Titulo California - Hola

613050622 S E CERTIFICATE OF TITLE VEHICLE HISTORY

COMMERCIAL YR
VEHICULO NUMBER MODEL MAKE PLATE NUMBER
5TEGN92NX4Z451777 2004 TOYT 7N84673
UNLADEN REGISTRATION
BODY TYPE MODEL AX WEIGHT FUEL TRANSFER DATE FEES PAID EXPIRATION DATE
PK 6 05/31/2010 $418 10/ 12/2010
YR 1ST
SOLD CLASS YR MO EQUIPMT/TRUST NUMBER ISSUE DATE

VOID WITHOUT BEAR WATERMARK. HOLD TO LIGHT TO VIEW.

2004 AN 2005 LU 07/12/2010
VOID WITHOUT BEAR WATERMARK. HOLD TO LIGHT TO VIEW.

MOTORCYCLE ENGINE NUMBER ODOMETER DATE ODOMETER READING

REGISTERED OWNER(S)
05/ 31/2010
ACTUAL MILEAGE
GARCIA RICARDO
8025 CLARIREMONT BLVD
SAN DIEGO CA 921111
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I certify (or declare) penalty of perjury under the laws of the State of California that THE SIGNATURE (S) BELOW RELEASESE
INTEREST IN THE VEHICLE.
1a. X
DATE SIGNATURE OF REGISTERED OWNER

1b. X
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 unlees one of the following statement is checked.

WARNING Odometer reading is not the actual mileage Mileage excedes the odometer mechanical limits.
I certify (or declare) under penalty of perjury under the laws of the state of Califirnia that the foregoing is true and correct.
DATE TRANSFEROR/ SELLER SIGNATURE(S) DATE TRANSFERE/ BUYER SIGNATURE (S)

X X
PRINTED NAME OF SELLER OR AGENT SIGNING FOR A COMPANY PRINTED NAME OF BUYER OR AGENT SIGNING FOR A COMPANY

IMPORTANT READ CAREFULLY

Any change of Lenholder of security Interest must be reported to the Department of Motor Vehicles within
10 days.
2 X
Signature releases interest in vehicle. (Company
LIENHOLDER(S) Names must be countersigned)
Release Date

CA 111767197
REG. 17.30RS (REV.7/07)

KEEP IN SAFE PLACE – VOID IF ALTERED