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HomeMy WebLinkAboutInv# PC - 22538 - BROWARD COUNTY TAX COLLECTOR - 10/31/2024Broward County Records, Taxes & Treasury Div. Broward County Tax Collector 115 S. Andrews Ave. Room A100 Fort Lauderdale, FL 33301 Transaction # 18539926 Cashier: -------------------------- BO Paid By: CITY OF_DA_NIA_BEACH/ YAMIL LOBO ^'10/31/2024 Posted Date: 09:49AM Received Via �- ------------------------- In Person - - Num. Items: 8 Total Tendered - $470.20 Receipt M -_--- --^ 003-24-00000140 _---602721 Batch:- Drawer: 3 Status:--__W --Complete -- _ A',' t*d'ri'gu�a�lent ay: Fernando ervices Director puWW,S _-- - Receipt Item Details Effective Due Paid Date _ FRVIS Plantation -----____ 10/31/2024 $78.25 _ _ - $78.25 Batch# 2685209 VIN: 3FTTW8H95RRB51040 FRVIS __C_ode:_O_RT Plantation -^�- �10/31/2024 _ $78.25 ________ $78.25 Batch# 2685209 VIN: 3FTTW8H91 RRB50919 C_o_de:_O_RT - FRVIS -PlantationT-. 10/31/2024 $78.25--- - $78.25 Batch# 2685209 VIN: 3FTTW8H98RRB50948 ____ _FRVIS _C_ode:_O_RT Plantation- - �10/31/2024 $39.30 --�- $39.30 Batch# 2685209 VIN: 3FTTW8H91 RRB50919 _ ___C_o_de:_O_RR___ FRVIS_ Plantation 10/31/2024 $39.30 $39.30 Batch# 2685209 VIN: 3FTTW8H98RRB50948 ____ FRVIS _ lCode:ORR Plantation ____ __ 10/31/2024 $39.30�-- -- $39.30 Batch# 2685209 VIN: 3FTTW8H95RRB51040 Code:ORR FRVIS _'Plantation - -- �10/31/2024 $39.30 _ - $39.30 Batch# 2685209 VIN: 3FTTW8H93RRB50887 Co_de:_ORR - FRVIS - --P_lantation ---10/31/2024 $78.25 $78.25 Batch# 2685209 VIN: 3FTTWBH93RRB50887 Code: ORT -------.�_--____-_ __- Total: ---- - _ -___..�__ $470.20_ _. $4_7.-0.2-- 0 Payment -!Details Paid Credit Credit or Visa CC#XXXX-6692 _ s $470.20 Debit Card Confirmation number: J9827470769 AID:A0000000031010 TDS:emv Application Label: VISA CREDIT PIN Statement: 1 Auth Code: 065836 Balance: $0.00 Convenience $11.99-I Fee: — ---- - J Total $482.19 Charged: MT"S020 IMPORTANT INFORMATION Section 316.613, Florida Statutes, requires every operator of a motor vehicle transporting a child in a passenger car, van, autocycle or pickup truck registered in this state and operated on the highways of this state, shall, if the child is 5 years of age or younger, provide the protection of the child by properly using a crash -tested, federally approved child restraint device. For children aged through 3 years, such restraint device must be a separate carrier or a vehicle manufacturer's integrated child seat. For children aged 4 through 5 years, a separate carrier, an integrated child seat, or a child booster seat may be used. (/ For limited exceptions, see s. 316.613, F.S. S. 320.0605, F.S., requires the registration certificate, or true copy of a rental or lease agreement, issued for any motor vehicle to be in the possession of the operator or carried in the vehicle while the vehicle is being used or operated on roads of this state. S. 320.02 and 627.733, F.S., requires personal injury protection and property damage liability to be continuously maintained throughout the registration period. Failure to maintain the mandatory coverage may result in the suspension of your driver license and registration. Mail To: CITY OF DANIA BEACH Important note: If you cancel the insurance for this vehicle, 1201 STIRLING RD immediately return the license plate from this registration to a Florida DANIA BEACH, FL 33004 driver license or tax collector office or mail it to: DHSMV, Return Tags, 2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate will prevent your driving privilege from being suspended. CO/AGY 10 / 6 T# 2037241697 iLORIDA VEHICLE REGISTRATION B# 2685209 'LATE XL8646 DECAL Expires NO EXPIRATION R/IvIIC 2024/FORD BODY PK "IN 3FTTWBH95RRB51040 late Type CVR NET WT 3416 L/FEID - ate Issued 10/31 /2024 Plate Issued 10/31 /2024 ITY OF DANIA BEACH 201 STIRLING RD ANIA BEACH, FL 33004 ✓R - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax 36.30 Class Code 97 TITLE 156733282 Init. Reg. Tax Months 12 County Fee 3.00 Back Tax Mos Mail Fee Credit Class Sales Tax Credit Months Voluntary Fees Grand Total 39.30 IMPORTANT INFORMATION 1. The Florida license plate must remain with the registrant upon sale of vehicle. 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to a replacement vehicle. 3. Your registration must be updated to your new address within 30 days of moving. 4. Registration renewals are the responsibility of the registrant and shall occur during the 30-day period prior to the expiration date shown on this registration. Renewal notices are provided as a courtesy and are not required for renewal purposes. 5. 1 understand that my driver license and registrations will be suspended immediately if the insurer denies the insurance information submitted for this registration. CNN# AGY# SUB# RPT# °FT'U3�TN�� 1111 L ���11 II I L# 4170765 10 6 BAC 6537 = ' ' T# 2037240901 STATE OF FLORIDA B# 2685209 AUDIT# ate' APPLICATION FOR VEHICLE/VESSEL S# 109235952 -- CERTIFICATE OF TITLE -- - — TITLE NUMBER VEHICLEIVESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT 156733282 3FTTW8H95RRB51040� 2024 FORD T PK WHI [3416 DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION K31124 [ORT PRIVATE- Applicant/Owners Name & Address CITY OF DANIA BEACH 1201 STIRLING RD DANIA BEACH, FL 33004 .�f S I 23 VOLUNTARY CONTRIBUTIONS Action Requested: ORIGNEW TITLE BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN RES.# L�T��Lx-T-F]_L. -I tsl OWNER FUDL# OR 2nd OWNER FUDL# OR F.E LD.# UNIT # AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE JK755] 73.50 0.00� I--- 78.25] Brands: E PREV STATE DATE ACQUIRED NEW USED ODOMETER / VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/15/2024 XX 35 MI 10/15/2024 ACTUAL _ - _ ❑ LIEN INFORMATION NAME OF FIRST LIENHOLDER: ADDRESS DATE OF LIEN RECEIVED DATE FEID # OR FL / DLAND SEXAND DATE OF BIRTH C SELLER INFORMATION NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER ADDRESS DEALER LICENSE NO. SALES TAX AND USE REPORT TRANSFER OF TITLE ® PURCHASER HOLDS VALID IS EXEMPT FROM EXEMPTION CERTIFICATE FLORIDA SALES OR ❑ VEHICLE / VESSEL WILL BE USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL REASON(S) CHECKED ® OTHER EXEMPT SALVAGE TYPE CONSUMER OR SALES TAX EXEMPTION # 85-8015921280C9 INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ UNPAID BALANCE DUE SELLER, BANK OR OTHERS INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00 212, FLORIDA STATUTES ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION IME HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYSAVATERWAYS 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 INSTRUMENT AND IS NOW IN MY POSSESSION. IN/E HEREBY CERTIFY THAT IME LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN 15 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. IME FURTHER AGREE TO DEFEND THE TITLE AGAINSTALL 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 ApplicanUOwner Signature ofApplicanUCo-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. MTRFS021Y MTRFS020 IMPORTANT INFORMATION Section 316.613, Florida Statutes, requires every operator of a motor vehicle transporting a child in a passenger car, van, autocycle or pickup truck registered in this state and operated on the highways of this state, shall, if the child is 5 years of age or younger, provide the protection of the child by properly using a crash -tested, federally approved child restraint device. For children aged through 3 years, such restraint device must be a separate carrier or a vehicle manufacturer's integrated child seat. For children aged 4 through 5 years, a separate carrier, an integrated child seat, or a child booster seat may be used. For limited exceptions, see s. 316.613, F.S. S. 320.0605, F.S., requires the registration certificate, or true copy of a rental or lease agreement, issued for any motor vehicle to be in the possession of the operator or carried in the vehicle while the vehicle is being used or operated on roads of this state. S. 320.02 and 627.733, F.S., requires personal injury protection and property damage liability to be continuously maintained throughout the registration period. Failure to maintain the mandatory coverage may result in the suspension of your driver license and registration. Mail To: CITY OF DANIA BEACH Important note: If you cancel the insurance for this vehicle, 1201 STIRLING RD immediately return the license plate from this registration to a Florida DANIA BEACH, FL 33004 driver license or tax collector office or mail it to: DHSMV, Return Tags, 2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate will prevent your driving privilege from being suspended. CO/AGY 10 / 6 T# 2037237657 FLORIDA VEHICLE REGISTRATION B# 2685209 'LATE XL8644 DECAL Expires NO EXPIRATION r,T MK 2024/FORD BODY PK 'IN 3FTTWBH98RRB50948 late Type CVR NET WT 3416 )L/FEID - We Issued 10/31/2024 Plate Issued 10/31/2024 ITY OF DANIA BEACH 201 STIRLING RD ANIA BEACH, FL 33004 VR - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax 36.30 Class Code 97 TITLE 156733183 Init. Reg. Tax Months 12 County Fee 3.00 Back Tax Mos Mail Fee Credit Class Sales Tax Credit Months Voluntary Fees Grand Total 39.30 IMPORTANT INFORMATION I. The Florida license plate must remain with the registrant upon sale of vehicle. 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to a replacement vehicle. 3. Your registration must be updated to your new address within 30 days of moving. 4. Registration renewals are the responsibility of the registrant and shall occur during the 30-day period prior to the expiration date shown on this registration. Renewal notices are provided as a courtesy and are not required for renewal purposes. 5. 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#tHe-` —� 'III r �' Ir'I Il r T# C,�I= �.YY 4170762 10 BAC�37 2037237291 I �` STATE OF FLORIDA B# 2685209 AUDIT# npR APPLICATION FOR VEHICLE/VESSEL S# 109235738 CERTIFICATE OF TITLE - ""-- TITLE NUMBER VEHICLENESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT 156733183 �3FTTW8H98RRB50948 2024 FORD FPK] WHI�— I3416 1 t DATE OF ISSUE TRANS VEHICLE USE MO. DAY YEAR CODE — HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER MATERIAL DRIVE TYPE - " AUTH DESTRUCTION 10 E31124] ORT PRIVATE T— BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN RES.# ApplicanUOwners Name & Address 1 L10j CITY OF DANIA BEACH 1201 STIRLING RD =XT-_— (i DANIA BEACH, FL 33004 1st OWNER FL/DL# OR 2nd OWNER FUDL# OR F.E W.# UNIT# VOLUNTARY CONTRIBUTIONS AGENCY FEE TITLE FEE SALES TAX GRAND TOTAL --" - -- _ 4.75[---- 73.50 E--o-o-o _- 78.25] Action Requested: ORIGNEWTITLE Brands: PREV.STATE DATE ACQUIRED NEW USED ODOMETER/VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/15/2024 XX 27 MI 10/15/2024 ACTUAL ❑ LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / OLAND SEXAND DATE OF BIRTH DMVACCOUNT # NAME OF FIRST LIENHOLDER: ADDRESS SELLER INFORMATION NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER ADDRESS DEALER LICENSE NO. SALES TAX AND USE REPORT TRANSFER OF TITLE ® PURCHASER HOLDS VALID IS EXEMPT FROM EXEMPTION CERTIFICATE FLORIDA SALES OR ❑ VEHICLE / VESSEL WILL BE USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL REASON(S) CHECKED X OTHER EXEMPT SALVAGE TYPE CONSUMER OR SALES TAX EXEMPTION # 85-8015921280C9 INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ UNPAID BALANCE DUE SELLER, BANK OR OTHERS INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00 212, FLORIDA STATUTES ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION UWE 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. IIWE HEREBY CERTIFY THAT IANE 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. IfWE 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 ITARE TRUE. Signature of Applicant/Owner HSMV 82041 REVISED 02/06 SCAN CODE MVT Signature ofApplicanUCo-Owner I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES MTRFS021Y THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION. MTRFS020 IMPORTANT INFORMATION Section 316.613, Florida Statutes, requires every operator of a motor vehicle transporting a child in a passenger car, van, autocycle or pickup truck registered in this state and operated on the highways of this state, shall, if the child is 5 years of age or younger, provide the protection of the child by properly using a crash -tested, federally approved child restraint device. For children aged through 3 years, such restraint device must be a separate carrier or a vehicle manufacturer's integrated child seat. For children aged 4 through 5 years, a separate carrier, an integrated child seat, or a child booster seat may be used. For limited exceptions, see s. 316.613, F.S. I / S. 320.0605, F.S., requires the registration certificate, or true copy of a rental or lease agreement, issued for any motor vehicle to be in the possession of the operator or carried in U the vehicle while the vehicle is being used or operated on roads of this state. S. 320.02 and 627.733, F.S., requires personal injury protection and property damage liability to be continuously maintained throughout the registration period. Failure to maintain the mandatory coverage may result in the suspension of your driver license and registration. Mail To: CITY OF DANIA BEACH Important note: If you cancel the insurance for this vehicle, 1201 STIRLING RD immediately return the license plate from this registration to a Florida DANIA BEACH, FL 33004 driver license or tax collector office or mail it to: DHSMV, Return Tags, -2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate will prevent your driving privilege from being suspended. CO/AGY 10 / 6 T# 2037231513 'LORIDA VEHICLE REGISTRATION B# 2685209 'LATE XL8643 DECAL Expires NO EXPIRATION 11 M 2024/FORD BODY PK IN 3FTTWBH91RRB50919 late Type CVR NET WT 3416 L/FEID - ate Issued 10/31/2024 Plate Issued 10/31/2024 ITY OF DANIA BEACH 201 STIRLING RD ANIA BEACH, FL 33004 ✓R - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax 36.30 Class Code 97 TITLE 156733050 Init. Reg. Tax Months 12 County Fee 3.00 Back Tax Mos Mail Fee Credit Class Sales Tax Credit Months Voluntary Fees Grand Total 39.30 IMPORTANT INFORMATION 1. The Florida license plate must remain with the registrant upon sale of vehicle. 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to a replacement vehicle. 3. Your registration must be updated to your new address within 30 days of moving. 4. Registration renewals are the responsibility of the registrant and shall occur during the 30-day period prior to the expiration date shown on this registration. Renewal notices are provided as a courtesy and are not required for renewal purposes. 5. 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# 10 6 BAC 6537 -` = AUDIT # TITLE NUMBER VEHICLENESSEL IDENTIFICATION # 'III �1.5'rr'.'T'■rr� r '�fir'I III L# 4170753 --- - - T# 2037230923 STATE OF FLORIDA B# 2685209 APPLICATION FOR VEHICLE/VESSEL I S# 109235384 CERTIFICATE OF TITLE _ - - - ----- - YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT ---- — ---] �56733050 — 3FTTW8H91RRB50919 12024 FORD PK [WV�1-- �416 — �- DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION 10 n12 ORT PRIVATE BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN REST Applicant/Owner's Name &Address OF DANIA BEACH r(�CITY 11-01 1 LX 1201 STIRLING RD L DANIA BEACH, FL 33004 1st OWNER FUDL# OR 2nd OWNER FUDL# OR F.E.I.D.# UNIT # VOLUNTARY CONTRIBUTIONS Action Requested: ORIGNEWTITLE AGENCY EE FF TITLE FEE SALES TAX GRAND TOTAL 75 73.50 0.00] 78.251 Brands: _ PREV.STATE DATE ACQUIRED NEW USED ODOMETER/VESSEL MANUFACTURER ODOMETER DECLARATIC CERTIFICATI 10/21/2024 XX 36 MI 10/21/2024 ACTUAL ❑ LIEN INFORMATION NAME OF FIRST LIENHOLDER: ADDRESS N )N DATE OF LIEN RECEIVED DATE FEID # OR FL / DLAND SEX AND DATE OF BIRTH DMVACCOUNT # SELLER INFORMATION NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER ADDRESS DEALER LICENSE NO. SALES TAX AND USE REPORT TRANSFER OF TITLE ® PURCHASER HOLDS VALID IS EXEMPT FROM EXEMPTION CERTIFICATE FLORIDA SALES OR ❑ VEHICLE / VESSEL WILL BE USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL REASONS) CHECKED ® OTHER EXEMPT SALVAGE TYPE CONSUMER OR SALES TAX EXEMPTION # 85-8015921280C9 INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ UNPAID BALANCE DUE SELLER, BANK OR OTHERS INDICATE SALES OR USE TAX DUE AS PROVIDED BY CHAPTER $ 0.00 212, FLORIDA STATUTES ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION IME HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYSAVATERWAYS 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 INSTRUMENT AND IS NOW IN MY POSSESSION. IME HEREBY CERTIFY THAT IME LAWFULLY OWN THE A80VE 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. [ME 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 HSMV 82041 REVISED 02/06 SCAN CODE MVT Signature of ApplicanUCo-Owner I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION. MTRFS021Y MTRFS020 IMPORTANT INFORMATION Section 316.613, Florida Statutes, requires every operator of a motor vehicle transporting a child in a passenger car, van, autocycle or pickup truck registered in this state and operated on the highways of this state, shall, if the child is 5 years of age or younger, provide the protection of the child by properly using a crash -tested, federally approved child restraint device. For children aged through 3 years, such restraint device must be a separate carrier or a vehicle manufacturer's integrated child seat. For children aged 4 through 5 years, a separate carrier, an integrated child seat, or a child booster seat may be used. For limited exceptions, see s. 316.613, F.S. S. 320.0605, F.S., requires the registration certificate, or true copy of a rental or lease agreement, issued for any motor vehicle to be in the possession of the operator or carried in 1 the vehicle while the vehicle is being used or operated on roads of this state. t S. 320.02 and 62 a 7.733, F.S., requires personal injury protection and property dame g liability to be continuously maintained throughout the registration period. Failure to maintain the mandatory coverage may result in the suspension of your driver license and registration. Mail To: CITY OF DANIA BEACH Important note: If you cancel the insurance for this vehicle, 1201 STIRLING RD immediately retum the license plate from this registration to a Florida DANIA BEACH, FL 33004 driver license or tax collector office or mail it to: DHSMV, Return Tags, 2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate will prevent your driving privilege from being suspended. CO/AGY 10 / 6 T# 2037227275 ,LORIDA VEHICLE REGISTRATION B# 2685209 'LATE XL8642 DECAL Expires NO EXPIRATION `R/MK 2024/FORD BODY PK 'IN 3FTTWBH93RRB50887 late Type CVR NET WT 3416 )L/FEID - late Issued 10/31/2024 Plate Issued 10/31/2024 ITY OF DANIA BEACH 201 STIRLING RD ANIA BEACH, FL 33004 VR - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax 36.30 Class Code 97 TITLE 156732967 Init. Reg. Tax Months 12 County Fee 3.00 Back Tax Mos Mail Fee Credit Class Sales Tax Credit Months Voluntary Fees Grand Total 39.30 IMPORTANT INFORMATION 1. The Florida license plate must remain with the registrant upon sale of vehicle. 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to a replacement vehicle. 3. Your registration must be updated to your new address within 30 days of moving. 4. Registration renewals are the responsibility of the registrant and shall occur during the 30-day period prior to the expiration date shown on this registration. Renewal notices are provided as a courtesy and are not required for renewal purposes. 5. 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 WL# — 4170743 -IOT6 j BA 6537 � q.01P!At Fhll III T# 2037226451 AUDIT# STATE OF FLORIDA B# 2685209 APPLICATION FOR VEHICLE/VESSEL S# 109235124 CERTIFICATE OF TITLE TITLE NUMBER VEHICLE/VESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT _4 2024 ]FORD [�Hl 3416�732 67 �� I3FTTW8H93RRB50887 DATE OFISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION EORT]PRIVATE BIRTHDATE RESIDENT CNTY Applicant/Owner's Name &Address SEX MO. DAY YEAR Y N ALIEN RES�# CITY OF DANIA BEACH101 L-I-= I-X1- 1201 STIRLING " -1- --,- DANIA BEACH, FL 33004 lsl OWNER FUDL# OR 2nd OWNER FL DL# OR F.E.I.04 UNIT# VOLUNTARY CONTRIBUTIONS AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 11 -- 4.75 73.50 0.00 78.25 Action Requested: CRIGNEWTlTLE Brands: PREV. STATE DATE ACQUIRED NEW USED ODOMETER I VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/21/2024 XX 36 MI 10/21/2024 ACTUAL ❑ LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DLAND SEX AND 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 # 85-8015921280C9 SALES TAX AND USE REPORT INDICATE TOTAL PURCHASE PRICE, INCLUDING ANY $ 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 ❑ VEHICLE / VESSEL WILL BE 212, FLORIDA STATUTES USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL REASON(S) CHECKED OTHER EXEMPT ❑ SELLING PRICE VERIFIED APPLICANT CERTIFICATION [ME HEREBY CERTIFY THAT THE VEHICLENESSEL TO BE TITLED WILL NOT BE OPERATED UPON THE PUBLIC HIGHWAYSMATERWAYS OF THIS STATE. I CERTIFY THAT THE CERTIFICATE OF TITLE IS LOST OR DESTROYED. I CERTIFY THAT THIS MOTOR VEHICLEIVESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. TfW—E HEREBY CERTIFY THAT VWE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLE/VESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE 15 HEREBY GIVEN THAT THERE IS AN EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLEfVESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE. [ME 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 ofApplicant/Owner Signature ofAppliGantICo-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 MTRFS021 Y THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION.