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HomeMy WebLinkAboutInv# PC - 22542 - BROWARD COUNTY TAX COLLECTOR - 11/07/2024Broward County Records, Taxes & Treasury Div. Broward County Tax Collector 115 S. Andrews Ave. Room A100 Fort Lauderdale, FL 33301 raitsact1_6fi_ _5HgU+------___ Cashier: DR ----------------------- Paid By: YAMILLOBO___ ! Posted Date: 11/07/2024 09:31AM Received Via: -- In Person Num. Items: 6 Total Tendered — $358.65 -------------------------_ Receipt M 006-24-00000494 -------------------------- Batch: 602973 Drawer: _— 6 — — -- —--- Status: Complete Receipt Item Details Effective Due Paid Date --- FRVIS _ Plantation ^11/07/2024 $39.30 $39.30 Batch# 2687139 VIN: 3FTTW8H95RR650955 Code:ORR _______ FRVIS —Code:�� _ --@— __ 11/07/2024 �$80.25— $80.25 Batch# 2687139 VIN: 3FTTW8H95RR650955 C_o_de:_ORT — ___ _ FRVIS —_Plantation _ ___ _ 1/07/2024 ___ _$39.30~ $39.30 Batch# 2687143 VIN: 3FTTW8H98RRB50965 Code: ORR FRVIS Plantation 11/07/2024 $80.25 $80.25 Batch# 2687143 VIN: 3FTTW8H98RRB50965 Code:ORT _____ FRVIS —Plantation_ 11/07/2024 �$39.30 $39.30 Batch# 2687143 VIN: 3FTTW8H92RRB50833 C_o_de:_O_RR__ _____ FRVIS—�Plantation� ^� — 11/07/2024 a $80.25 -- $80.25 Batch# 2687143 VIN: 3FTTW8H92RRB50833 C_o_de: ORT -------�Total:_________.�__.__.__ $358.65�—^--�$358.65 Payment Details Peic3 ------ Credit or Visa CC#XXXX-6692 $358.65 Debit Card Confirmation number: H8317475301 AID: A0000000031010 TDS:emv Application Label: VISA CREDIT PIN Statement: 1 Auth Code: 028058 Balance: $0.00 s$9.15 Convenience Fee: Total $367.80 Charged: J. Fernando odrlguez �hlic Serviced CNTY# AGY# SUB# 654 d.. tE - ,IIIoff'OL VMRIIIIIII IIIT## 4173371 10DSR 6542 -=`_ 2040621019 161 STATE OF FLORIDA B# 2687143 AUDIT# H�oUW¢ APPLICATION FOR VEHICLE/VESSEL S# 109374468 CERTIFICATE OF TITLE - -- - -- - TITLE NUMBER VEHICLEIVESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT rr l �� L156818878 J �FTTMHWRR�B5083� 2024 FORD LPK WI1I ( �3416 �— �— --� , L - DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL —JWATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION [11O7 24 ORT PRIVATE T- BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN REST Applicant/Owner's Name &Address ( T CITY OF DANIA BEACH 10 1201 STIRLING RDI— DANIA BEACH, FL 33004 1st OWNER FUDL# OR 2nd OWNER FUDL# OR F.ELD.# UNIT# I VOLUNTARY CONTRIBUTIONS AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 0.00--- 80_25 75.50 �— - Action Requested: ORIGNEWTITLE Brands: PREV.STATE DATE ACQUIRED NEW USED ODOMETER VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/31/2024 XX 50 MI 10/31/2024 ACTUAL ❑ LIED] INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DL AND SEXAND DATE OF BIRTH DMV ACCOUNT # NAME OF FIRST LIENHOLDER: ADDRESS SALVAGE TYPE SELLER INFORMATION NAME OF SELLER, FLORIDA DEALER, OR OTHER PREVIOUS OWNER ADDRESS I DEALER LICENSE NO. - -- CONSUMER OR SALES TAX EXEMPTION # 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 IIWE 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 VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. UWE 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. UWE FURTHER AGREE TO DEFEND THE TITLEAGAINSTALL 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 of Applicant/Co-Owner HSMV 82041 REVISED 02106 SCAN CODE MVT 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. 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 FLORIDA VEHICLE REGISTRATION ?LATE XL8657 DECAL Expires NO EXPIRATION (R/MK 2024/FORD BODY PK 11N 3FTTW8H92RRB50833 'late Type CVR NET WT 3416 )L/FEID - )ate Issued 11/7/2024 Plate Issued 11/7/2024 :ITY OF DANIA BEACH 201 STIRLING RD )ANIA BEACH, FL 33004 :VR - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax TITLE 166818878 Init. Reg. County Fee Mail Fee Sales Tax Voluntary Fees Grand Total T# 2040621389 B# 2687143 36.30 Cass Code Tax Months 3.00 Back Tax Mos Credit Class Credit Months 3 9.3 0 IMPORTANT INFORMATION 97 12 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# TAGY# SUB# RPT# �ttrBs 'IIIo40 �'I III T## 4173364 016 DSR 6542 ■ �' 2040617757 - �- - STATE OF FLORIDA B# 2687143 AUDIT# — a�oa APPLICATION FOR VEHICLE/VESSEL s# 109374191 CERTIFICATE OF TITLE TITLE NUMBER VEHICLE/VESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT rr 156818809 [3FTTW8H98RRB50965 L2024 FORD DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION ]ORT PRIVATE T 1 07T-2 I111 BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN RES.# AppllcanUOwnel's Name &Address r -- -- r - - LI CITY OF DANIA BEACH L� I X 1 IRLINGBEACH RDL— # DANIA BEACH, FL 33004 II 1st OWNER FUDL# OR 2nd OWNER FUDL# OR A A F.E.I.D.# UNIT# l VOLUNTARY CONTRIBUTIONS AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 4.75 E75-51o E0.00 L 80.25 Action Requested: ORIGNEWTITLE Brands: PREV.STATE DATEACOUIRED NEW USED ODOMETER/VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/31/2024 XX 36 MI 10/31/2024 ACTUAL ❑ LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL/ OLAND 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 $ 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 IME HEREBY CERTIFY THAT THE VEHICLEIVESSEL 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 VEHICLENESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. IAVE HEREBY CERTIFY THAT IAVE 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. VWE FURTHER AGREE TO DEFEND THE TITLEAGAINST 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 ofAppl(canUOwner Signature o(ApplicanUCo-Owner HSMV 82041 REVISED 02/06 SCAN CODE Iy VT -- -- I UNDERSTAND THAT MY DRIVER LICENSE AND REGISTRATIONS WILL BE SUSPENDED IMMEDIATELY IF THE INSURER DENIES MTRFS021Y THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION. N ffRFS020 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 FLORIDA VEHICLE REGISTRATION "LATE XL8656 DECAL Expires NO EXPIRATION (R/MK 2024/FORD BODY PK /IN 3FTTW8H98RRB50965 'late Type CVR NET WT 3416 )L/FEID - )ate Issued 11/7/2024 Plate Issued 11 /7/2024 :ITY OF DANIA BEACH 201 STIRLING RD )ANIA BEACH, FL 33004 ;VR - CITY VEHICLES PLATE ISSUED X COLOR WHI Reg. Tax TITLE 156818809 Init. Reg. County Fee Mail Fee Sales Tax Voluntary Fees Grand Total T# 2040618417 B# 2687143 36.30 Class Code Tax Months 3.00 Back Tax Mos Credit Class Credit Months 39.30 IMPORTANT INFORMATION 97 12 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# brie s 10 6 DSR 6542 D!r ALIDIT# 1111 Wq.. njePtu&A Fill II STATE OF FLORIDA APPLICATION FOR VEHICLE/VESSEL CERTIFICATE OF TITLE L# 4173359 T# 2040613191 B# 2687139 S# 109373920 TITLE NUMBER VEHICLENESSEL IDENTIFICATION # YR. MAKE MAKE or BODY VEHICLE COLOR WT/LENGTH PRINCPL GVW/LOC MANUFACTURER TYPE OPERAT L56818721 3FTTW8H95RRB50955 2024 FORD PK F3416 I DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION ENGINE FUEL VESSEL WATER FL NUMBER AUTH MO. DAY YEAR CODE MATERIAL DRIVE TYPE DESTRUCTION — F[07J2� ORT PRIVATE A :L BIRTHDATE RESIDENT CNTY SEX MO. DAY YEAR Y N ALIEN REST Applicant/Owners Name &Address CITY OF DANIA BEACH L47 LLEJ Lx Fl] I_1� 1201 STIRLING RD DANIA BEACH, FL 33004 1st OWNER FUDL# OR 2nd OWNER FUDL# OR F.E.1 . D . # LINIT# VOLUNTARY CONTRIBUTIONS AGENCY TITLE FEE SALES TAX GRAND TOTAL FEE 4.75 [ =75.50 1--:--0.00 80,25 Action Requested: CIRIGNEWTITLE Brands: PREY. STATE DATE ACQUIRED NEW USED ODOMETER /VESSEL MANUFACTURER ODOMETER DECLARATION CERTIFICATION 10/31/2024 Xx 40 MI 10/31/2024 ACTUAL E-1 LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL 1 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 $ UNPAID BALANCE DUE SELLER, BANK OR OTHERS TRANSFER OF TITLE 0 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 212, FLORIDA STATUTES USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL REASON(S) CHECKED M OTHER EXEMPT E SELLING PRICE VERIFIED APPLICANT CERTIFICATION ItWE HEREBY CERTIFY THAT THE VEHICLENESSEL TO HE 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 VEHICLE/VESSEL WAS REPOSSESSED UPON DEFAULT OF THE LIEN INSTRUMENT AND IS NOW IN MY POSSESSION. if —WE HEREBY CERTIFY THAT )ME LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL, AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE 15 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 TITLEAGAINST 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 ofApplicanVOwnbr Signature of Applicant/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 MTRFS021 Y THE INSURANCE INFORMATION SUBMITTED FOR THIS REGISTRATION. MTRFS020 Mail To: CITY OF DANIA BEACH 1201 STIRLING RD DANIA BEACH, FL 33004 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. Important note: If you cancel the insurance for this vehicle, immediately return the license plate from this registration to a Florida 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# 2040614453 REGISTRATION B 2687139 FLORIDA VEHICLE 'LATE XL8655 DECAL Expires NO EXPIRATION (R/MK 2024/FORD BODY PIK ✓IN 3FTTW8H95RRB50955 'late Type CVR NET WT 3416 WFEID - )ate Issued 11 /7/2024 Plate Issued 11/7/2024 :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 166818721 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.