FOLDER CHECKLIST

YEAR : _07_MAKE: Toyota _MODEL: Camry LAST 6 OF VIN :055334

Reliable Auto Sales of

DATE ACQUIRED :4 /28 /2 /_ACQUIRED FROM : hakeland
PROOF OF PURCHASE ACQUIRED MILEAGE :
Exempt
ODOMETER DISCLOSURE

CASH

FINANCED GPS :

PURCHASER'S NAME : Karl Goebeler

CERTIFICATION OF POLLUTION DEVICES

ODOMETER DISCLOSURE AT SALE

M
MILEAGE AT SALE: Exempt
PROOF OF INSURANCE

BUYER'S GUIDE

TITLE BRANDED : YESANO ) DISCLOSED TO PURCHASER : YES/ NO

: 4/14/22
DATE SOLD AT RETAIL:
DATE TITLE APPLIED FOR : ' 4 |19/22
니
WAS TRANSFER DONEIN 30 D'AYS :4121122
YES
NO , WAS CUSTOMER CHARGED LATE FEE ? IF SO , EXPLAIN :

ESTIMATED TITLE AND REGISTRATION FEES : $ _108.50

ACTUAL TITLE AND REGISTRATION FEES : $ 112.65
REFUNDUNDERCHARGE $ 4.15
 FLORIDA INSURANCE AFFIDAVIT

Under penalty of perjury , I KARL GOEBELER certify that I have

( Name of Insured )

Personal Injury Protection , Property Damage Liability, and , when required , Bodily Injury Liability

Insurance currently in effect with GEICO INDEMNITY COMPANY under

( Name of Insurance Company )

4578963215 09170 covering the following motor vehicle :

( Policy Number) Company Code Number (5 digits )

2007 TOYOTA JTNBE46K773055334

Year Make Vehicle Identification Number

This insurance company is licensed to issue insurance policies in Florida . I understand thatmy
driver license, license plate ( s ) and registration (s ) will be suspended effective from the registration
date , if the insurer denies that this policy is in force .

thall babele
Signature of Insured

WARNING : GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE REGISTRATION

CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW . ANYONE GIVING
FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO PROSECUTION .

HSMV 83330 ( Rev. 09/09) www.flhsmv.gov

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 BILL OF SALE /RETAIL INSTALLMENT CONTRACT

EXHIBIT: A

YEAR: 2007 MAKE : LAST 6 OF VIN :

055-334 SALESMAN: Denn
benny
toyota
NAME : KARA D.O.B.: 01-23-1996

CURRENT ADDRESS : 1237 BURTON wood RA EMAIL : _K GOEDÈLER @ OUTLOOK

•CON
MEL BORNE EL 3220 ( PHONE NUMBER : ( 321 ) 213-424

TAG STAUS ( CIRCLE ONE )

NEW TAG TURNED IN (HAVE TAG NEED STICKER TAG TO TRANSFER :

LeBle -RS ]
TAG EXP DATE :
Ol . 23
FULL SOCIAL : 087-50-0133

DOWN PAYMENT: $ WEEKLY PAYMENT: $

PAYMENT
***WEEKLY PAYMENTS ARE SUBJECT TO LOAN APPROVAL***

FINANCE CONSUMERS ONLY:

CURRENT EMPLOYMENT: PHONE NUMBER :

ADDRESS :

INFORMATION PROVIDED IS DEEMED RELIABLE THAT WAS PROVIDED BY CONSUMER . CUSTOMER AGREES ANY CHANGES
REQUIRED TO COMPLETE THE TITLE TRANSACTION WILL BE BILLED TO THE CONSUMER . UNTIL PAYMENT IS RENDERED FOR
OUTSTANDING BALANCE , CONSUMER HEREBY AGREES FOR COMPANY TO LIEN TITLE ON BEHALF OF OUTSTANDING
BALANCE

CONSUMER SIGNATURE : yal sebebi DATE : 4-14-2022

PRINT: KAAL GOEDELER

 BILL OF SALE DATE : 4/14/2022 STOCK # : 10148
BUYER INFORMATION : SELLER INFORMATION :
FIRST STOP AUTO LLC
KARL GOEBELER
1237 BURTONWOOD RD 4657 US 1 UNIT A

MELBOURNE , FL 32901 COUNTY : BREVARD ROCKLEDGE, FL 32955

HOME : CELL : 321-213-4244 WORK : 321-351-8444
D.L./STATE ID # : G146500560230 STATE : FL EXP . DATE : 1/23/29
D.O.B .: 01/23/56 SALESPERSON : DANNY
VEHICLE INFORMATION :
YEAR : 2007 COLOR 1 : BLUE VIN : JTNBE46K773055334 STOCK : 10148
MAKE : TOYOTA COLOR 2 : STYLE : CE CYL : 4
MODEL : CAMRY BODY : 4DR MILEAGE : EXEMPT TRANS: AUTO
If this box is checked , the vehicle that you are purchasing has been licensed , registered, or used as a taxicab , police
vehicle , or short-term - lease vehicle ,
is a vehicle that is rebuilt or assembled from parts, is a kit car, glider kit, replica, street rod, custom vehicle , has been
repurchased by a manufacturer
under Florida's Lemon Law ( Fla . Stat. ch . 681 ) , or is a flood vehicle : ( indicate prior uses , brands or types )
TRADE -IN INFORMATION :
SETTLEMENT
YEAR : COLOR :
MAKE : MILEAGE : VEHICLE PRICE 5,500.00
MODEL : BODY :
Predelivery Service Fee (see NOTE 1 ] 82.68
VIN :
SUBTOTAL 5,582.68
BALANCE OWED TO :
Sales Tax : 384.96
Title Fee : 88.50
BALANCE OWED : $ 0.00 GOOD THROUGH : License Fee : 0.00
ALLOWANCE : $ 0.00 QUOTED BY :
Registration Fee : 0.00
Transfer Fee : 20.00
INSURANCE INFORMATION :
Temp Tag Fee : 0.00
COMPANY : GEICO INDEMNITY COMPANY
AGENT : LIEN HOLDER DEPARTME
PHONE : 877-347-3281 POLICY # : 4578963215 Payoff on Trade -in : N /A
LIEN HOLDER INFORMATION :
COMPANY :
STREET : ETR PROCESSING : 50.00
CITY, STATE , ZIP :

REMARKS :

TOTAL DUE 6,126.14

NOTE 1: This charge represents costs and profit to the dealer for items such as inspecting, TRADE - IN ALLOWANCE N /A
cleaning, and adjusting vehicles , and preparing documents related to the sale . CREDIT
WARRANTY DISCLAIMER : DEPOSIT N /A
Unless Seller provides a written warranty, or enters into a service DOWN PAYMENT 6,126.14
contract within 90 days from the date of this contract, this vehicle is
being sold " AS IS – WITH ALL FAULTS " and Seller makes no warranties,
express or implied , on the vehicle , and there will be no implied TOTAL CREDIT 6,126.14
warranties of merchantability or of fitness for a particular purpose .
This disclaimer does not affect any warranties by the vehicle manufacturer. Seller Cash O Finance BALANCE DUE 0.00
neither assumes nor authorizes any other person to assume for it any liability in If financed , please see your installment sales contract for information
connection with the sale of the vehicle and the related products and services. about finance charge, insurance, and terms of payment ( other than cash ).
CONTRACTUAL DISCLOSURE STATEMENT ( USED VEHICLES ONLY) The information you see on the window form for this vehicle is part of this
contract. Information on the window form overrides any contrary provisions in the contract of sale . Spanish Translation : Guía para compradores
de vehículos usados . La informació n que ve en el formulario de la ventanilla para este vehículo forma parte del presente contrato . La informació n
del formulario de la ventanilla deja sin efecto toda disposició n en contrario contenida en el contrato de venta .
Buyer hereby declares that they are of legal age to transact business and that no unfair inducement has been made by Seller. This agreement
and the related documents that Buyer signs contemporaneously with this agreement, including any retail installment contract, contain the
entire agreement between Buyer and /Seller and cancels and supersedes any prior agreement including oral agreements relating to the sale of
the motor vehicle . Any change to this agreement must be in writing and Seller must sign it .

х 4/14/22 ‫ کاریکا‬baldai1012 Х N /A
xlu
Accepted by Authorized Representative of Seller Date Buyer Date Co- Buyer Date
FZ- FL-BOS rev. 05/21 © 2021 Frazer Computing, LLC
 Vehicle Air Pollution Control Statement

Florida Law prohibits the operation, sale, lease , or transfer of title of any automobile or light -duty truck
( 1975 or newer, 10,000 pounds gross vehicle weight or less) that has been tampered with . " Tampering "
means the dismantling, removal , or rendering ineffective of any air pollution control device or system
which has been installed on the vehicle by the vehicle manufacturer except to replace such device or
system with a device or system equivalent in design and function to the part that was originally installed
on the motor vehicle ( 316.2935 , Florida Statutes).

As a motor vehicle dealer licensed to conduct business in the State of Florida , I hereby certify that the
following air pollution emission control devices and system of this vehicle, if installed by the vehicle
manufacturer or importer, have not been tampered with by me or by my agents , employees , or other
representatives. I also hereby certify that I or persons under my supervision have inspected this motor
vehicle and , based on said inspection , have determined that the air pollution control devices and systems
listed below , if installed by the vehicle manufacturer or importer, are in place and appear properly
connected and undamaged as determined by visual observation .

This certification shall not be deemed or construed as a warranty that any air pollution control device or
system of the vehicle is in functional condition , nor does the execution or delivery of this certification
create by itself grounds for a cause of action between the parties to this transaction .

MAKE : MODEL : BODY TYPE :

TOYOTA CAMRY 4DR
VIN : YEAR :
JTNBE46K773055334 2007

Transferor's ( Seller's ) Signature:

Transferor's ( Seller's ) Printed Name: An

FIRST STOP AUTO LLC

Transferor's ( Seller's ) Street Address: 4657 US 1 UNIT A

City : ROCKLEDGE State : FL Zip Code: 32955

Date of Statement: 04/14/2022

Transferee's ( Buyer's) Signature: _Zallah

Transferee's (Buyer's) Printed Name : KARL GOEBELER

Transferee's ( Buyer's ) Street Address: 1237 BURTONWOOD RD

City : MELBOURNE State : FL Zip Code : 32901

1975 - 1980 Model Year : 1981 or Newer Model Year

Catalytic Converter Catalytic Converter

Fuel Inlet Restrictor Fuel Inlet Restrictor
Unvented Fuel Cap Unvented Fuel Cap
Exhaust Gas Recirculation System ( EGR)
Air Pump and / or Air Injection System ( AIS )
Fuel Evaporative Emissions System (EVP )
10148
Stock No.
Forn approved by the Department of Environmental Protection

HSMV 84058 ( 06/10)

 ARBITRATION AGREEMENT

This Arbitration Agreement (“ Agreement ") significantly affects your rights in any dispute with us .
Please read
this Agreement carefully before you sign it . This Agreement is governed by the Federal Arbitration Act , 9
U.S.C. SS 1 et seq .

In this Agreement, " you ” and “ your” refer to the buyer signing below . “We ," " us ,” and “ our” mean the
Seller , our
employees , agents , successors or assigns . “ Dispute ” means any disagreement in contract, tort,
statutory or
other claim or dispute between you and us arising out of or relating to your credit application ,
any retail
installment sales contract or any resulting transaction or relationship . “Dispute ” includes any
claim or dispute
over the interpretation and scope of this Agreement .

EITHER YOU OR WE MAY CHOOSE TO HAVE ANY DISPUTE BETWEEN US DECIDED BY

ARBITRATION AND NOT IN COURT. IF A DISPUTE IS ARBITRATED , YOU WILL GIVE UP YOUR RIGHT
TO PARTICIPATE AS A CLASS REPRESENTATIVE OR CLASS MEMBER ON ANY CLASS CLAIM YOU
MAY HAVE AGAINST US . ANY DISPUTE IS TO BE ARBITRATED ON AN INDIVIDUAL BASIS AND NOT
AS A CLASS ACTION . YOU EXPRESSLY WAIVE ANY RIGHT YOU MAY HAVE TO ARBITRATE A
CLASS ACTION . THIS IS CALLED THE " CLASS ACTION WAIVER .”

Arbitration will be conducted by and under the rules of the American Arbitration Association (AAA )
(www.adr.org ), or any other arbitration organization you choose , subject to our approval. You may obtain AAA
rules by visiting the website .

Arbitrators will be attorneys or retired judges and must be selected pursuant to the applicable rules of the
chosen arbitration organization . The arbitrator shall apply governing substantive law and the applicable
statute of limitations . The arbitration hearing must be conducted in the federal district in which you
reside, or
at some other location convenient to you . We will pay your filing, administration , service or
case management
fee and any arbitrator or hearing fee all up to a maximum of $ 2,500 , unless applicable law or the rules of the
chosen arbitration organization require us to pay more. Each party will be responsible for its own attorney ,
expert and other fees , unless otherwise awarded by the arbitrator under applicable law .

You retain the right to sue on an individual basis in small claims court for a Dispute within that court's
jurisdiction , unless such action is transferred , removed or appealed to a different court. Neither you nor we
waive the right to arbitrate by filing suit . We do not waive our right to arbitrate by seeking non - judicial recovery
of a vehicle .

The arbitrator's award is final and binding on all parties, subject to any right of appeal available under the
Federal Arbitration Act. Any court within jurisdiction may enter judgment on the arbitrator's award . This
Agreement shall survive any termination , payoff or assignment of the retail installment contract . If any part of
this Agreement, other than the class action waiver, is deemed or found to be unenforceable for any reason ,
the remainder is enforceable . If the class action waiver is deemed or found to be unenforceable , then this
entire Agreement will be unenforceable .

This Agreement is incorporated into and becomes a part of any retail installment contract or other credit
obligation that we enter into with you on the date you sign this Agreement .

You may opt out of this Arbitration Agreement by doing so in writing to the address shown below and
sent by registered mail , postmarked no later than 10 days from the date you sign this Agreement .

x_zal satulan 4/14/2022

Buyer : KARL GOEBELER Date

Seller : FIRST STOP AUTO LLC By :

Seller's Address : 4657 US 1 UNIT A ROCKLEDGE , FL 32955

fa

FZ -ARBITRATION 04/20 ©2020 Frazer Computing , LLC

 STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmy.gov/offices/

SEPARATE ODOMETER DISCLOSURE STATEMENT AND ACKNOWLEDGMENT

VEHICLE DESCRIPTION
Vehicle Identification Number Year Make Color Body Title Number

JTNBE46K773055334 2007 TOYOTA BLUE 4DR 97131882

ODOMETER DISCLOSURE STATEMENT

WARNING : Federal and State law requires that you state the mileage in connection with an application for a
Certificate of Title . Failure to complete or providing a false statement may result in fines and /or imprisonment .

WE STATE THAT THIS 5 or X 6 DIGIT ODOMETER NOWS READS EXEMPT XX ( NO TENTHS ) MILES ,
DATE READ 04 14 / 2022 AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE THE
ODOMETER READING :
1. REFLECTS ACTUAL MILEAGE
CAUTION :
Read carefully before 2. IS IN EXCESS OF ITS MECHANICAL LIMITS . ( EXCESS OF ITS MECHANICAL LIMITS APPLIES TO 5 DIGIT ODOMETERS )
checking a box.
3. IS NOT THE ACTUAL MILEAGE . WARNING - ODOMETER DISCREPANCY

UNDER PENALTIES OF PERJURY , I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE .

Seller's Signature Seller's Printed Name

Seller's Street Address Justa Ashness

4657 US 1 UNIT A
City State Zip

ROCKLEDGE FL 32955

Buyer's Signature Buyer's Printed Name

zaul Belecken KARL GOEBELER

Buyer's Street Address

1237 BURTONWOOD RD
City State Zip

MELBOURNE FL 32901

WHO IS AUTHORIZED TO COMPLETE THIS FORM ?

ANY PERSON WHO IS BUYING OR SELLING A MOTOR VEHICLE AND WHO MUST MAKE OR ACKNOWLEDGE AN ODOMETER
DISCLOSURE , IN ORDER TO COMPLY WITH STATE OR FEDERAL ODOMETER DISCLOSURE LAW .
WHEN SHOULD THIS FORM BE USED ?
1. WHEN A MOTOR VEHICLE , FOR WHICH AN ODOMETER DISCLOSURE IS REQUIRED , HAS BEEN SOLD .
2 . WHEN A MOTOR VEHICLE , FOR WHICH AN ODOMETER DISCLOSURE IS REQUIRED , HAS BEEN PURCHASED .
3. WHEN AN ODOMETER DISCLOSURE STATEMENT AND ACKNOWLEDGMENT BETWEEN THE BUYER AND THE SELLER IS
REQUIRED , BUT NO ODOMETER DISCLOSURE STATEMENT HAS BEEN MADE ON ANOTHER STATE OR FEDERAL FORM ,
WHEN SHOULD THIS FORM NOT BE USED ?
1. WHEN A FLORIDA TITLE WHICH WAS ISSUED ON OR AFTER APRIL 29 , 1990 IS AVAILABLE .
2. WHEN A FORM HSMV 82994 , MOTOR VEHICLE DEALER TITLE REASSIGNMENT SUPPLEMENT , HAS BEEN USED .
3 WHEN A FORM HSMV 82995 , MOTOR VEHICLE DEALER POWER OF ATTORNEYIODOMETER DISCLOSURE , HAS BEEN USED .
4. WHEN AN OUT-OF - STATE TITLE , WHICH CONFORMS TO FEDERAL LAW , IS USED TO TRANSFER A MOTOR VEHICLE .
FILING :
1. COPIES SHOULD BE EXCHANGED BETWEEN THE SELLER AND THE BUYER . DEALERS MUST RETAIN THIS DOCUMENT IN THEIR
RECORDS FOR A PERIOD OF FIVE YEARS .
2. IT IS NOT NECESSARY TO FILE THIS FORM OR ANY COPY OF THIS FORM WITH THE STATE OF FLORIDA , UNLESS REQUESTED TO
DO SO BY THE DIVISION OF MOTOR VEHICLES .

Check your local phone book government pages or visit the following website for current mailing addresses : http : //www.flhsmv.govloffices!

HSMV 82993 ( REV . 11/11 )

 BUYERS GUIDE

IMPORTANT: Spoken promises are difficult to enforce . Ask the dealer to put all promises in writing. Keep this form .

TOYOTA CAMRY 2007 JTNBE46K773055334

VEHICLE MAKE MODEL YEAR VEHICLE IDENTIFICATION NUMBER (VIN )

WARRANTIES FOR THIS VEHICLE :

X AS IS - NO DEALER WARRANTY

THE DEALER DOES NOT PROVIDE A WARRANTY FOR ANY REPAIRS AFTER SALE .

DEALER WARRANTY

FULL WARRANTY .

LIMITED WARRANTY. The dealer will pay __ % of the labor and % of the parts for the covered systems
that fail during the warranty period . Ask the dealer for a copy of the warranty , and for any documents that
explain warranty coverage , exclusions , and the dealer's repair obligations . Implied warranties under your
state's laws may give you additional rights.

SYSTEMS COVERED : DURATION :

NON - DEALER WARRANTIES FOR THIS VEHICLE :

MANUFACTURER'S WARRANTY STILL APPLIES . The manufacturer's original warranty has not expired on some
components of the vehicle .
O MANUFACTURER'S USED VEHICLE WARRANTY APPLIES .
OTHER USED VEHICLE WARRANTY APPLIES .
Ask the dealer for a copy of the warranty document and an explanation of warranty coverage , exclusions , and repair
obligations .

SERVICE CONTRACT. A service contract on this vehicle is available for an extra charge. Ask for details about
coverage, deductible, price , and exclusions . If you buy a service contract within 90 days of your purchase of this
vehicle , implied warranties under your state's laws may give you additional rights .

ASK THE DEALER IF YOUR MECHANIC CAN INSPECT THE VEHICLE ON OR OFF THE LOT .

OBTAIN A VEHICLE HISTORY REPORT AND CHECK FOR OPEN SAFETY RECALLS . For information on
how to obtain a vehicle history report, visit ftc.gov/usedcars . To check for open safety recalls , visit safercar.gov .
You will need the vehicle identification number (VIN ) shown above to make the best use of the resources on
these sites .
SEE OTHER SIDE for important additional information , including a list of major defects that may occur in
used motor vehicles .

Si el concesionario gestiona la venta en español , pídale una copia de la Guía del Comprador en español .
 Here is a list of some major defects that may occur in used vehicles .

Frame & Body Cooling System Steering System

Frame-cracks, corrective welds, or rusted Leakage including radiator Too much free play at steering wheel
through Improperly functioning water pump ( DOT specs . )
Dog tracks----bent or twisted frame Electrical System Free play in linkage more than 4 inch
Engine Battery leakage Steering gear binds or jams
Oil leakage , excluding normal seepage Improperly functioning alternator, generator , Front wheels aligned improperly
Cracked block or head battery, or starter (DOT specs .)
Belts missing or inoperable Power unit belts cracked or slipping
Fuel System Power unit fluid level improper
Knocks or misses related to camshaft Visible leakage
lifters and push rods Suspension System
Abnormal exhaust discharge Inoperable Accessories Ball joint seals damaged
Gauges or warning devices Structural parts bent or damaged
Transmission & Drive Shaft Air conditioner
Improper fluid level or leakage , excluding Heater & Defroster Stabilizer bar disconnected
normal seepage Spring broken
Cracked or damaged case which is visible Brake System Shock absorber mounting loose
Abnormal noise or vibration caused by faulty Failure warning light broken Rubber bushings damaged or missing
transmission or drive shaft Pedal not firm under pressure (DOT spec .) Radius rod damaged or missing
Not enough pedal reserve ( DOT spec . ) Shock absorber leaking or functioning
Improper shifting or functioning in any gear Does not stop vehicle in straight line
Manual clutch slips or chatters improperly
(DOT spec .) Tires
Differential Hoses damaged
Improper fluid level or leakage, excluding Drum or rotor too thin (Mfgr Specs ) Tread depth less than 2/32 inch
normal seepage Sizes mismatched
Lining or pad thickness less than 1/32 inch Visible damage
Cracked or damaged housing which is Power unit not operating or leaking
visible Structural or mechanical parts damaged Wheels
Abnormal noise or vibration caused by faulty Air Bags Visible cracks, damage or repairs
differential Mounting bolts loose or missing
Exhaust System
Leakage
Catalytic Converter

DEALER NAME
FIRST STOP AUTO LLC
ADDRESS
4657 US 1 UNIT A ; ROCKLEDGE , FL 32955
TELEPHONE EMAIL
321-351-8444
FOR COMPLAINTS AFTER SALE , CONTACT :
Add name here : M - 1-9

Thereby acknowledge receipt of the Buyers Guide at the closing of this sale .

zal heeler 4-14-2022

Signature Date

IMPORTANT : The information on this form is part of any contract to buy this vehicle . Removing this label before
consumer purchase ( except for purpose of test- driving) violates federal law ( 16 C.F.R. 455 ) .
 AUTHORIZATION FOR CREDIT CARD USE

PRINT AND COMPLETE THIS AUTHORIZATION AND RETURN

ALL INFORMATION WILL REMAIN CONFIDENTIAL

NAME ON
CARD : ILHAL GOEBELER

BILLING
ADDRESS : 1237 BURTON WOOD RD

MELBOUANE FL 32401

CC TYPE : VISA MASTERCARD AMERICAN

DISCOVER
EXPRESS

CARD NUMBER : 4019 7690 7749

o 119

EXPIRATION :
10/23

CVV : 497 ( 3 DIGITS LOCATED ON BACK OF CARD )

AMOUNT TO
CHARGE : $ ( USD)
s3ole .

TAUTHORIZE 1ST STOP AUTO LLC TO CHARGE THE AMOUNT LISTED ABOVE TO THE CREDIT CARD
PROVIDED HEREIN . I AGREE TO PAY FOR THIS PURCHASE IN ACCORDANCE WITH THE ISSUING BANK
CARDHOLDER AGREEMENT. I UNDERSTAND A 3 % CONVENIENCE FEE WILL BE APPLIED TO ALL CHARGES.

CARDHOLDER - PLEASE SIGN AND DATE

SIGNATURE :
yakkan beba DATE: 4-14-2022

PRINT NAME : KARL

GOEBELER

***
**ALL SALES ARE FINAL - NO REFUNDS OR EXCHANGES ***

1ST STOP AUTO LLC

ACCESS FINANCIAL GROUP INC

321-351-8444
4/14/22 , 3:43 PM

Receipt

Transaction Information

Transaction ID : c9c7itc61r8t6bdcbaio
Merchant : Reliable Auto Sales
Merchant Website :
Merchant Phone : 3214009964

Transaction Date : 04/14/2022 15:43:49 EDT

Transaction Type : Sale
Subtotal : $ 6,306.00
Tax : $ 0.00

Shipping : $ 0.00
Service Fee : $ 0.00
Discount : $ 0.00

Amount Authorized : $ 6,366.00

Amount Captured : $ 6,306.00
Base Amount : $ 6,306.00
Total : $ 6,306.00
PO Number :
Order ID :

Authorization Code : 014638

Response : approved

Payment Information
Cardholder Name :

Card Type : Visa

Payment Type : card
Account # **** ****** 7749 10/23

1/1
 The State 12
of Florida 21202
Florida DRIVER LICENSE O retains all
property
rights herein . 685 3240 10
DwG146-500-56-023-094488Ę 012356
ha
GOEBELER Rev.
2KARL 03/01/2020
* 1237 BURTONWOOD RD
MELBOURNE , FL 32901-2811
Voos 01/23/1956 115 SEX M
*bexa 01/23/2029 16 HGT 6 ' -02 " CLASS : E - Any non -commercial veh with a GWWR < 26.001lbs .
12 REST A 9a NO NONE or any RV
DONOR REST: A - Con Lenses
SAFE DRIVER
was 01/17/2021. END : None
500 X6321011729-1
REPLACEMENT UCENSE REQUIRED WITHIN 30 DAYS
OF ADDRESS OR NAME CHANGE
Operation of a motor vehicle consitutes
consent to any sobrety test required by law WWW.FLHSMV.GOV
4/14/22 , 3:23 PM Vehicle Information Check

Vehicle Information Check

Vehicle Information :
Vehicle Identification Number : JTNBE46K773055334 Year / Make : 2007 TOYOTA
Previous Title State : FLORIDA Registration Expiration Date :
Title : 97131882 Title Issue Date : 10/12/2020
Title Status : PRINT ELECTRONIC
Title Print Date : 10/12/2020
TITLE

Odometer Reading / Status : 141,319 ACTUAL Odometer Date :

MILEAGE 9/27/2020
Color: BLUE Vehicle Type : AUTO
Net Weight : 3,209 Owner Information : 1 owner
Paper Title Salvage :
Brands:

Lien Information
There is no lien on this vehicle .

If any of the information on this record needs to be corrected , please contact your tax
collector and complete appropriate paperwork to update the record .
If you have lost or misplaced your title and need to apply for a duplicate , click here for the
form and instructions .

https://services.flhsmv.gov/MVCheckWeb/ResultView.aspx 1/1
4/14/22 , 3:26 PM Available Services

Horida Department of Highway Safety and Motor Vehicles Home | Espanol Driver License Vehicle Tags Ties Florida Highway Pato Contact us fous FotosOnce store
A SAFER
FLORIDA TERRYL ,RHODES
WWW
BHWAY LAFETY AND MOTOR VEHICLES EXECUTIVE DIRECTOR
OFFICIAL WEBSITE SERVICE * INTEGRITY COURTESY * PROFESSIONALISM INNOVATION EXCELLENCE

Choose Services

Please choose one or more from the following services :

Florida Driver License : G146 -*** -** -***- Expires : 1/23/2029
Get a Replacement License and / or change your address -- $25.00
( WILL NOT CHANGE YOUR EXPIRATION DATE )
Take No Action
You may make an appointment to visit a driver license office near you .
License Plate : 636RSJ ( TOYOTA ) Expires : 1/23/2023
You may renew this registration within three months of the expiration date .
O Get a Duplicate Registration -- $ 3.85 ( *** NO DECAL will be issued *** )
Take No Action

A license plate that is not currently assigned to a vehicle may be transferred to a vehicle that you buy in the future .
It may save you the $225 Initial Fee .

The above registration fee includes a mail fee ($ 0.75 for registration certificate /decal or $4.70 for a license plate ) ,
which may not be reflected on your renewal notice .

Vehicle Ownerships
Below is a listing of the vehicles that you own according to department records. If your vehicle title is currently
" Electronic " and doesn't have a lien , you may request the department to print your title and mail it to you by
checking the box beside the title number. A charge of $ 2.50 for shipping and handling is made for each title
printed .
To remove a vehicle listed that you no longer own , please complete the Notice of Sale and/or Bill of Sale Form
Select Title VIN Year Make Fee Title Type
68646031 4T1SK12E3SU543027 1995 TOYT Paper
82115249 1G2JB51K5H7542181 1987 PONT Paper

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1.056

https://services.flhsmv.gov/VirtualOffice/Services.aspx 1/1
 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 the 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 : Important note : If you cancel the insurance for this vehicle ,
KARL GOEBELER immediately return the license plate from this registration to a Florida
1237 BURTONWOOD RD driver license or tax collector office or by mail to : DHSMV, Return Tags ,
MELBOURNE , FL 32901-2811 2900 Apalachee Parkway, Tallahassee, FL 32399. Surrendering the plate
will prevent your driving privilege from being suspended .

CO /AGY 69/06 T # 1635924469

B#
FLORIDA VEHICLE REGISTRATION
PLATE DDV8684 DECAL Expires Midnight Fri 05/13/2022

YR /MK 2007 /TOYT BODY 4D COLOR BLU Reg. Tax 2.00 Class Code 13
VIN JTNBE46K773055334 TITLE 97131882 Init Reg . Tax Months
Plate Type TDL NET WT 3209 County Fee Back Tax Mos
Mail Fee Credit Class
DL /FEID G146500560230 Sales Tax Credit Months
Date Issued 04/14/2022 Plate Issued 04/14/2022 Voluntary Fees
Grand Total 2.00
IMPORTANT INFORMATION
1. The Florida license plate must remain with the registrant upon sale of vehicle .
KARL GOEBELER 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to
1237 BURTONWOOD RD a replacement vehicle.
MELBOURNE , FL 32901-2811 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

TDL - PRINT ON DEMAND TEMP PLATE

 MTRFSOZOK
INSTRUCTIONS FOR ATTACHING DECAL IMPORTANT INFORMATION
1. Clean area where new annual decal is to be affixed. Section 316.613 , Florida Statutes, requires every operator of a motor vehicle transporting
2. Peel decal from this document. a child in a passenger car, van , autocycle or pickup truck registered in this state and
3. Affix decal in the upper right corner of license plate . 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 55 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 :
KARL GOEBELER Important note : If you cancel the insurance for this vehicle,
1237 BURTONWOOD RD immediately return the license plate from this registration to a Florida
MELBOURNE , FL 32901-2811 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 1972 T# 1638709255

B# 1388305
FLORIDA VEHICLE REGISTRATION

PLATE 36CCYT DECAL 08841314 Expires Midnight Mon 1/23/2023

YR M/ K 2007 /TOYT BODY 4D COLOR BLU Reg . Tax 33.90 Class Code 1
VIN JTNBE46K773055334 TITLE 97131882 Init . Reg . Tax Months 9
Plate Type RGR NET WT 3209 County Fee 3.00 Back Tax Mos
Mail Fee Credit Class 1
DL /FEID G146500560230 Sales Tax Credit Months 9
Date Issued 4/21/2022 Plate Issued 4/21/2022 TRANSFER : X Voluntary Fees
Grand Total 36.90

IMPORTANT INFORMATION
KARL GOEBELER 1. The Florida license plate must remain with the registrant upon sale of vehicle.
1237 BURTONWOOD RD 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to
MELBOU FL 32901-2811 a replacement vehicle.
3. Your registration must be updated to your new address within 30 days ofmoving
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.

RGR - FLORIDA REGULAR PLATE ISSUED X

CNTY # AGY # SUB # RPT#
SEALOF L#
THEOF 2552204
19 2 LLJ 5890 T# 1638708527
B # 1388305
AUDIT # AVLE STATE OF FLORIDA
ING GOD WETRUST S# 91137267
APPLICATION FOR VEHICLE /VESSEL
CERTIFICATE OF TITLE

TITLE NUMBER VEHICLE /VESSEL IDENTIFICATION # YR . MAKE MAKE or BODY VEHICLE COLOR WT /LENGTH GVW /LOC
MANUFACTURER TYPE

97131882 JTNBE46K773055334 2007 TOYT 4D BLU 3209

DATE OF ISSUE TRANS VEHICLE USE HULL PROPULSION FUEL VESSEL WATER FL NUMBER AUTH
MO . DAY YEAR CODE MATERIAL TYPE DESTRUCTION

PRIVATE
04 21 22 TR
BIRTHDATE RESIDENT CNTY
SEX MO . DAY YEAR Y N ALIEN RES .#
Applicant/Owner's Name & Address
KARL GOEBELER M 19
1237 BURTONWOOD RD | 01 23 56 x
MELBOURNE, FL 32901-2811 1st OWNER FL /DL # OR 2nd OWNER FL /DL # OR
F.E.I.D. # UNIT #

G146500560230

VOLUNTARY CONTRIBUTIONS

AGENCY TITLE FEE SALES TAX GRAND TOTAL

FEE

4.75 71.00 0.00 75.75

Action Requested : TRANSFER TITLE Brands :

RETAINED AS ELECTRONIC TITLE
PREV . STATE DATE ACQUIRED NEW USED ODOMETER२ / VESSEL MANUFACTURER ODOMETER
DECLARATION
CERTIFICATION
FL 04/14/2022 XX EXEMPT

LIEN INFORMATION DATE OF LIEN RECEIVED DATE FEID # OR FL / DL AND SEX AND DATE OF BIRTH DMV ACCOUNT #

NAME OF FIRST LIENHOLDER :

ADDRESS SALVAGE TYPE

SELLER INFORMATION
NAME OF SELLER , FLORIDA DEALER , OR OTHER PREVIOUS OWNER
RELIABLE AUTO SALES
ADDRESS
4657 S HWY 1 UNIT A
ROCKLEDGE , FL 32955
DEALER LICENSE NO .
VI11342481 CONSUMER OR SALES TAX EXEMPTION #

INDICATE TOTAL PURCHASE PRICE , INCLUDING ANY $

SALES TAX AND USE REPORT 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
212 , FLORIDA STATUTES
FLORIDA SALES OR VEHICLE / VESSEL WILL BE
USE TAX FOR THE USED EXCLUSIVELY FOR RENTAL
REASON ( S ) CHECKED OTHER SELLING PRICE VERIFIED

APPLICANT CERTIFICATION
I /WE HEREBY CERTIFY THAT THE VEHICLE /VESSEL TO BE 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 .
I /WE HEREBY CERTIFY THAT IWE LAWFULLY OWN THE ABOVE DESCRIBED VEHICLENESSEL , AND MAKE APPLICATION FOR TITLE. IF LIEN IS BEING RECORDED NOTICE IS HEREBY GIVEN THAT THERECLAIMS
IS AN
.
EXISTING WRITTEN LIEN INSTRUMENT INVOLVING THE VEHICLE /VESSEL DESCRIBED ABOVE AND HELD BY LIENHOLDER SHOWN ABOVE . I W / E FURTHER AGREE TO DEFEND THE TITLE AGAINST ALL
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 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 .
 KIUI
Mail Lien Satisfaction to : Dept of Highway Safety and Motor Vehicles, Neil Kirkman Building, Tallahassee, FL 32399-0500 T # 1174465605
B # 4684887
Identification Number Year Make Body WT- L - BHP Vessel Regis. No. Title Number
JTNBE46K773055334 2007 TOYT 4D 3209 97131882

Registered Owner: Date of Issue 10/12/2020 Lien Release

Interest in the described vehicle is hereby released
LEXUS OF CLEARWATER Ву .
27547 US HWY 19 N Title
CLEARWATER , FL 33761 Date
IMPORTANT INFORMATION
1 . When ownership of the vehicle described herein is
transferred , the seller MUST complete in full the
Transfer of Title by Seller section at the bottom of
the certificate of title .
Mail To : 2 . Upon sale of this vehicle, the seller must complete
LEXUS OF CLEARWATER the notice of sale on the reverse side of this form .
3 . Remove your license plate from the vehicle .
27547 US HWY 19 N 4 . See the web address below for more information and
CLEARWATER , FL 33761 the appropriate forms required for the purchaser to
title and register the vehicle , mobile home or vessel :
http://www.hsmv.state.fl.us/html/titlinf.html

CERTIFICATE OF TITLE

Year Make Body WT- L -BHP Vessel Regis . No. Title Number
Identification Number ADID
JTNBE46K773055334 2007 TOYT 4D 3209 97131882 Lien Release
Interest in the described vehicle is hereby released
Prev Calor Primary Brand Secondary Brand No of Use Prev Issue Date By
State Brands
FL BLU PRIVATE 01/10/2020
Title
Odometer Status or Vessel Manufacturer or OH use Engine Drive Hull Material Prop Date of Issue
141,319 MILES 09/27/2020 ACTUAL 10/12/2020 Date

Registered Owner
LEXUS OF CLEARWATER
27547 US HWY 19 N
CLEARWATER , FL 33761

1st Lienholder
ELECTRONIC TITLE PRIOR TO 10/12/2020

SEALO
DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

LETALSTO
Rokat R. Kynoch Hum D. Rhode
Robert R. Kynoch Terry L. Rhodes
Director Executive Director
Control Number 147318485
3 / 11 147318485

TRANSFER OF TITLE BY SELLER (This section must be completed at the time of sale .)
Federal and /or state law require that the seller state the mileage, purchaser's name, selling price and date sold in connection with the transfer of ownership
Failure to complete or providing a false statement may result in fines and / or imprisonment.
This title is warranted to be free from any liens except as poted on face of the certificate and the motor vehicle or vessel described is hereby transferred to:
Seller Must Enter Purchaser's Name: Address :
Retabefuto
tareianeli skueh Mast Enter Date Sold: D / 8 /20
Islodh [ 3801
3
Seller Must Enter Selling Price : _ Resale
I/We state that this 5 or 6 digit odometer now reads1413241LX ] (no tenths) eicamiles, date read_ 10181724 Whereby certify that to the best of my knowledge the odometer reading:
1. reflects ACTUAL MILEAGE 2. is IN EXCESS OF ITS MECHANICAL LIMITS . 13. is NOT THE ACTUAL MILEAGE
UNDER PENALTIES OFPERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE .
SELLER Must CO -SELLER Must
! Sign Here:
Sign Here :
FRATTEY FARRIS Print Here :
Print Here :
VF10010662 No.
Selling Dealer's License Nurnber Tax
VA " 487481
Aud TONATION AUTO AUCTION ORLAND Glicense Number:
PURCHASER CO -PURCHASER Must
Sign Here: Moun Sign Here:
Print Here : GmL Print Here :
NOTICE : VENALTY IS REQUIRED BY LAW IF NOTSUBMITTED FOR TRANSFER WITHIN 30 DAYS AFTERDATE OF PURCHASE .
MTR -S0227

SUSUPERWHATSZ
HSMV 82250 ( REV . 3/15 )
MAMAMATANGAS ID STATE OF FLORIDA
 STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTOR VEHICLES
2900 Apalachee Parkway • Neil Kirkman Building - Tallahassee , FL 32399-0620
Notice of Sale of Motor Vehicle , Mobile Home or Vessel

Section 319.22 ( 2 ) , Florida Statutes. requires that the seller file a Notice of Sale with the department within 30 days after the sale or transfer of the motor vehicle , vessel or
mobile home. Filing this form removes any civil liability for the operation of the sold motor vehicle, vessel or mobile home. In addition to filing this form , we suggest you
keep a copy of your bill of sale (we suggest it be notarized ) , certificate of title or other type of transaction document showing the vehicle was sold. Complete the information
below , tear the top portion of this document at the perforation and mail to the address above or submit to your local tax collector's office or license plate agency.
I have this day of transferred by assignment of and delivered Florida Certificate of Title to :
Name : Purchaser(s ) Purchaser's DL / ID
First MI Last

Address Selling Price $

UNDER PENALTIES OF PERJURY , I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE .

Seller's Signature Co- Seller's Signature

NOTE : THE SUBMISSION OF THIS FORM , ACCURATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE
ADDRESS ABOVE WILL ALLOW THE TITLE CLERK TO UPDATE THE DMV DATABASE TO REFLECT THE TITLE RECORD AS " SOLD " . HOWEVER ,
THE OWNERSHIP STATUS WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE .

with
ODOMETER CERTIFICATION - Federal and state laws require that you sansles pilotesin
RUOLO synnection you sfer ofownership.Failureto complete or providing a falsestatement may result in fines and/or imprisonnent
Selling Dealer Selling Dealer Tax Тах
$ 06 N COMBEERD No .: Collected :
License No .: Name:
Vil130438 || LAKELAND, FL 33801
DEALER Selling Dealer's Address : Date Sold :
412814
Purchaser's Name ( s ) : 1ST STOP AUTO Address:
SALES
LICENSED DBA RELIABLE AUTO
TWE STATE THAT THIS 4667 USHWYAUNOTAER XX (NO TENTHS)MILES. DATE READ 4 28 Y.AND I HEREBY
ROCKLEDGE, FL 32955 NOW READS EXE MPOTX CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING :
BY CAUTION : READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE
REAS IGNMENT BEFORE YOU ( EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS)
Purchaser Mux Co -Purchaser Must
Sign Here : Sign Here:
FIRST Print HA Jushn Ashness Print Here:

Seller /Agent Mur Auction Name (When Applicable ):

Sign Here :
gaye Auction License Number:
Print Here :
Goge
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name: No.: Collected :
DEALER
Selling Dealer's Address : Date Sold :

LICENSED Purchaser's Name s ): Address :

I /WE STATE THAT THIS SOR 6 DIGIT ODOMETER NOW READS XX ( NO TENTHS ) MILES . DATE READ AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING :
BY 3. IS NOT THE ACTUAL MILEAGE.
REAS IGNMENT CAUTION : READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS
BEFORE YOU ( EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO S DIGIT ODOMETERS
Purchaser Must Co - Purchaser Must
Sign Here : Sign Here :
SECOND Print Here : Print Here :

Seller /Agent Musi Auction Name (When Applicable ) :

Sign Here:
Print Here: Auction License Number:
Selling Dealer's Selling Dealer's Tax Tax
License No.: Name: No.: Collected :
DEALER Selling Dealer's Address : Date Sold :
Address :
LICENSED Purchaser's Name s ) :
I /WE STATE THAT THIS 5 OR 6 DIGIT ODOMETER NOW READS XX ( NO TENTHS) MILES , DATE READ AND I HEREBY
CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING :
BY CAUTION : READ CAREFULLY 1. REFLECTS ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE .
REAS IGNMENT BEFORE YOU (EXCESS OF ITS MECHANICAL LIMITS WARNING - ODOMETER DISCREPANCY
CHECK A BOX APPLIES TO 5 DIGIT ODOMETERS )
Purchaser Must Co - Purchaser Must.
Sign Here: Sign Here :
THIRD Print Here: Print Here:

Seller /Agent Must Auction Name (When Applicable ):

Sign Here:
Print Here: Auction License Number:
 1. MOTOR VEHICLE DESCRIPTION
YEAR MAKE MODEL COLOR

2007 TOYOTA CAMRY CE BLUE

VIN

JTNBE46K773055334

ANNOUNCEMENTS

IW
/ E , RELIABLE AUTO SALES, DO HEREBY SELL OR HAVE SOLD AND DELIVERED THE ABOVE DESCRIBED MOTOR VEHICLE , AS - IS AND WITH NO
WARRANTY , TO :

SELLER(S) DEALER NUMBER

RELIABLE AUTO SALES OF LAKELAND , LLC VI1130438 / 1

ADDRESS CITY STATE ZIP CODE

906 N COMBEE RD LAKELAND FL 33810

PURCHASER ( S )

1ST STOP AUTO DBA RELIABLE AUTO SALES VI 1134248/1

ADDRESS CITY STATE ZIP CODE

4657 US HWY 1 UNITA ROCKLEDGE FL 32955

DATE OF SALE SELLING PRICE
04/28/2021 $2,925.00

2. ODOMETER DISCLOSURE STATEMENT

FEDERAL AND STATE LAW REQUIRES THAT YOU STATE THE MILEAGE IN CONNECTION WITH THE TRANSFER OF OWNERSHIP . FAILURE TO COMPLETE
OR PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND /OR IMPRISONMENT .
WE STATE THAT THE MOTOR VEHK O 5 DIGIT OR O 6 DIGIT NOW READS EXEMCO XX (NO TENTHS) MILES , DATE READ 4/28/2021
AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE THE ODOMETER READING :

1. REFLECTS THE ACTUAL MILEAGE 2. IS IN EXCESS OF ITS MECHANICAL LIMITS 3. IS NOT THE ACTUAL MILEAGE

AFFIDAVIT (WHEN APPLICABLE) :

3. CERTIFICATION

UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE .

SELLER'S SIGNATURE SELLER'S PRINTED NAME DATE

GINA DYE 04/28/2021

PURCHASER'S SIGNATURE PURCHASER'S PRINTED NAME DATE

Dye JUSTIN ASHNESS 04/28/2021

for
Invoice No. AutoNation
TOWING POLICY STRICTLY ENFORCED
TITLE NUMBER ISTATE SALE DATE RUN NO
AUTO AUCTION
TIME SOLD AutoNation Auto Auction Orlando 10/08/2020 BB - 0052
12:42 650 N. US Highway 17-92
TITLE RECEIPT STOGKNO
Longwood, FL 32750
BID NO . D MAIL
407-961-4300 HAND DELIVERED 91037
0478 INITIALS DATE INITIALS
DATE
YEAR МАКЕ. MODELISUB SERIES BODY COLOR OPTIONS SERIAL NUMBER
DT : FRWD FUEL : G
2007 TOYOTA CAMRY CE 4DR BLUE 04 CY JTNBE46K773055334
ENGINE : 2.4L

YELLOWGREEN RED BLUE

STRUCTURAL DAMAGE
XX XX TA *
U N1
WITH TITLE
LISTEN PRIVELAS IS ATTACHED
MILEAGE
SELLER ( TRANSFEROR ) AN2341 DIGITAL
141324 EXEMPT
LEXUS OF CLEARWATER
SELLERS CHECK HAND DELIVERY
27547 US HWY 19 N
CLEARWATER , FL 33761 DATE CLERK MAILED
License # : VF10010662
ODOMETER DISCLOSURE STATEMENT Section 580.5 Disclosure form .
Federal law ( and State law , if applicable) requires that you state the mileage upon transfer
of ownership . Failure to complete or providing a false statement may result in fines and /or
imprisonment.
( 1 ) I hereby certify that to the best of my knowledge the odometer reading
reflects the amount of mileage in excess of its mechanical limits .

( 2 ) I hereby certify that the odometer reading is NOT the actual mileage -
WARNING ODOMETER DISCREPANCY .
I agree to sell and am authorized to sell above vehicle to Buyer for the
below Purchase Price. Further, I agree to abide by Auction Policies,
which I am familiar with and have in my possession . 1, LEXUS OF CLEARWATER
Print Transferor's Name ( seller)
Printed : 10/08/2020 ; 15:51:07 141324 EXEMPT
state that the odometer now reads
1. OR WE BY USE OF OUR PLATE OR AUTHORIZED SIGNATURE , HEREBY
AGREE TO PAY THE INDICATED SALE PRICE FOR THE VEHICLE DESCRIBED IN miles (no tenths ) and to the best of my knowledge that it reflects the actual mileage of the
THE ATTACHED VOUCHER UNDER THE TERMS AND RULES OF AMERICA'S AUTO vehicle described above, unless one of the above statements is checked .
AUCTION

Bid# 0478 х х
PURCHASER /BUYER ( TRANSFEREE ) R00109
TRANSFEROR'S SIGNATURE ( SELLER ) PRINTED NAME OF SIGNOR
RELIABLE AUTO SALES OF LAKELAND LLC
906 N COMBEE RD
* NO RETAIL SALES
LAKELAND , FL 33801 * ALL VEHICLES SOLD TO DEALERS FOR RESALE ONLY WITHOUT WARRANTY
License: VI11304381 AUCTION ASSUMES NO RESPONSIBILITY NOR GUARANTEES THE ACCURACY OF THIC ODOMETER READING
* AUCTION ACCEPTS NO RESPONSIBILITY FOR THEFT, LIABILITY OR PROPERTY DAMAGE
321-604-1976 72 HOURS AFTER PURCHASED DATE BUYER WILL BE ASSESSED STORAGE AND I ATF FFFS
CHECK NO . DATE PAID CASH NO DEPOSIT DATE
BUYER
I am authorized to act on behalf of the below dealership ( if listed ) and INFORMATION
agree to purchase the above vehicle . I agree that I have examined the
vehicles and accept vehicle and title in its present condition . I agree to
and am familiar with the terms and conditions of Auction's Standard Sale TOTAL $
OFFER $
Contract and agree to allow Auction to complete a sale contract for this SELLING
vehicle on my behalf. Further, I am familiar with , have in my BUYER'S PRICE 2,600.00
possession and agree to abide by the Policies and Procedures of Auction . FEE $
SELLER SIL
321-604-1976 K ACCEPTED BUYER'S
ON LINE COUNTER $ FEE $ 325.00
X GINA DYE REPRESENTATIVE
PRINTED TRANSFEREE'S NAME (BUYER )
BUYER
O ACCEPTED DEALSHIELD
X NO SIGNATURE REQUIRED * ON LINE SALE D DECLINED ਦਾ FEE $
28
TRANSFEREE'S SIGNATURE ( BUYER ) D COUNTERS
REPRESENTATIVE
OFFICE AMOUNT
AUCTIONEER CLERK DUE 2,925.00
CLERK
SR GOODWINT TIME COMPLETE
TIK PAGES
JULIS SALVA TRANSWAARSTUURSRIVINA IN STUDENATALERS. MONEDRESENTATION TESTARONESS IS MADISOR INTENTED SENTOSRMS AND CONDITIONS ON RESUSESUELE