EFTA00260896.pdf

STATE OF FLORIDA Department of Highway Safety and Motor Vehicles NEIL KIRKMAN BLDG. TALLAHASSEE, FLORIDA 32399-0500 PB NIT ER 7134823 FROM DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES KIRKMAN BLDG., 2900 APALACHEE PKWY. TALLAHASSEE, FLORIDA 32399-0500 HIGHWAY PATROL DRIVER LICENSES ADM. SERVICES MOTOR VEHICLES Ea FOR TOWN OF PALM BEACH POLICE DEPT 345 AIUTH COUNTY ROAD PALM BEACH FLORIDA 33480-4443 ATTENTION: Illp MIS EFTA00260896 FROM : FAX NO. : Jan. 22 2003 12:31AM F' TOWN OF PALM BEACH POLICE DEPARTMENT A NATIONAL AND STATE ACCREDITED LAW ENFORCEMENT AGENCY Law Enforcement Request(s) for Certified/Plain copies of motor vehicle/vessel records To: DMV Representative: DMV Photocopy Unit Division of Motor Vehicles Neil Kirkman Building, Room A126B, MS# 73 Tallahassee, FL 32399-0624 Office Numb Fax Number Contact Person: Fax Number: 1) Vehicle Description: UNKNOWN Year: Make: VIN/HULL #: FL Temporary Tag: Name Check: DOB: Office Number. Title: Date of Request: 02/20/03 Comments: REQUEST: CERTIFIED BODY FILE ON ABOVE VEHICLES. THANK YOU IN ADVANCE FOR YOUR EFFORTS AND TIMELY RESPONSE! in Isms 345 South County Road • Palm Beach, Florida 334804443 • (661) 8884460 • Fax (681) 838-4700 • wym.palmboachpolice.com EFTA00260897 State of Florida DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES TALLAHASSEE, FLORIDA 32399-0500 FRED O. DICKINSON Executive Director October 14, 2005 CERTIFICATION I, Carl A. Ford, Director, Division of Motor Vehicles of the State of Florida hereby certify that I am the Custodian of Motor Vehicle Records of this Department and that a search has been made pertaining to: 2004 DOD VIN # TITLE # Attached hereto are copies of the records of the aforesaid vehicle, which are the exact copies of the motor vehicle records as shown on file in this office. This file consists of 11 pages. Tallahassee, Florida I, Carl A. Ford, Director, Division of Motor Vehicles of the State of Florida hereby certify that this is a true and correct copy of the Motor Vehicle record on this file in this office. did,yeati I, Carl A. Ford, Director Division of Motor Vehicles Dept. Of Highway Safety and and Motor Vehicles DIVISIONS/FLORIDA HIGHWAY PATROL • DRIVER LICENSES • MOTOR VEHICLES • ADMINISTRATIVE SERVICES 2900 Apalachec Parkway, Neil Kirkman Building, Tallahassee, Florida 323994500 http://www.hsmv.state.fLus EFTA00260898 mTRFQ050 COUNTY/AGENCY: • FLORIDA DEPARTMENT OF HIGHWAY SAFETY 68/05 MOTOR VEHICLE INQUIRY REPORT ICLE INFO RUN RUN PAGE: 1 DATE:10/13/2005 TIME:154748 VEHICLE TYPE: AU WEIGHT: 4549 VEHICLE ID NUM: ODOMETER MILES: 20 .Gvw: ODOMETER STATUS: A VEHICLE USE:P ODOMETER TYPE: M FUEL TYPE: G ODOMETER DATE: 10/03/2004 MAJOR COLOR:RED TITLE NUMBER: ISSUE DATE: SALVAGE TYPE: TITLE STATUS: BRAND CODE: 5 TITLE INFO PENDING:NO LIEN MAINTENANCE ONLY BRAND INFO NO BRANDS ON FILE FEID/DL NUMBER: BIRTH DATE/SEX: OWNER NAME: OWNER ADDR: OR FEID/DL NUMBER: BIRTH DATE/SEX: OWNER NAME: OWNER ADDR: LEGAL OWNERSHIP: EDGEWATER, FL EDGEWATER, FL LICENSE PLATE: PLATE CODE: ISSUE DATE: ARF CREDIT: REG USE: CLASS CODE: COMMENTS: IR= 10/26/2004 2.00 PK 031 0 YEAR MAKE: 2004 VEHICLE MAKE: DODG BODY: PK INHOUSE MAKE: MINOR COLOR: CANCEL DATE: CANCEL STATE: FL EFS STATUS: ELT STATUS: E BRAND DATE: REGISTRATION INFO FO FEID/DL NUMBER: REGIS. DOB/SEX: REGISTRANT NAME: REGISTRANT ADDR: EDGEWATER, FL FEID/DL NUMBER: REGIS. DOB/SEX: REGISTRANT NAME: REGISTRANT ADDR: EDGEWATER, FL 1 FEID/DL NUMBER: LIEN DOB/SEX: LIEN DATE: LIEN HLDR NAME: LIEN HLDR ADDR: LIEN HOLDER INFO OWNER NUMBER: 1 RES COUNTY: 8 OWNER NUMBER: 2 RES COUNTY: 8 DECAL NUMBER: DECAL YEAR: 2005 ISSUE DATE: 10/26/2004 EXPIRE DATE: 10/14/2005 UNIT NUM/FLEET: LOCATION CODE: REGISTRANT NUM: 1 RES COUNTY: 8 REGISTRANT NUM: RES COUNTY: 2 8 LIEN NUMBER: RES COUNTY: 03/11/2005 ELT FLAG: KENNEDY SPACE CENTER FEDERAL CREDIT UNION ORIPAIRIP.2952 1 19 EFTA00260899 WC MINI t Vl AND, OR REGISTRATION 1 t t TILL -TM <EEC*/ WIENER OEgI ESITTClan . DPIEES TONS NSI.Iftea fun RE SCENT TONT' DATE CftS3Ut PUREE N WO OR FICAIDA 0 COX RTE. ra PP Lao+ isSAT N. mjc I C i I 1 r;_l (3 I 0 1 )). 01 J T E R VEHDEI t SSD. EENWIICATOdI le MAKE MAC a UANUOCTINCR BODY ns% WE LENOIR Aro 410 11 DI/IX3 HI 0 4549 Hitt NITRIC PROF119O.1 FUEL t %/sm. TURF NETER lly Apscat cam , T , I Ell ATOMS FL IMICR ant . 40..., ;Pres Waft* WiMoll ;I___ vaumr - me, commarnas • .• li.1)CAti:WATIER , FL.. J21.41. • CREDIT vEnax FLEET MAWR la REG FEE NT REG AGENCY FEE TAAL FEE VIE FEE SALES TAX ODIC IOTA. o —1 0 () ,aTUTECTil I0 , l() j () . (W, 1.. 2 1 O. (x) 21..7 . IX. 0 - (X) I 28 . 2 ;1 I ..:11:::N IYIASINITEFIAINI(..E A, NINON Nara STATE MD RIG D FL.. 1. (D)/A nOACS LA:lX°10/ MnNZX OCOAACTER / %TSUI. MANTAACTURER 20 MILES 1.(1/03/2(X)4 nurt.w-N... LIEN INFORMATION DATE a LIES DID • Oaf a • AND SEE AND DATE OF BIRTH ODOMETER DECLARATION CERTIFICATION EL:r 03/11./2.005 WI( a FIRST liENHOLDER OF NO LIEN, ENTER AOSEI KENNEDY SPACE. CX-EINITETZ FEDERAL CREI):T VEIIICIE USE OTY TATE LIP CODE BAWD /A I E SEL nea..A141), I•• I... 6'45'112 NAM Of M LIM FLORIDA DEALER. OR OTHER PRIMUS OMAR ADDRESS CITY STATE ZIP CODE DEN ER IKE Nat NO SALES TAX AND USE REPORT CONSUMERCR SALES TAX EXEMPTION a TRANSFER OF TITLE IS EXEMPT FROM K PURCHASER HOLDS VALID NDCATE TOTAL PURCHASE PRICE, !WILDING ANY FLORIDA SALES OR EXEMPTION CERTIFICATE UNPAID BALANCE CUE SELLER, BANK OR OTHERS S USE TM FOR THE REASON(SI CHECKED VEHICLENESSEL WILL BE USED iNDOCATE SALES OR USE TAX DUE AS PROVIDED 8' O. (x) O EXCLUSIVELY FOR RENTAL CHAPTER 212, FLORIDA STATUTES S 0.00 1 OTHER PRICE SLUNG VERIFIED APPLICANT CERTIFICATION 0 LOVE HEREBY CERTIFY TITAT THE VEHICLE/VESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HICHWAYSMATERWAYS OF THIS STATE. 0 I CERTIFY THAT THE CERTIFICATE Of TITLE IS LOST OR DESTROYED. 0 I CERTIFY THAT Tills MOTOR VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION, LWE HEREBY CERTIFY THAT LAVE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL AND MIME APPLICATION FOR TIRE IF LIEN IS BEING RECORDED, NOTICE IS HEREBY GNEN THAT THERE IS AN EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLENESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. IWE FURTHER AGREE TO DEFEND THE TITLE AGAINST AU. 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 AppacantrOwne• DMV COPY Sgnature of Applicantto-O.ner ince 82O4lottv.O1O2, 5 EFTA00260900 SAnTFACIORY PROOF OF OWNERSHIP HAVING BEEN StRIVITTFO thNOCR SECINCIN 119 23/a2s .. t.nn rat S, .7.1 •.o O.F MOTOR VEHCLE OR VESSEL oEsOro .O. BELOW Is vaI£D 4.114. k oytstals1 AWED “EREIN :,- "° .3 —At '''° ,-'" FOR SAO MOTOR vEINCI.F. OR VESSU ' 1 ;;R-. 1 ' NAKE '' f .00E, 2004 T-900, 1 Wr , ' PK 4543 PRIMARY BRAND 00CG SECONDARY BRAND .. — NO OF f3FUVIOS (RED I -7.a; . :1, _ . : . : PVT VLS-FACTURLR UR OM USE ,L,_-, ...VAL MAltRAL -., L PROP - 511,E0175S ; 20 MILES 10/03/2004 ACTUAL j. _ - - 10/20/2004 • - • . _ LILA RELEASE ll AILEFS! IL. OAF ASOF,F, DESCRIBED t 5 AMICREDITFINANCIALSERVICES,INC7 Is I !. LLAC: 10/03/2004 AMERICREDIT FINANCIAL SERVICES PO BOX 182673 ARLINGTON TX 76096 DI V ISiON OF MOI OA VEHICLES I AI 1 SliASSFE .....4. k":..,.. FLORIDA DEPAR1. qiiTh ASO MOTOR VEDIC I S a 6 8 5 87 5 4 8 - ;1 .-r-4 ilitir( 9# 44÷ni V ,..,itry C. 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MIIE•CE 'rur. i.11 CW woustits, TOEN Hemn' AS SIGNI• n lettOw. r. wra.)cita t...atnA7p. pa, Sdaste "aC ar "sl' tact•tal nier, It na takarin.....r ' ,tv br - R NUILISC ADORT.S• .,.., ry STATE /IV sa Rr TRYS/CAL ADO*F.SS CITY ST•Tt il? Lise Mit» No. ------ 1,"NDEAFT•ZALITES OF IIRJURY. I DECURL ni ot I H I•E RESP Ille Fon G04•4 Ø'l NF NT AYO BIA, Ill. rACI),T %TID IN IT • R/ TRI F. ok...../ is Rnta . <nr« •Ziat. •ItfAk 11.41,1,14”1?,..1.1 ._. H RES/OLST , SONKI.SIPPCI ' AI li.N 11«:.1. DI.* ar II IDI. ...i€tulitre d Ce"~ lnntNw..>;MOeTnhpl,l.eSøl J Fl. RFSIDEN7 -- riNosfek›TutNr J ALILN DU« FLID.) Tia.c2-..t.r‘.11•1« at link, iSeena Furetner'• NI, d Rlet>I EFTA00260902 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES Neil Kirkman Building - Tallahassee. FL 32399-0610 APPLICATION FOR NOTICE OF LIEN / REASSIGNMENT OF LIEN OR NOTICE TO FIRST LIENHOLDER OF SUBSEQUENT LIEN SECTIONS 1 AND 2 SHOULD BE COMPLETED IF ADDING AN ORIGINAL LIEN. SECTIONS 1 AND 3 SHOULD BE COMPLETED IF REASSIGNING A LIEN. SECTIONS 1,2 AND 4 SHOULD BE COMPLETED IF ADDING A SUBSEQUENT LIEN. O MOTOR VEHICLE O MOBILE HOME O VESSEL 4rirrremmmir iailDRYEHICLE. MOBILE HOME %VENAL_ DESCRIPTION - sE 'ORATION NUMBER MAKEIMANUFACTURER DODGE COLOR YEAR MODEL WT.-LGTH.-BHP 2004 RAM 1500 TYPE USE CERTIFICATE OF Ti l LE NUMBER PREVIOUS ISSUE DATE LICENSE PLATE NUMBER 2 NOTICE OF LIEN - Lienholder information DATE OF LIEN FEIDO/SUFFIX# OR DL# OR SEX AND DATE OF BIRTH L ENHOLDER NAME 11MAR2005 LIENHOLDER ADDRESS Kennedy Space Center FCU CITY Merritt Island SiATE ZIP Fl 32952 D Electronic title and lien participant (Eledronic title only). [1] If the lienholder authorizes the department to send title to the owner, Signature of Lenholder's Representatwe check box and countersign. (DOES NOT APPLY TO VESSELS) One of the following boxes must be checked. LI A security agreement, retain title contract, conditional bill of sale. chattel mortgage or other similar instrument was ut execed pool to the filing of this notice of lien. fj This notice of hen is being filed before a security agreement, retain title contract, conditional bill of sale, chattel mortgage or other similar instrument is being executed. UNDER PENALTIES OF PURJURY, I DECLARE THAT I HAVE THE FOREGOING Date 11 MAR2005 DOC---- ATED INIT ARE TR Street Address (Owner) Street Address (Co-Owner) EDGEWATER City State Zip Code 3 FL 32141 EDGEWATER City FL State 32141 Zip Code APPLICATION FOR REASSIGNMENT OF LIEN The undersigned herby represents that they are the assignee of that certain 0 first or 0 second lien dated the day of (Month/Year) . covering the motir vehicle, mobile home or vessel described in section one of this form and request that the Florida Certificate of Title, which was issued on (MonthDay/Year) , be reOissued to show such lien as now being held by the undersigned applicant and represents that on this date there is a balance as principal still due and unpaid. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Name of Assignee (New Lienholder) By Title Signature of Lenholders Representative Address City State Zip UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Name of Assignor (Lienholder currently shown on Trtfe) HSMV 82139 (Rev. 03/02) S hnfrithintew.hsmv state.flus By Title Signature of Lienhokler's Representative EFTA00260903 STATE OF FLORIDA APPUCATION FOR VEHICIEWSIt CERTIFICATE Of TM F 8 70 CVR 0 a TI 101 0 RP- BIRINDATE ExPRES Tugs NsuBw:E OJT( RESIDENT car DATE CF ISSLE CODE IV SIM FESS IC DAY RA mj ER ca Roma, ?DP r uktt,TY an urn Ar EP e --111-44 TIT NUWEER 113 LUXE IIAKE a IMAUFKTURER BOOT WPE CLASS WT /LENGTH ...„ 9 nol 11003 31 L4549-I . WATER co,! ANI(XE COLCR R. CPU INC/AEA ' CR FEIDA Itn; RPM) 2N Axicen / Ones Nam &Kerns . EDGEWATER, FL 32141 • • CREDIT VE0.10.E F El AULEER WPLENGTH LOS REG FEE NT REG AGENCY FEE MM. FEE TITLE FEE SALES TAX MVO TQTAL I 19 53.10 !MI 6_75 0 00 3.88 85 Acta. ORIG NEW TITLE Regaftel Etwre: STATE PRO. KM ( VII ACQUIRED 10/03/2001 Wm 30C LEO 000ME RR r VESSEL MANO,VII ...ik 20 MILES 10/03/2001 ACTUAL LIEN INFORMATION DATE Of LIEN HID I OR ELI EFL I AND SEX AND DATE OE Mill ODOMETER DECLARATION CERTIFICATION 10/03/2004 NAVE OF FIRST LIENI4OlDtR' !If NO LIEN, INTER NONE. ANERICItEDIT FINANCIAL SERVICES AONESS PO BOX 182673 VEHICLE USE PRIVATE On' SLATE DP CODE Annitarati. TX 76056 SALVAGE TYPE SELLER INFORMATION NAVE OF SELLER. it ORJOA DEALER, OR OMER PREVIOUS OWNER: DAY2'0NA DODGE ADCRI SS 1150 N POMONA EAR/48 RD Oh' STATE ZIP CODE DAYTONA BEACH, FL 32121 DIALER LI( E Nsi r‘k,, VF011189 SALES TAX AND USE REPORT CONSUMER OR SALESTAXMB:TONI TRANSFER FLORIDA OF TITLE IS EXEMPT FROM K PURCHASER HOLDS VALID INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY SALES OR EXEMPTION CERTIFICATE UNPAID BALANCE DUE SELLER, BANK OR OTHERS S 0.00 REASON(S) USE TAX FOR THE CHECKED VEHICLENESSEL WILL BE USED INDICATE SALES OR USE TM DUE AS PROVIDED BY ' K EXCLUSIVELY FOR RENTAL CHAPTER 212, FLORIDA STATUTES s 0. 00 K OTHER ill PRICE SELLNG VERIFIED APPLICANT CERTIFICATION . i IME HEREBY CERTIFY THAT THE VEHICLE/VESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYSAVATERWAYS OF THIS STATE. I I CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED. El I CERTIFY THAT THIS MOTOR VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. NNE HEREBY CERTIFY THAT VINE 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 Appticant/Oerner Signature of Applcant/Co-Ottner Hmtv 82011 (REV. 07.02I 5 DMV COPY EFTA00260904 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES Neil Kirkman Building - Tallahassee. 32399-0500 MOTOR VEHICLE DEALER TITLE REASSIGNMENT SUPPLEMENT (Instructions on Reverse Side) For use by licensed MOTOR VEHICLE DEALERS. AUCTION DEALERS and THEIR BUYERS ONLY Fl. I his reassignment is supplement to: L_J Title XX 0 Manufacturers No.: State of Issue- Certificate of Origin VEHICLE DESCRIPTION lillall. Year 2004 Make DODGE TRUCK Model RAM 1500 1500 Body REASSIGNMENT INFORMATION , Name of Soilmg Dealer (PrIng DAYTONA DODGE Dealer License Number V? 11489 State of License Street Address 1450 TOMOKA FARMS ROAD City DAYTONA BEACH State FL Zip Code 32124 Sales Tax Collected $ 1684.54 Sales Tax Reg. No. (Sales Tax Information is not required on dealer to dealer transact.ons FL Billi Date of Sale 10/03/04 B rs Address City EDGEWATER State FL Zip Code 32141 Auction Name (If applicable) N/A Auction License Number N/A State of License N/A Date of Auction 10/03/04 • Street Address N/A City N/A State Zip Code •• N/A N/A ODOMETER DISCLOSURE STATEMENT WARNING: FEDERAL AND STATE LAW REQUIRE THAT YOU STATE THE ODOMETER MILEAGE IN CONNECTION WITH TRANSFER OF OWNERSHIP. FAILURE TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND/OR IMPRISONMENT. I FF STATE THAT THIS WTOE VEHICLES 0 5 DIGIT OR 0 6 DIGIT ODOMETER NOW READS RIPA XF (NO TENTHS) MILES, DATE READ 1"/ " 3 / " AND TO THE BEST OF MY KNOWLEDGE THAT IT REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED IN THIS DOCUMENT, IINI FRS ONF OF THE FOI I OMEGAS CHECKED CAUTION: 00 NOT CHECx IFYILEAGE lACTUAL DI 02 I HEREBY CERTIFY THAT. TO THE BEST OF MY KNOWLEDGE. THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE INEXCESS OF ITS MECHANICAL LIMITS I HEREBY CERTIFY THAT THE ODOMETER READING IS_NOT THE ACTUAL MILEAGE. WARNING • ODOMETER DISCREPANCY SELLER AFFIRMS. UNDER PENALTY OF PERJURY. THAT THE ABOVE FACTS ARE TRUE AND CORRECT TO THE BEST OF lq/MFR nirmul crinF Dealer S Agent Printed Name (Sellin DAY De e Last City EDGEWATER State FL Zip Code 32141 NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS RE-ASSIGNMENT AND ALL RE-ASSIGNMENTS THAT FOLLOW. FILE: • ORIGINAL: WITH TITLE OR MANUFACTURERS CERTIFICATE OF ORIGIN COPY: DEALER RECORD HSMV 82994 (REV. 01/03) S EFTA00260905 • 1451 r DAIMLERCHRYSLER DaimlerChrysler Motors Company LLC DATE INVOICE NO 07-07-04 4DR1 , E NTIFICATION NO YEAR MAKE 2004 DODGE BODY TYPE SN, 1500 REG. CAB PICKUP 4549 ri A S A E 1 OVWR NO. CYLS &ER ES OR MODEL 49.1 1/2 TON 6350# 8 RAM DR1H61 I the undersigned authorized representative of the company, firm or corporation named below, hereby cer- tify that the new vehicle described above is the property of the said company. firm or corporation and is transferred on the above date and under the Invoice Number indicated to the following distributor or dealer. NAVE Or DISTRIBUTOR DEALER ETC DEALER NUMBER 42243/42243 DAYTONA DODGE CHRYSLER 1450 NORTH TOMOKA FARMS ROAD DAYTONA BEACH FL 32114 It is further certified that this was the first transfer of such new vehicle in ordinary trade and commerce. MAIL TO: DAYTONA DODGE CHRYSLER DAIMLERCHRYSLER MOTORS COMPANY LLC 1450 NORTH TOMOKA FARMS ROAD DAYTONA BEACH FL 32114 13425016 'CERTIFIED FOR SALE IN ALL 50 STATES' SCNATD AUTHORIZED REPRESENTAT i. AUBURN HILLS MICHIGAN CITY STATE EFTA00260906 9 Each tcdngnn tear coal*, to Met any stale le the lire apt FOR YALUF Ee pm of nit traModge. intonnation an, bele* under penalty 0 be that no Fantle h ,es con's tha n teen von:bone] In and iv verb} is rat Sublea to &quetzal Interests otter tan ebb cleckeedli.ner And wintry tie Un the VONtie• rEIYFD I TPAUSFER TTIF VEHICLE DESCRIBED CN THE FACE OF ILES CERTIEICATEJS , e - 8 g C 3 th Z 2 `r D Isr 2 6 2 NAME OF FLARCIIASERS) ADDRESS I portly to the test of My acerrap DEALER !he: to odometer read a; a No Tenth, ; Be ',Ara Or :Maar' tter Fn 5 LICect sr. Barb sly mom upon okn soya bathe tatterterth . • ban are iew are correct. Subeated and morn to me Stela o' • • Countr. Ce helm the dap 0, - - 20— Notary P.otriC USE NOTAPIZATOTI NM T IF RECAAREO Fo talluP JORaDtpLet i • DISTRIBUTOR DEALER ASS/GWENT NUMBER 2 NAME OF KIRCHASERIS, i ADDRESS 1 oath. b be Mel O. my Uneven's DEALER Tat the odometer baling 's No Tenn: BY ,..,„ „ oi,„„„t Petro ely mom uncut PT says net the statornofes se Stu* of_ tort) are true and Abaci Submit*, and morn to ma County of babe the fay ot-- Weary PUDIC is ROTAFIAZA:ON de-Y .c Rf Web) II4 T•Tt Fe: beeDICPPT DISTReBUFOR:DEALER ASSIGNMENT NUMBER 3 NAME Or PliFICHASEP,SI ADDRESS I conlsm lo too pat on my knoWoo94 DEALER env. the cePive* resting 'S No Tenths BY mur OF OFFEibma, &PUTS Tante uniniSA Relay Only mom upon oaT rap !hot the ettlemorts sat iura a 1 UM are the 500 correct. Sub.:rood and amen to me Mtn, nut Osy of 20-- Cony 0 Homy PuMt I.M NOTAbyett,ryy cee y a ws se piirTit U N DISTRIBUTOR-DEALER I ASSIGNMENT NUMBER 4 NAME OF PLItiremsEIFSI ADDRESS I tenni to We beta 0 rry Itnem*121 DEALER ; Wt one oteraMer rehanS • no Terros BY Few ce CE.Neldrim CE.Farilt655€ rourAW U Best) dual firrum upon on, says stye ow statements set Sram 1 I loth aro In D and caw!. Spouted and seam to me Casey of i Rub., ma clay c4 70 Notary NON Linn 41TART7A1014 'PAY M IV Qin 4 I(Nem luoiSNCTai ODOMETER DISCLOSURE FOR RETAIL SALE Federal raw rOrtare3 sue 10 state VI olmneate /alarm a cOnnecton tom se nonage a obbetsp, Faro *complete or Vereuin a *se slecnom may muss Ines arctic", anpersonmnei I picky 10 the cost ol my itramitapi that the odanelet reeding is the tam trumpeters vent* trans one of li e Vimeno gasoinents is °Socked Ociarninee Fuwing i NO Tenths. El The mastic staled is m erten a en nuroChaniCal 'Mita 0 The cdemetm rtadao a net re actual Wean° WARMNG ODOMETER DISCREPANCY S vet/urea) 0, Setoffs) Prntop Namels) of Sollp(s).._ ! Signalufe of Pischtlerts) Da} of Statement Dato ce Sale Ombra No Bono Tar the clury SWOT UPOn Cell WO statemonts sot to are fruo and 'erect Sulunnter0 and Morn to me PonIed Nano Cf PuscNnerls) 1 behx, y.,3 Om a 20 Wiley Punic COMpany N.,T1 (I An:1<We' __i Address ci Purchttw I al Stale ce c„,,,,. cu UV NOTARIZATarLy Lt RI GUIRFC isi eltlINC; rUeruSOICIICG Cr t I isf .en 41 Ian x of mvddi irldrees a _. , Fro .en in Pee 0 e anon atIckess is 4 EFTA00260907 I0 STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES • DIVISION OF MOTOR VEHICLES NEIL KIRWAN BUILDING • TALLAHASSEE. FL 32399.0610 APPLICATION FOR CERTIFICATE OF TITLE WITHAVITHOUT REGISTRATION ALSICATiON TYPE' n X0RIGINAL O TRANSFER VEHICLE TYPE' O OFF-HIGHWAY VEHICLE &MOTOR VEHICLE El MOBiLE NOME O VESSEL OWNER / APPLICANT INFORMATION Cabinet Number Und Number Rem We ffPOR O MC NOTE: Veil Oil ormerstip.FIesse coca il 'a' Wardle lobs sew on r le stn issued If nether box is el clad, the Me will be IssuedMTV'S". Outs Firs' Nano Full MidderMsiden Nang. Last Name Date ' FL Omer License or FESOISurnx Merest . Last Wm* Daum inn Sex FL Crher License or FEIGISulex Humber Lenses Fins Hamm RA laddlealaicien Name. Lest NsMe Oat of OEM Sec FL Other Manse or FECUSufix Number a Gly EDGEWATER sins FL Zip 32141 os.......ii i r a fi logy) GU EDGEWATER Sate FL Go 32141 Owner: or Lessee's P 'Ul Street Address in ROW alandmoryl Cry EDGEWATER Stsle FL Zip 32141 Physical Address of Mabee. Noma Of sopinable) Chub if motile Mane is impart sab IR or num Iste O City Stele Tap Mel To Cutlery* Name (II different From Above Dense) Date olefin?, Sex FL Delver License a FEID/Suera amber Mal To Customer Address (If different From Wore Wane Meets) City SUM Zip 12attriti 1, 7 2. 7 • ii: ',: . —7 . - . - I MOTOR VEIN LEmaIkMOBILractIdOrME OR VE SyEsaL, DESCRIPTION Bodi • : ' . • ' yriRe4.-A. ...• ; .,41,nue ..” •ym ........A,,...,J. VsNcllIllnim DODGE TRUCK 2004 ' 1500 DP MO IAerbr M 493 Piraeus Slate of Issue V,PLU Lame et ItesestReDstam NAME eU) Weight ( 49 (- 1 ARUM R. M. BlIFECC GEWA.00 Florida Omani Dale of Issue TYPE 0 OPUS Motets* 0 Musette' 0 Pelona' Wang • Cabin Molodnel 0 Pontoon 0 Canoe ill AaTrafy S3ROM 0 Memel 0 CAW NULL MATERIAL 0 Wood 0 Abrams, 0 FillergU6S 0 Sleet 0 x1/40aftervass Dote PROPULSION 0 Ceitcard 0 Sal 0 Inboard 0 AV PrOpend 0 Inboted/Getrefd El Dm( FUEL a Gas 0 Mese 0 Nett 0 COM SPOOY 'DRAFT OF VESSEL (The *AM et Sera Vessel dam) FT. IN. 0 IRMO) 0 &Meow see* 'Axel vends Menem le Asserene se mama Speay SP* USE OF VESSEL 0 Reaeatoral (Plume) 0 Commercial Eta Crab 0 COmMercile SEM OW 0 Deane/Marti 0 Commercial Fen M Corn/nen:HI We Bat 0 Commercial Steiso Retie. 0 Exempl 0 Kre fr try) 0 Commeloal Madras' 0 Commercial Strew hionaeop. 0 Government 0 Commercial Sponge 0 Comme i °al 0A* 0 commeroliscineyutder 0 Commercial Dialer 0 Commecia Over QMLIC Ce•Oomer PREECUS WE-OF-STATE REGISTRATIONNUMBER Are )wa Ronda rwderf? Oyes Ow Oyes Eno Are )CO an alto? Oyes OnCti Ores DIM Patti* Ferierldy Datartented Venal. Mach Copy ot a U.S. Coast Guad Relax From DecumeMellon Faux or • Cop/enameled Docunenumn Papers Staled Principal Use 3 4 •••;•4.4•••. , 4.. • BRANDS. USAGE AND TYPE 'Knock Applicable Boxes) • • &CRITERIA LEASE O LONG TERM LEASE ASSEMBLED FROM PARTS O REPLICA • RESULT ['PUKE VERCLE diEtNATE USE • MT CAR O GLIDER KIT O MANUFACTURER'S • TAXI CAB OFLOCO VEHICLE WY BACK - • • LEV VEHICLE ELECTRIC VEHICLE 4.ttlaret 1 >tee kt ,•• .# , .. ., • , . .. LLENHOLDER INF RMAT1ON ' - — CHECK* ELT CUSTOMER NI FEID ea DL 5 end Sex end Dale *GM Dale of Lien 10/03/04 Lilmherdes Harm AMERICREDIT FINANCIAL SVCS INC LlenheldeesAddrees PO BOX 182673 City ARLINGTON Stale TX VP 76096-2673 n MUNI** attain the Department* Nod te mar vetkle cr motile Mae tile to the otter, duck box and swims:in ' (Does MI mply lovesselspl bp( is col eltecketIlle WI be milled m i.e Orsl leaned* (Sgnalure el LleNtIders ReeresemLslite) 5 I . - •--- , TRANSFER lYPE F OWNERSHIP KW TRANSFERRED. KW *HOMIER WAS RE WDOCLE.TIOINE NINE. OR NESSE( ACCORD)? CYXLE 0 GET 0 REPOSSESSION REPOSSESSION COURT ORDER 0 OTHER (spasm _ WOE ACQUIRED .I0 03, 04 6 ) ODOMETER DECLARATION WARNING: Feder* and 5131*lnrequires that you stale ***Nage In connedim with an asalludlon For *CAMEO, of TAM Falun lo compete Of prarlang a It. statement may atoll In Met cc Imonsonment. I STATE THAT NIS MOTCM VEHICLE'S O S DIGIT OR K XDISIT ODOMETERNON READS =ODD Er eo Toms) PALES DATE READ bai_93/9Ao TO THE BEST OF MY KNOWLEDGE THAT IT REFLECTS THE ACTUAL AILLELDE OF THE VEHICLE CESCRIBE0 IN T145 DOCUMENT UNLESS ONE OF_THE FOLLOWING IS CHECNED cAunott O i. I HEREBY CERISE THAT. TO MERESTOF MY MOMEOGE, ME ODOMETER KAMM REFLECTS IsEAMUNTCE IMAM lj gatssETTEACREALEGELas =fa CHECK 9 ACTUAL NUM O 2. IHEREBT CERMET MAT THE 00CeETER ADDEO § NOT TIE ACTUAL ritclata WARMING 000MET ER DISCREPANCY 7 I FLORIDA SALES TAX REGISTRAPON NUMBER 74-8012066825-9 DATE OF SALE 10/03/04 DEALER SAL S TA% REPORT DEALER MEESE NUMBER AMOUNT OF TAX VF11489 1684.54 HEW 82040 (NEV. TOMAS h lialMyrie h sm v.s Tata us EFTA00260908 MOTOR VEHICLE IDENGFICARON NUMBER VERIFICATION THIS SECTION REOWRES A PHYSICAL INSPECTION AND A VERIFICATION OF THE VEHICLE IDENTIFICATION NUMBER 320 (OP THENOTORRUMBER FOR MOTOR WHICLEIALASLUFACTURFQ PRIOR TO WS) OF THE MOTOR vEiocAE DEscamED On THIS FORM BY A LICENSED DEALER. FLORIDA NOTARY PUBLIC. POLICE OFFICER. OR FLORIDA DIVISION OF MOTOR VEHICLES EMPLOYEE OR TAX COLLECTOR EMPLOYEE. IF THE Vim IS VERIFIED By AN OUT OF STATE MQT.Q&Y.LbTALPKAL IA T I RH STATIONERY COMPLETE THIS SECTION ON ALL USED MOTOR VEHICLES. INONOwG TRAILERS. (vall. ABBREVIATION Of TV WITH A WEIGHT OF 2.000 POUNDS OR MORE) NOT CURRENTLY TITLED IN FLORIDA 1Se uGIll'OneGcetlEY NMI Ave Playearr InsPreled LEN abrve deserted wade and red re where identnouns number Io be was tame...rum Renton DATE SIGNATURE the Enforcement Olen ct Fkr.S. Oates Name Badge e or F1cda Deaet FL DMWTax Coleckx Emothee Florida Orrakirce ExurtnerAnsseclx Badge a ID iamb,. PRINTED NAME Hatay Sorry cr Seal FASIONISENWED NUN Of FICRDA KIRKE WARTS SKNATURE EBeramtnecal SALES TAX EXEMPTION CERTIFICATION I THE FURODSE OFAREEMATIOWL UNCLE TO eL OFFERED FOR RENT ASLIIWG ACCOMINDATKINS DOES NOT QW&PY FOR ENDMI1Cer. ICERNYDE RECREATE/Nit VEHICLE MALE NOME OR VESSEL DESCRMED WS NEN rlgtOt WAND IS KOMI FROM TIE SALES TM ROMEO EY (RAFTER 2i1. ROAD/. STATUTES, or L. K PURCHASER (STATE AGENCNS. COWRIES ETDINOLDS VALID EXEMPTION GEWGAW K HOTOA VERNA O MAE " HOME O vESSa Hu PE USED CaCLUSMLY FOR RENTAL CalSuirERSCERTSKA E OF ExErATKer KAMER SALES TAX REGISTRATION/MUSES I heresy sentry that ownership of the motor vehlde, made home or vessel described on lit applcaten, is not subject to Florida Sales and Use Tax fa the folioning reason: ONBEETANCE O GET O DIVORCE OECREE O TRANSFER BETWEEN HUSBANO AND WIFE O EVEN TRADE OR TRADE DaAN (State ha Mots of the even trade or trade down and the transferor Information, Including the transieroes name and address, below ender 'Other: Explain?) Oommt(ExPuw) Ttelk IF CHECKED, ME FOLLOWING CIFMFICAMONS ARE MADE BY THE APPLICANT: REPOSSESSION DECLARATION • O I CERTIFY MAT THIS MOTOR VEHICLE, HOKE HONE CR VESSEL WAS REPOSSESSED UPON DEFAULT IN THE TERMS OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION (VESSEL) A PHOTOCOPY OFT* UEN INSTRUMENT FOR THE VESSEL IS REQUIRED AND /MAORI). 11'o .-.. no: NON-USE AND OTHER CERTIFICATIONS, F CHECKED, THE FOLLOWING CERTIFICATIONS ARE MADE BYTE APPLICANT: K I CERTIFY DLO ME CERTIFICATE CF 1711E IS LOST CR DESTROYED. K THE VEHICLE IDENTIFIED WILL NOT BE OPERATED al THE STREETS MO HIGHWAYS OF THIS STATE. K THE VESSEL CF-NTIFIED WILL NOT BE CPERATED ON THE WATERS OF THISSTATE. O OTHER (MINI ' APPLICATION ATIESTJENT SIVE PHYSICALLY INSPECTED THE CODMETERANO NNE FUR1l E TO DEFEM) THE TYRE AGANST ALL UN REDOING DOCUMENT gr.atures.) The undersigned person(s), stale as Mows: Thal County. Florida died on the day of 20 0 testate (with a will) 0 Intestate (without a will) and left Sun/rung (hinther) the fOTOvang beneficiaries: SIgnaturels) of surviving spouse, co.owner and/or heirs. (More than one form HSMV 82040 may be used for additional ugnatures.) UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Print cc Type Name of Spouse. Coowner or Heels) Signature of Spouse. CDOwnAr or Holds) That al he Arne of dear he decedent was coma of foe motet vends, mobre home or vessel den-Abedin recto 2 of hs teen That the estate is nor orleb!of ad the assets dew rude, tutting pis mei woe. stable Mae of vessel we surineN to pay all jceldaD4 and that no probate poceedngs hate becalm/00W won We atilt. That to pywn(s)OO1rig abase hereby releases all Var n94. Mt.:Taal and dames hers a! Mw, Ivrea, Outlet. or utenuse lo the Wand meet what, retie Inure or vessel lo: Marne of Applicant(s) (Print or Type) RESIDENTS OF FLORIDA AND ALL VESSEL OWNERS, RESIDING VI FLORIDA OR OUT OF STATE, SHOULD SUBMIT THIS FORM MD ALL REQUIRED DOCUMENTATION TO A LOCAL FLORIDA TAX COLLECTOR'S OFFICE OR THE FLORIDA TAX COLLECTOR'S OFFICE LOCATED IN THE APPLICANT'S COUNTY OF RESIDENCE FOR PROCESSING. HMV 52140 (REV.10030) 5 hnptitenvw.hsmrstaltiles EFTA00260909