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VEHICLE IDENTIFICATION NUMBER BODY STYLE YEAR MODEL MAKE OF VEHICLE
MODEL
3RD LIEN RELEASED DATE
AUTHORIZED AGENT
VEHICLE TITLES AND REGISTRATION DIVISION
710273116
4T1BE30K65U103092 2005 TOYT TITLE/DOCUMENT NUMBER
4D DATE TITLE ISSUED
22031938613125523 09/27/2005 LICENSE NUMBER
UXS 3200 703GHV PREVIOUS OWNER ODOMETER READING
FREEMAN TOYOTA HURST TX OWNER
JASON BRAZEAL 8515 GRAPEVINE #1511 NORTH RICHLAND HILL, TX 76180
SIGNATURE OF OWNER OR AGENT MUST BE IN INK
UNLESS OTHERWISE AUTHORIZED BY LAW, IT IS A VIOLATION OF STATE LAW TO SIGN THE NAME OF ANOTHER PERSON ON A CERTIFICATE OF TITLE OR OTHERWISE GIVE FALSE INFORMATION ON A CERTIFICATE OF TITLE.
15 REMARK(S)
aM DATE OF LIEN 1ST LIENHOLDER
)
08/23/2005 FORT WORTH COMMUNITY CREDIT UN1ST UCN RELEASED
DATE PO BOX 210848 FORT WORTH, TX 76095
AUTH RIZED AGENT 4 DATE OF LIEN 2ND LIENHOLDER
2ND LIEN RELEASED DATE
AUTHORIZED AGENT
DATE OF LIEN 3RD LIENHOLDER
IT IS HEREBY CERTIFIED THAT THE PERSON HEREIN NAMED IS THE OWNER OF THE VEHICLE DESCRIBED ABOVE WHICH IS SUBJECT TO THE ABOVE LIENS.
RIGHTS OF SURVIVORSHIP AGREEMENT WE, THE PERSONS WHOSE SIGNATURES APPEAR HEREIN, HEREBY AGREE THAT THE OWNERSHIP OF THE VEHICLE DESCRIBED ON THIS CERTIFICATE OF TITLE SHALL FROM THIS DAY FORWARD BE HELD JOINTLY, AND IN THE EVENT OF DEATH OF ANY OF THE PERSONS NAMED IN THE AGREEMENT, THE OWNERSHIP OF THE VEHICLE SHALL VEST IN THE SURVIVOR(S).
SIGNATURE DATE
DO NOT ACCEPT TITLE SHOWING ERASURE, ALTERATION, OR MUTILATION. FORM 30-C REV. 5/2002
MFG. CAPACITY IN TONS WEIGHT
ACTUAL MILEAGE
SIGNATURE DATE
SIGNATURE DATE
Upon sale of this vehicle, the purchaser must apply for a new title within 20 working days unless the xehicle purchased by a dealer. Until a new title is issued, the vehicle record will continue to reflect the owner's name listed on the current title. SEE BACK FOR ADDITIONAL INFORMATION.
11111 111111111 111111111 111111111 1111111 1111111111 111111111 11111111
FORT WORTH COMMUNITY CREDIT UN PO BOX 210848 BEDFORD, TX 76095-7848
0 1 2 8 3 6
DETACH HERE
If you would like to protect yourself from liability for certain acts carried out by the purchaser of this vehicle prior to a new title being issued in the purchaser's name, submit completed Form VTR-346 and $5 fee to TxDOT.
FORM VTR-346 may be obtained from any of the following: • your local County Tax Assessor-Collector's Office • a Vehicle Titles and Registration Division Regional Office (located in the larger cities
in the state) • by accessing TxDOT's Web site (http://www.dot.state.tx.us ) • by calling TxDOT's Fax Reply number (1-888-232-7033)
WHEN VEHICLE IS SOLD, TITLE HOLDER MUST ASSIGN AND FURNISH THIS TITLE, CURRENT LICENSE RECEIPT, AND SIGNED APPLICATION FOR TITLE (FORM 130-U) INDICATING SALES PRICE TO THE PURCHASER WHO MUST FILE APPLICATION WITH COUNTY TAX ASSESSOR-COLLECTOR WITHIN 20 WORKING DAYS TO AVOID $10 PENALTY.
FEDERAL AND STATE LAW melVdtainialb . E IS AGONNECTION WITH THE TRANSFER OF OWNERSHIP. FAILURE TO CO til.prilelpSULT IN FINES AND/OR IMPRISONMENT.
AS
SIG
NM
EN
T
OF
TIT
LE
The undersigned hereby certifies that the veh . . iil, Anderimosdcept as noted herein, and has been transferred to the following printed name and address:
Nam o a i+ • ' ' S pet City State Zip
I ce if . : ,vit . n• - ::, - - the o. • eter reading is the actual mileage of the vehicle unless one of the following statements is checked: Ills .- 4-67,1,,,moilwayii ❑ 1. The mileage stated is in excess of its mechanical limits.
. ODOMETE •• READIN ■• - a ,The odometer reading is not the actual mileage. WARNING -ODOMETER DISCREPANCY. - ...... MINIM ._ .-
,7---.A.5.a,1.-t22Cd 71
plarrure of Salle Printed Name (same as signature)
I am aware of he a ove o Iv. i:. - ..tion made by the s er/agent.
1 In . ' gnat re o Buyer/Agent Printed Name (same as signature)
FIR
ST
RE
AS
SIG
NM
EN
T -*A
LE
R O
NL
Y
Ttisungersigned herthy c§rtifies that the v e descrilied in this title is free and clear of all liens, except as noted herei nd has been transferred to the following printed name and address:
il 16 V 61. 1 \I 11 f'S in (- Name of Purchaser Street City State Zip
I certify to .ttleo-ia.est of_my wledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
I Z ❑ 1. The mileage stated is in excess of its mechanical limits. ODOMETER READING (No Tenths) ❑ 2. The odometer reading is not the actual mileage. WARNING -ODOMETER DISCREPANCY. Ezs ,
'I CarMax Auto Superstores, Inc Dealer_ No. 13.135373
441 Dealer's Name Run Mikulko Agent's Signature Printed Name (same as signature)
I am aware of the above odometer certification made by the seller/agent.
Signature of Buyer/Agent Printed Name (same as signature)
SE
CO
ND
RE
AS
SIG
NM
EN
T
DE
AL
ER
ON
LY
The undersigned hereby certifies that the vehicle described il this title is free and clear of all liens, except as noted herein, and has been transferred to the following printed name and address:
Name of Purchaser Street City State Zip
I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
110'
❑ 1. The mileage stated is in excess of its mechanical limits.
ODOMETER READING No Tenths) ❑ 2. The odometer reading is not the actual mileage. WARNING -ODOMETER DISCREPANCY.
Date of Dealer Sale No.
Dealer's Name
Agent's Signature Printed Name (same as signature)
I am aware of the above odometer certification made by the seller/agent.
Signature of Buyer/Agent Printed Name (same as signature)
THIR
D R
EA
SS
IGN
ME
NT
D
EA
LE
R ON
LY
The undersigned hereby certifies that the vehicle described in this title is free and clear of all liens, except as noted herein, and has been transferred to the following printed name and address:
Name of Purchaser Street City State Zip
I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked: ❑ 1. The mileage stated is in excess of its mechanical limits.
OP'
ODOMETER READING (No Tenths) ❑ 2. The odometer reading is not the actual mileage. WARNING -ODOMETER DISCREPANCY.
Date of Dealer Sale No.
Dealer's Name
Agent's Signature Printed Name (same as signature)
I am aware of the above odometer certification made by the seller/agent.
Signature of Buyer/Agent Printed Name (same as signature)
u..i LIENHOLDER TO BE RECORDED AND SHOWN ON NEW TITLE: 1ST LIEN IN FAVOR OF (NAME & ADDRESS)