STATE OF OKLAHOMA
VEHICLE IDENTIFICATION NUMBER YEAR MAKE TITLE NO.
3GTP2WE38BG138866 2011 GMC 740411223026B
BODY TYPE . JAODÉL ·:••· DATE 1 st SOLO PAJE ISSVEd .,:·
CW 2NK 07-13-2011_. •.:• 01/17/2014
AGENTNO. COLOR APPLICA TION DATE ODQMETER TYPE OF.TITLE
5721 BLACK 19258 Trah$f�l
DATE 1Jt)
LOSS OR SALVAGE
MAILING AODRE.S S
MELISSA GREEN OR STEPHEN E
GREEN 530 N SUNSET BLVD
BARTLESVILLE OK 74003-1742
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THIS VEHICLE IS SUBJECT TO THE FOLLOWING LIEN(S):
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09/25/2013 02:30 ALLY BANK
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lt is hereby certified thar according to the i•ecords of the Oktahoma Tax Commissioii, the pe,:�011 ,wmed hereo11 is ihe �wner of theyehJcle
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above which is subject lo a lien(s) as shown; however, the vehicle may be subjeci lo orher liens or security inrerests.
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1 11111111 11111111111111111111111111111111111111111111111 11111111111111111
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CONTROL NO.
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S1238903 <IAAI SLD 211177587 SALEDOCG>
(This is nota tille number.)
Stock#: 000-33931331 3637N813H Sale Document (Backl
ASSIGNMENT OF TITLE BY REGISTERED OWNER (lf Dealer;List Li�e�sé, # Heref.,....;�------
1/we hereby assign and warr:�t oiv . •t . : iWi;icaiJ lo tg&fdlf6win •
-
1F REGISTERED
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OWNER (SELLER) IS
liens or encumbrances, if any, pro
A LICENSED DEALER,
PLACE OKLAHOMA
MOTOR VEHICLE TAX
STAMP HERE\ .•
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1 certify to the best of my knowledge that the ODOMETER n 'th�.Yé.i:lide's ·o�dm�te(.ar,djíS1ed below is the ACTUAL
. . .
MILEAGE of the vehicle UNLESS one of the accompahylng s .:..
5 exceedli m:�hariiÉ�; 1Jíi�! • ;(
D [a] 6J [IJ 0J [I] (NO TENTHS) . . t�r reading is NOTfhe actual mileage. Warning-. Odpri'Íeter Disorepancy
s;•"""'"' s.,�,,,¡
Nota
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6,-L....C_..._.L-.....,,....::'------==----=c- Commissfon Expiration:
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N�ta}1eaf'tfJra.[Jf\l
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Notarizatíon required·only of sel/er's signature(s). Affix notary seal/stairlp to }iie' hgb/1 /
:
Signature of Buyer(s):
Fib erl an d it�fa tal requif!s th at the odo�eter readi�g ;n d 11� accuraé; be disclosed �poÁ e��fy •tra�sf�(6f 6wner�h ip of a motor vehidie Jritess
oÍh E!r»:.ise exempted. Fai l ure ..to C9!]P.l_ete º.f. proviciipg false informati9n mél.y re �u
. l t in fin�
. s and/9cimprisonmen t.
+t� br;J é nce of an y li$n Pr;gcG�éii�ée;O� t h i: t�h;cle is to be so �6;ed ��é�� i�b:catl� bn t�iB;tl6m of th is paá;
:
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State ·1aw requires a transfer of ownersh ip to·,te completed with in thirty (30) days ·of acquirihg: ow'l'ierSl'ffp. Failure to do so sübjeds the owner or possessor
t::. : / :(: :?:/::-::._.}:::' :::. ' .•: _:
to the ""';pssmPm de!Jiqquent penalties, a. s provided by law.
E swb�NTóBÉFhREA f.JotARv Pusuc.
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REASSIGÑMENTi()FtriTLE
. BY
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f1we h�reb; as;i�� and �arrant o the v��í�;� 8:sc�b:d6h Í�ifcertificate to th� idÚowi�� '. iJb] eci Ó�iy to the liens
9r encumbrance5.,_if any, prope(ly certificate.
:. PLAéEÜkLAHOMA .. :•·•· \
MütoA v��ic& �Áx/·· urchaser(s) Né:lme (Type or Pri .
\,tAMf.ME�� f ,·'·
,-+----,�--------.-----------------�
urchaser(s) Complete Addr,
Actual Purc ehicle, Excluding Credit for Any Trade-in: _ _ _____________
l•é�itity.tb tb�t�st bfir); kpowledge that thfó Q READING reflected on th e ve�Í6ié's odÓ;�;:; ánd ;:iteg bel ów is the ACTUAL M l ��A�Éof
. th9 véf)iSlf YNL!EqS 0:(:lépf-the accompanyihg stat nts is checked: · ·· ·· ··. · ·· · · ·
·· ·· ·· . .· · ·. ·
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(NO r NTHS)
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1. The odometer has exceede� its mechi�\{�1 li�/it
2. The adorne.ter reáding íS ° NOJlh�•�ctual mileage. Warning_:; Odometer Discrepariéy
�¡J�atyre of Seller(s)_· _______• __________ :f §�f;er(s)i ------�------�---
Subscribed and Sworn t?.;i�efore me this_�_______ Day of ___ ,_,..,...:,:�----,29 __ --. ftttix
Notary Seal/Stamp
·•-.P��::�,;;aj;o�•;�q�i::d only of setr's.. sigh:t:�e��:�::i::��:?::Ss:amp to the.. ;;ght.;•••··••••·• ·•··••••···••·
Here
REASSIGNMENT!OF TITLE BY LIC
1/We h ereby ass:;n aád Jarr. aht Q •, , ip Sfihe vehic le descri��gpnti(9erJificat
.. e fo 1�e ioi1:0ing, subj ect onl y to the n ens
or encumbrances, if any, 2pim. nu::d on th fs certificate . ·.
. • •• ·
· ·
· ··
·· ·
Purchaser(s) N¡:ime ffy t Al :�•·�, · ____,,_______,,,,_.,,,.....�--�---�----,------�-�-
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{ ....... Purchaser(s) C�mp;�te Adgrei�/
Actual P�rc�:�e Price �� v:hicle, Exhluding Credit fo;
. tfüe
lcirtify lP the best of /r\y kriowtedge th at th{ODOMETER READING reflected6n .
1c.le's odometer and listed beioW i� th... e. . A<::JUA!'.: MILEAGf;: of
theVehiéle UNLESS orii=) ofthe 9ccompany\ng statements is ch ecked: . . . · .·
eh
. ·. . . . . .
□□□ DO Q
.. .
;NOTg�THS) B . . ..
Odometer Discrepancy
Signature of Seller{s)-·- - - ---"---"=--""'-',-'-'---",,--,.,.�- �rinted Name 6{��l1ef(�),._)�i ·_•••:�----------........,-��
Sub�c:ribed and Sworn t_ o Before me Jh is -"-"-------=.:- __________ ,20___
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Affix
�b�;� �yblic:___ '--'_---�---;...._- © n Expiratlon: · •·. _
·:
· •· Notary Sea! I Stamp
·.·. ··· •.Here
• • • • •••••••••• /Notarization ;J�uired only bf sel¡�,/ es. ix �otary s:aJ);;;¡p �o thJ ;/ght.
.....=•··• �- ----"'..:;;_-"'�L----"'�-4...;'-.
. ... SigpaJuffóf.Buy'�f(S):- .Printed Name óf Bgyer(st � -• •• .,_ -------------��
. .••. • ··
LIENHOLDER INFORMATION
s h : · ilecté d of füis certificate wil lúarry forwarq
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·· ···•··•··•i:r�;r�i�i�qti;igifi�i; tft1! i:� u �� �l1��: �� ��lfr�� ll!;��,811:� �i�·b::� :� �� u:��n_.: �r-
t 9 n é t e
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LIENHOLDER NAME:_=--,-.--=,_,...-.....,..,,,---,-,-,....,......------------- �
--- DATE O.F LIE;N: ________ _
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: �•·• _· -"----�---.....,...��'"-,,--�-',--�'---',--"-�----�---------'--'----
i;i���Ptt?ER ADDREi§¡:bfrfiirirs/ iiP}.....
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