TITLE NUMBER

CH149689

l l l lll lli¡IIII I I IIIII I

ORIGINAL

VEHICLE IDENTIFICATION NUMBER YEAR

l ill lil l l ll llll
MAKE MODEL BODY STYLE FUEL

1FTRW07W71KE28153 2001 FORD PK

CYL HP PREVIOUS STATE MILEAGE AT TIME OF TRANSFER TAX PURCHASE DATE DATE ISSUED
8 34 86529* EX 01 02/24/2006 08/18/2006
OWNER BOHANNON BRENT
1002 W SNIDER ST
OZARK

MAIL TO
l,l,l11l,l,111llll1111 1111

BOHANNON BREN
1002 W SNIDER
OZARK

VEHICLE SUBJECT TO FOLLOWING UEN( ) Liel) release - To release anyiien.shown

on the-f;ice of this title, the lienli01der must
compete a �otarized Lien Release
FIRST LIEN (DOR-4809) to be attecheq to this title before
CAPITAL ONE AUTO FIN the purchase ;applies for Certificate of Tille.
PO BOX 660068
SACRAMENTO
CA 95866
Any perspn who knowingly and
SECOND LIEN 1ntentionally submits a separate document
releas;iag;i lie,n of another without
aüthority to do .so sl:¡all be guilty of class
C felony. p01 640 RSMp)

BUYER ON REVERSE SIDE MUST illLE IN 30 DAYS TO AVOID PENALTY

MILEAGE STATEMENT

*EXEMPT FROM MILEAGE REQUEREMENTS

EFFECTIVE 1/1/06 YOU MUST SUBMIT A NOTICE OF SALE
TO THE DEPARTMENT OF REVENUE WITHIN 30 DAYS OF
SELLING THIS VEHICLE.