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Facture State..

The document is a Certificate of Title for a 1999 Ford vehicle, registered to Alejandrino Felix Diaz and Dolores Altamirano in Petaluma, California. It includes details such as the vehicle identification number, odometer reading, and transfer history, with signatures from the registered owners and lienholders. The document also outlines the requirements for reporting changes in ownership and mileage upon transfer.

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GESTOR CARS
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100% found this document useful (1 vote)
312 views2 pages

Facture State..

The document is a Certificate of Title for a 1999 Ford vehicle, registered to Alejandrino Felix Diaz and Dolores Altamirano in Petaluma, California. It includes details such as the vehicle identification number, odometer reading, and transfer history, with signatures from the registered owners and lienholders. The document also outlines the requirements for reporting changes in ownership and mileage upon transfer.

Uploaded by

GESTOR CARS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STATE OF CALIFORNIA

55594010722 CERTIFICATE OF TITLE


COMMERCIAL
YR
VEHICLE ID NUMBER MODEL MAKE PLATE NUMBER
1FTRX17W5XKA09598 1999 FORD 5Y07205
UNLADEN REGISTRATION
BODY TYPE MODEL AX WEIGHT FUEL TRANSFER DATE FEES PAID EXPITATION DATE
PK 2 04173 G $644 12/31/1999
YR 1ST
SOLD CLASS YR MO EQUIPMT/TRUST NUMBER ISSUE DATE
1998 HA 1999 EM 01/21/99
MOTORCYCLE ENGINE NUMBER ODOMETER DATE ODOMETER READING
12/15/1998 231 MI
REGISTERED OWNER(S) ACTUAL MILEAGE
DIAZ ALEJANDRINO FELIX -----
ALTAMIRANO -----
OR ALTAMIRANO DOLORES CUSTOMS & BORDER PR
1813 SANDSTONE DR OT.
PETALUMA CA 94954
RT S AUG 7 2003
X P O
E 1
3
200 R OTAY MESA EXPORTS
1 D E
AUG OR
I certify under penalty of perjury under the laws of the State of California, 2006
that THE SIGNSTURE(S) BELOW RELEASES INTEREST
IN THE VEHICLE. &B N
XOMSFELIX O
1a. 03-25-03
S T T E CTI ALTAMIRANO
CU PXRO DOLORES ALTAMIRANO
DATE SIGNATURE OF REGISTERED OWNER

1b. 03-25-03
DATE SIGNATURE OF REGISTERED OWNER
Federal and State law 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.
The odometer now reads , (no tenths), miles and to the best of my knowledge reflects the actual
mileage unless one of the following statements is checked.

WARNING Odometer reading is not the actual mileage. Mileage exceeds the odomerer mechanical limits.

TS
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
OR
EXP
DATE TRANSFEROR/SELLER SIGNATURE(S) DATE TRANSFEROR/BUYER SIGNATURE(S)
FELIZ ALTAMIRANO
03-25-03 X DOLORES ALTAMIRANO X
3
1 200 DER
PRINTED NAME OF AGENT SIGNING FOR A COMPANY PRINTED NAME OF AGENT SIGNING FOR A COMPANY

G 1
AU
O I WESTCORP
BWES R
MS & TWES
IMPORTANT READ CAREFULL
Any change of Lienholder (holder of security interest) must beOreported to NFINANCIAL
IOthe Department INC of Motor Vehicles within
T
10 days. CUS PROTECWESTERN
WESTERN FIN
FINANCIAL SAVINGS BANK
LIENHOLDER(S)
“FDBA” WESTERN FINANCIAL DLR CENTER
X
2. WITHOUT WARRANTY
WFS FNCL INC Signature releases interest in vehicle. (Company
23 PASTUER
IRVINE CA 92718
names must be countersigned
Release Date OCT 14 2002
021369
CA 3 7 3 4 2 0 3 7REG. 17.30 (REV. 2 / 98)

KEEP IN A SAFE PLACE VOID IF ALTERED


APPLICATION FOR TRANSFER BY NEW OWNER (Please print or type.)
Any change of registered owner or lienholder must be recorded with the Department of Motor Vehicles (DMV) within ten (10) days. The
title, transfer fee and in most instances, use tax and a smog certificate must be presented to DMV to record the ownership change.
3a. TRUE FULL NAME(S) OF NEW REGISTERED OWNER(S) (LAST, FIRST, MIDDLE) AS IT APPEARS ON DRIVER´S LICENSE OF I.D. CARD

3b. (LAST, FIRST, MIDDLE)


N AND
E OR S a n c h e z C r u z S a n t a I m e l d a
W 4. STREET ADDRESS OR P.O. BOX NUMBER

R
P r i v
5. CITY
7 a C p o n i e n t e 1 6 5 5 STATE ZIP CODE
E
G
I
T u x t l a G u t i e r r e z M e x i c o
6. MAILING ADDRESS STREET OR P.O. BOX NUMBER (DO NOT COMPLETE IF SAME AS RESIDENCE ABOVE)
S
T
C a l l e J u p i t e r, L o m a L a r g a 2 6 C h i a p a s 2 9 0 4 5
7. CITY STATE ZIP CODE
E
R T u x t l a G u t i e r r e z M e x i c o
8. FOR TRAILER COACHES ONLY --- ADDRESS OR LOCATION WHERE KEPT
E
D

O I certify under penalty of perjury under the laws of the State of California that the information entered by me on this document is true and
W
correct. If there is a mailing address entered on this form, it is a valid, existing and accurate address. I consent to receive service of process
at this mailing address pursuant to Civil Procedures Code Sections 415.20(b), 415.30(a) and 416.90.
N
E 9a. DATE SIGNATURE OF NEW REGISTERED OWNER CALIFORNIA DRIVER LICENSE OR ID CARD NO. PURCHASE DATE
R
07/22/03 X 07/22/03
9b. DATE SIGNATURE OF NEW REGISTERED OWNER CALIFORNIA DRIVER LICENSE OR ID CARD NO. PURCHASE PRICE OR IF GIFT, SO STATE
14/12/23 X 8000
LEASED 10. ADDRESS OF NEW LESSEE IF DIFFERENT FROM LINE 4 ABOVE (WILL NOT BE PRINTED ON TITLE)
VEH.
ONLY
L 11. NAME OF LIENHOLDER -- FIRM OR INDIVIDUAL HOLDING SECURITY INTEREST (IF NO LIEN, WRITE ¨NONE ) DO NOT ENTER NAME OF REGISTERED OWNER(S) ABOVE ELECTRONIC LIENHOLDER ID

N
I
E
N
C E D O Y T R A S PA S O L O S D E R E C H O S D E L P RELT ES
# ENTE
E H 12. STREET ADDRESS OR P.O. BOX NUMBER
W O
L C E R I T I F I C A D O A N O M B R E D E S A N TA I M E L D A
D 13. CITY
E
R
SANCHEZ CRUZ
TITLE REASSIGNMENTS BY LICENSED CALIFORNIA DEALERS
FEDERAL LAW REQUIRES that you state the mileage upon transfer of ownership. Failure to complete or maling a false statement may result
in fines and / or imprisonment.
I certify under penalty of perjury under the laws of the State of California that the signature below releases my interest in this vehicle,
acknowledges the odometer mileage recorded by the seller, and certifies that the odometer reading entered above my signature (in compliance
with Federal law) and the other information entered by me on this document are true and correct.
14.
D Odometer now reads: , (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless R/S NUMBER
E one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
A DATE SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
L
E X
DATE BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING PRINTED NAME OF BUYER CR AGENT SALES PERSON´S NO.
R
X
T SOLD THROUGH DATE OF AUCTION AUCTION NAME DEALER NUMBER
R AUCTION IF APPLICABLE
A 15.
N Odometer now reads: , (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless R/S NUMBER
S one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
A DATE SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
C
T X
DATE BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING PRINTED NAME OF BUYER CR AGENT SALES PERSON´S NO.
I
O X
N 16.
S Odometer now reads: , (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless R/S NUMBER
one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
O DATE SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
N
L X
DATE BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING PRINTED NAME OF BUYER CR AGENT SALES PERSON´S NO.
Y
X

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