TEXAS BUYER

THE VEHICLE TEMPORARILY REGISTERED WITH TxDMV UNDER TAG #

38742E3 2013 FORD

Expires FEB 25, 2022
VIN: 1FADP3K28DL214385
Seller: ACTIVE DEALERSHIP LLC
 BUYER'S TAG RECEIPT - DEALER'S COPY
Tag Number: 38742E3 Date of Sale: DEC 27, 2021
Expiration Date: FEB 25, 2022

Give buyer's receipt to buyer. PLACE THIS DEALER'S COPY IN SALES FILE.
It is part of the sales records required to be kept and subject to inspection by TxDMV. Verify this
information before distributing copies:
Issue Date: Dec 27, 2021
VIN: 1FADP3K28DL214385
Year: 2013 Body Style: 4H
Make: FORD Model: FOC
Major Color: BLACK Minor Color:

Remarks:
REGISTRATION INVALID
ACTUAL MILEAGE
PAPER TITLE

Issuing Dealer: ACTIVE DEALERSHIP LLC

Dealer Number: P160317

Purchaser
Name 1: ROLANDA NASH
Address: 1900 BAY AREA BLVD
HOUSTON, TX
77058

DEALER'S COPY
 BUYER'S TAG RECEIPT - BUYER'S COPY
Tag Number: 38742E3 Date of Sale: DEC 27, 2021
Expiration Date: FEB 25, 2022

Issue Date: Dec 27, 2021

VIN: 1FADP3K28DL214385
Year: 2013 Body Style: 4H
Make: FORD Model: FOC
Major Color: BLACK Minor Color:

Remarks:
REGISTRATION INVALID
ACTUAL MILEAGE
PAPER TITLE

Issuing Dealer: ACTIVE DEALERSHIP LLC

Dealer Number: P160317

Purchaser
Name 1: ROLANDA NASH
Address: 1900 BAY AREA BLVD
HOUSTON, TX
77058

BUYER is required to keep this receipt in the vehicle until vehicle is

registered and metal plates are placed on the vehicle.

BUYER'S COPY