-Ird Iln it .if n i ----� r(a RIIINI\4 UUOhICI CR UISC^RGPANC} "M1III P\GI i,,. . Signal— oT "z` ', .. a - •' n r. P i tcJ Y 1 urchasar. 'eTlncl(as r - _ Y .. S Ile/A nt u rr < pnct ooNume (\VI an Applicahlc): - •- •+: •'' ` . `) • " �b- 5' . '.•! , nsc Num1._ Balling Ur Icr - Urahr s; " to '` To., Me -c I i i'usc \u N m a .• .: •i �'�' - - :Cone ted C' Scllin(, D I r.+AJJnu 1/1Ye s arr nuthis till and ".,tars 11 11 tlla peluc4 das had hueur leas hm Ira of rr •d no (lai )t to lira folloging - Vddre4s ` UN'c tut Ihstibis'❑ 5 m h Uibn Udpmet nna •adsl ( — zsp 0 T ntl ) ti Ic date re J f " d to th 6 sl Of my knP YI dg that it r Oeals the ncnl 1 dlen ryc L. t.. ❑'• ' 1 r� of the - ci0el-d scr b J f ar i tinl one oflhawodmncic t Icntc q blocks is 'ei A J,,,• - C�I1111U\: ))O NOT CIIFCI:' ❑.r.. Ir( ashy rcrufy, h u) tfio l t a) 1 A n l db the dbiOCi ,, a dl b ' y;w (]�.� tl hefefiy„_ (uCy that lh •';gJtlmcler icailiag L not thearto d.nnlah e ItOX al 1C9 UAI. '^ nal cts the ainpam o mil aLe it res : f iLs.m 1 n alli it I `1 NgR"jIYCs ODOUL7 FR UISCItIiI' 1NCY. -S,goacm, If t •.• .. _ -Purl car. - a � ( Pnnt d Name rr� " Y ' a ypil h Lr rl r 1 ._ Pr x 7 adSelladAy �. C Irk u r '„ nl .'. s A 1 7 S, II r/Abaco : Wcli i Natnc (Wha Apphaahle: ' 1 - - ,.�: ' ), _ NOTICETl' 75 R[ QUIIHiD IR 1 NI IIw10T SUlih•11'1 PCb 1 OR TAAYST'i It 1)'ITIfIN'SwnxYS AF'1'Elt:DATEM PURCHASE Fin - _ the ul (haalio I ❑ r .r new.mrlifirate of lide old n)JstruUnn tnmfer, ifapph I Ie, k.i. i m form cle or s asel<.ilhicir nosl f.is hens 3s7nlln} . (Oalr�namc and mldrcks'of.cuclia l o , ,. 1cn 1 Ider 1 trill. NONE) Rc o &.additional hens Lienhi l IiPs.Namr. �.. . .•.' ' .: t b .. P 1 .:. Dale of Licm it Addr ss ' � - � �• � .. :. Stala ,'• TIIIS VEIIICLF }I ILI111 USF,D $ rBUCAIt + . y ! p :'. {J POI ICf Cilt J] 1 F LBF0;+ ("j ;PR111TF [] IMF,a(FRI ItI CFRIII+)''rIi 17 f1lh �I IIIU P 10 I1F fl ri [ D RU I NOI RF:OPEMA UD HI rani v 5. O�,7 iC 111( H11 11S OC T1nY:ST 1TF t y%va."MW d r ad, F715 (digit adomctcr u rc d> of my hnm 1 Jrc lhal Wralleils, ©r x • ''-'s•--a-a-� : the cot nl n Ilc i of the licl J �ntr J h rc nIG 4 n a of tfi". idometer slale(il nt t 1 cl si is checked- I. th F xt cif my Anuwl Jbe [[,a'col l n f ere Wing ❑ I her h rce. C,\D'LiDY DO NOT CIIF.Cif p.1,, nlflecuy,l en 1y,tbal'ihe odgm c coo unit t r maJrag fa not Ilmaiclold -nd_ i le Ito% IF IC I'VAL q Of and b • in nP it :.n b n d 1 not + n aIVt\RNtYC 0001(L rl R UISCRE(IAYCY.. ' Intl\ 1/I'lJ L.NAM1IL UNrU1tC111SC11(S) IUI NI IC V LY Al, BI( NCU It) L01V1 ,,. \OPT !11bc r join( niynrnl Ip pi : hWical nr,' or n td heptccn .. C, . •. na nas., if no indicating and"•will he sl own. z Ir s � F' . v 11,11LINC ADUItF.S5_ all5 �Br(Tr f �I z r. M PHYSICIAL+ ADDRESS� - � My, ••n+ : ti lTl t . +-a ';' I t 7IP UYDEIt 1I Y1I PIGS OF 1f ltdDRl ) D/CI;AItL 7I11T tills RI 1D9HF IOIjC60fYG DOCL77 i ( ! 7HCP Y,T,S�SFIITU. MARE 'I'll -Sigiiatura oflt1 ircla. cr " IC rot N c T/fJJle I Ihol, Lras't N m) f.l RISIDTOr\,tl 1 n N r,„ ( )LIEN: -ice([ Innda Driscr Lfcen c Numher). (I Irst Purchasers Date n6lfirdn ., �<,...«_lo: ..-. -. _ .... q LIEN I ST LIEN RELEASE 2ND LIEN BYV*A�l ITTLE G AtukE K�/ DATE IDENTIFICATION NUMBER YR. 172 MAKE MVSL BODY' IHS I WT L-BHP VESSEL REGIS. No. TITLE NUMBER 5022059 2460DE3LDF2770B DAR. 56 REGISTERE6, OWNER ILAST NAME FIRST) DATE OF ISSUE MALON MARY (—) OR LANE RUBY A 12/22/97 12531 SW 7 CT FT LAUD FL 33325-3466 IS1, ANTHONY LIENHOLDERL BLISS 12/16/97 13090 N ST RD 84 DAVIE FL 33325-3243 ADDITIONAL LIENS OFFICIAL CERTIFICATE OF TIT.LE, ISISSUED, 'IDENTIFICATION NUMBER R DEL, BODY WT-L,-BHP VESSEL REGIS NO., �TITLE •NUMBER-, 24 60DE3LDt!7-7., 0 6.55, ODOMETER -DATE -READ . PREV�, REG; ',COLOR USE ISSVIE, 9 ODOMETER' EXEMPT"71 �PVT N Hu UNATERIAREMARKS L PROP 12/2M7"""�' REGISTERED OWNER,,1CAST NAME FIRST) 14ALON MARY (—")'-,OXLANE - -:12531 SW 7 -C-T, .:'FT- LAUD -F],-- 3,332�5`3466"'�'�',t�""''', 1ST LIEPHOLDER. DATE t, ANTHONY L.-. B'LIS8 'ST "I 4-' 13090 N IY S 4 DAVIE FL: M25,-�2, 3,�r ,2ND LIENHOLDER OAT NONE - DIVISION OF MOTOR VEHICLES TALLAHASSEEr CHARLES J. BRAN,TLEY DIRECTOR --jRANSFERL,OF,j ODOMETER. CERTIFICATION Fedoial ancistate 'Iaw� tba1-you,.1i6te-'tho1' false This title is warranted and certified" to.t bic-&iia6i from any hen. except as` noted oI Purchaser: 1/we state that this� i El 5 or E] d.191t 0 pol'o-1. , qow readsE] q, E]' miles, date read that it reflects Ahe actual. mileage of the volhicla:AoAcribocl. be;rgin, E .60 of the'odometer statement blocks-isBOX'IF -"Cheakad:' dE'LARE,,,'.,VHAVEACTUl :'READ AgAbc`�"!,!Ht� UNDER PENALTIES :OF PERJURY,I C THATFOf Signature of Prl Purchaser: Signature of Py �Pr' Co' -Purchaser, nature of Y Seller: -Co-Seller: - - - - - - - - - - - - Signature of Pri When Applicable) Selling D ealeCs License Number: Auction Name 221, j J Nttk�i, IN,-7HE"1' D 6L EB);,REL5A IST 1lmIl --Tf-fLE DATE ADDITIONAL LIENS,-- �P i lja!,r lip If I I I 1,04 1 HMO fill k "FLORIDA DEPARTMENT''OF;HIGHWAY AND MOTOR VEHICLES ". :,1� FRED O.:DICKINSON, III —4EXECQTIVE DIRECTOR Y`-SELLER,: k, a p i n �, c 9 nn'ec'ti 6 n, with the 'transfer of ownership. 'Failure, to. Ines:,a'nd46rt , .imprisorment. a66' of, this cirtifhiate'and thb motor vehicle or vessel describ . bd t is Address' " Selling Price- Sold: Id- ths) That to the best' of my knowledge the hereby d0 'ate a r. cunt of mileage in excess Xcess .of', -Its mechanical c hereby' certify. that; the odometer repding no th,,�a tuar mdeaoe *WA , kNING ODOMETER DISCREPANCY. TH AT HAT, THE, STATED'I T , 0 ARE' fil a in 6 ,64 n. I STATE OF FLORIDA LIEN SATISFACTION ' MOTOR VEHICLES AND MOBILE HOMES SECTION 319.24(5)(B) FLORIDA STATUTES, PROVIDES THAT UPON\THE SATISFACTION OF A LIEN, THE LIENHOLDER WILL, WITHIN TEN DAYS, COMPLETE THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE, DETACH THE COMPLETED LIEN SATISFACTION AND MAIL IT TO T14E DEPARTMENT. IF THE CERTIFICATE OF TITLE WAS RETAINED BY THE OWNER, THE OWNER WILL, WITHIN FIVE DAYS OF THE SATISFACTION OF LIEN, DELIVER THE TITLE TO THE LIENHOLDER. THE LIENHOLDER WILL ENTER THE SATISFACTION IN THE'SPACE PROVIDED ON THE FACE OF THE TITLE. IF THERE ARE NO ADDITIONAL I LIENS SHOWN ON THE TITLE, THE LIENHOLDER WILL DETACH THE COMPLETED LIEN SATISFACTION, AND FORWARD IT TO THE DEPARTMENT, WITHIN TENS DAYS, AND MAIL THE TITLE TO THE OWNER. SECTION 319.24(5)(C) FLORIDA STATUTES. PROVIDES THAT IF THERE ARE ADDITIONAL LIENS NOT SATISFIED, A LIEN SATISFACTION FOR THE FIRST LIEN WILL BE GIVEN TO THE REGISTERED OWNER BY THE LIENHOLDER. THE CERTIFICATE OF TITLE SHOWING A SATISFACTION OF THE FIRST LIEN WILL BE FORWARDED BY THE LIENHOLDER TO THE DEPARTMENT. VESSELS FOLLOWING SATISFACTION OF A LIEN, THE LIENHOLDER SHALL ENTER A SATISFACTION THEREOF IN THE SPACE PROVIDED ON THE CERTIFICATE OF TITLE AND WITHIN 30 DAYS DELIVER THE TITLE CERTIFICATE TO THE REGISTEREDIOWNER OR SUBSEQUENT LIENHOLDER. THE ATTACHED LIEN SATISFACTION SHOULD BE COMPLETED AND FORWARDED TO THE DEPARTMENT. Department of highway Safety and Motor Veliticles Neil Kirkman Building Tallahassee, Fl 32399-0500 / auonihTrR CER rmexi-1oN . Fea ern -'-c in cage a cca­a;.­r of a ae f ip 1 ,t Irc 1111plrle nr I aidiup n faLsc slulcn,ent ) ¢all in fines nnJ/m• ImPrisonmenL Silhpb I)ar l is I)caler's Llunce hn• Nmur !Collected(= •_�•3 Selling Make'., ,Iddrass C 111Vr,wnm m lhl. IRI • :md crrr f tl r II f 'crfbc f f - ahu.- It —I rrun krriJ ou S 1 I) - `� I 4 !Iie .'Nnm I¢) U iAi r 1 II t. thf a ❑ s ur ❑ ( II •It odtin, tarn r cL ` F . xx (nu T I Ih 1' mle J Ic J •Ind to Il la f f ms• k o fledge I161 It re0 eL the cuml mfl ge o(thc s qcl talc J . nbcd h n -u I (in -wilt e atom Ice Stut I I nl bincts s ch ke,l . GIUTWN: I)0 NO CHECK ' ❑ 1. 1 I - el", c n fy flatt to the 6 A ff ny knu ilcJbc Jo `' a' ." f' Ih nelcr r d na - - ., I h -r py art ft Ihat Am oJ1 rt,cnrreaJlnb I n (7he IchpJ mllcuee. ItUX Il {L'rU:1L-';a�fluu the umm nl fmdcagJ i •s'¢.nf i. m I ni IJ ndn ;} "' 7 1}AItNI♦C UUObiC I7.R UISCRIt ,1\hY. Si v fnauuc- ., R cha— : Pii tcd N n •: ff - 1 - '�,a 1 u ',: �f a . , . "-; n '- .. - ., • Iqr . Cu I unbauro -, �' m S.II UAgcnl. . .. ••. .. II r/1g t - Au t n N re,(Whcn Appllaabim• ' • - - -' - nch mbar 1` I - . -Selling i) Ier's - -', . Depler's • ° ':. '- a ¢ ,• Lir e- Na. .. • . .Nome - ,• .'; ., 1!pc - ,"- Tns . - ,. `1 (.aRCncti Selling tA1 a rnrrpnt lbki title and reel Q Ihut the aehlele described herein bps bon tran rebid ,I d.Ite _ - ( )the folltnarnt, �. ✓ . , _ TA\'c crate Ilmf Ibis ❑ 5 ur,F G Aigi1 udnn 1cr now read vc (n r T ml ) mrl Jal r J I J,IJih I>eq of my-Lno vl Jg • that II mR w Ihcnclu d L_L_ mdrn-e f Ibc _ r ch d JcunMJ h n a �inl un if III Imo let sl rem nt block i,¢ ci ccAcJ: • + CAUTION: DO \O7 CIILCG '❑ I: 9 Ircrel) mrllfa that to d frcst f uq knmC� g th odoanei r Imb 0 1 her b)� rdf) 16 t ll etcr icaJing 1'.nnt the � "nll ,r coda nctnpl ndlrn BOX' it., ACTUAL, t the"Imvunl of YuJeage;ia asers¢nf lts uh.mbafJh Jt 'c„ RAItYGr ODO\fI•,TLRDISCREI Ait NCI'. N v: ' Signalam of Punh:a�ar: • r rch ur � ., ,' .: . t t .. • Cn-i'urch.lscr:. . . ' . ., r: ^ . , I } W '-•S Seller/Ag¢m: If r/1g nt ' Amion Nona (When Appli.1,k)i .... - " - = - • :. . r ,sa Nu ,h 5cllin I) Icrn •'. Uwlcr.'ti ... - '_ -. �� �. �,. . - .. .. a :!: - m i.ieen No. .. ., .Nome.T♦Fni Tax c3 Selling b alcr's AJJrcss - - l - - .Collea•I'd - - p JASe amr—I tbi¢.thloand renify that the i0dele'16—ilied li-1 in hax been tnuuferted rlh toll n'6 zi IA\'c f fled tliK 5 nr G J g i rr&T lee r`m• rcaJs� � - cry _, (nu 7 Ihsl I I I J tc r J- N to fbc be f of my know) Jb m 1 t eRr I II t I II Hof d 7 h, I J unE J 1 n unl ., n oryll,•,&ln Ice smrrmem bfoek al k J •- - CA VI70.N: I)U NO7 Clil C[C ' C1 1. 1.1 I) nn,fy; d,u I Ih I,esl or n y 1, r i' Ig Ih Jmn I n J Ig ❑: 16 r by a• ufy fF 1 lhrtxlom I r nailing. is t the IIOY 1l ICI UAh.' rehccf ih anlJunl 0 11 peJ.l11 e f (t,. ins h r i•nl 6n it a nee It milenit -1\ 1RYIy7Ct OD011F;TLIt DISCRIiPAN41. - .AULCAGC... ,•, -• S g unurcof - _ 'I?n IcA N m ♦f ' Linchrscr: - C ,. ...,.• '";C"n•R rch ar. _ u:. e - 1 , -Sall r/1(, n[ - •- • - i-a, _' .\,:cfi n I Who. Appri.ble): - 7777�_ +;C un. c Number. - • . " NpII(I:SIO.bd LFN11 T1'�IS:RI UUIRCD.11111{}.�jr,07 SUItHII'1TCDAORTIIA\SI hlt,l\`1T111\30OAY5 AN71iR'OAT6'OF1'URCIIASE nmka. apPlh Ibni rnc.n nesi cerliDr.Ile vl title and ragislrotinn Ir.Inshr,'if dpplhi I Ie,'far sold m for vehicle or seti5 •hf1l Irh no bil4 lien¢ ttafpllo"iis fUate; name nnif pddrCts of epcb IlenbolJrr. If NONE, f nc� NONE). RecarJ uJdifional Ileac Lirnluddcr's Nome: _ - - - Data of I,fen: S 7VIS VEHICLE RII 1 IIF USEU K -- -` Slnlc - rID ❑ TAXICAB• ';❑ I OI cr. CAR �❑ I FiSLO:` �j1;�PIt1Y 1TF '' r" ❑ IAVC 111?ItElil' CI RrIFY'1'1111 , . 1111.7 V .111C1 ro RC IIII LD RII I N07 ItC,'OI I It {Il'D T)N 1'IIL PUBLIC Ill(.1111'A1S - ff IA\'u : f I Him ,h q ❑ 5 ur❑ G digit oJumct ) J L J �� / T I ti } " II Jalc J I. the t I of ,), knowledge that it'rrllrrlc the �r1n•II m mi of the s d c. b d 11 min:'. a I f,h odon r gtwiia.l I loaki 1S eh eked: ' ❑ 1: I hrrtl '„•�e CA UTION. DO NO 4 LIII CK • Nl I Iv dmt r II b t ( kn alcJgc the tut I r I 1 "s`.,: [],. 16 n.b) c<r) fyfhc'udn n 1 r n Jmg !r not rhe�i nl Inlir•I ItOX„IP AC fU1L• ni(Iccts the amoum of ub.,bq na. c Pita m 1 nni IhInI - 1 - _ nl }-� { R. 1ICNIN6 ODUAI`TI h DISCRiiI'e(.yCY.- Sn LF.AGE 11'HIhT/I'1 I E \ 111E OF PUILCBASER(S) lDl N'ric ir.L1' AS SIGNED -III III -MOW) W rF')11 , y "ant . anent p ll 11 hldl 1 r' ar ui bctnea a namax. U In - I.H. ."and'.illl•pe sbuan: i AlAll.ING 1D5RFSS- -sr{TF nry JL — 1'Iil'SIC II kUURIrSl CI rl �A,TATI a tee± V}Ip p,y -. UNDER I1\\LTII{S (III Ili1tJUltl IULCISRC 7II1r'LI1111. ItRAO TIIL IORE(OI\( DOLU, y1 Ylfa I IIIC ,ACTS SIATE U,I IJy (ifCltU�k+,,,tt,A7: - Signature of lsl furrh•aar..-•.71�t..',. . - (First \pm . Dliddle (n,lml Last \ame) [] FL RI SIDL\T,F�jc {� \ON(tISIUI \ r "" ❑ 11 tEti , - Dmcri:irenu " - (CloriJa \umbel• ..9 .._....__.....r__. t____.-...=..,,:_. �._._�.... _.._...., r-... ). .(First Purcha rs.Data bf Bird,)