Upon sale of this vehicle, the purchaser must apply for a new title within 30 days unless the

vehicle is
purchased by a dealer. Until a new title is issued, the vehicle record will continue to reflect the owner's
n arne listed on the current title. SEE BACK OF TAB FOR ADDITIONAL INFORMATION.

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008991 • 010443
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FIRST STATE BANK CENTRAL TEXAS 3
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TEMPLE, TX 76503-6136
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162483790
VEHICLE IDE.NTIFICATION NUMBER YEARMOOEL MAKE OF VE HK:LE BOOYSTYLE

2GNFLFEK1F6160684 2015 CHEV LL

llTU/DOCUMENT NUMBER DATE llTLE ISSUED

28695344969008797 02/09/2020
MOOEL WEIGHT UCENSE NUMBER

EQU 3800 RZT3431

EXEMPT
OWNER REMARK(S)

ACTUAL MILEAGE
MARTIN RODRIGUEZ
926 E MONROE
APT ST
BROWNSVILLE, TX 78520
X-----------------------
s1GNATURE OF OWNER OR AGENT MUST BE IN INK

UNLESS OTMERWISE AUTMORlZED BY LAW, IT IS A VIOLATION OF STATE LAW TO SIGN

TME NAME OF ANOTMER PERSON ON A CERTIFICATE 0G llTLE OR OTMERWISE GIVE FALSE
INFORMATION ON A CERTIFICATE OF llTLE.

1S T
LIEN AELEASED ----, = -
OAilE
=

I
IIIJTHOflZl:0 AGENT
DATE OF LIEN 2NDUENHOLDER

2ND LIEN AELEASEO ____ -

O"' Af-" ,--
E

8Y
IIIJTHDRIZl:0 AGENT

OATEOFUEN 3RD LIENHOLOER

3RD ueiJ,RELEASED ---=.---­ DATE

IT IS HEREBY CERTIFIED THAT THEPERSON HEREIN NAMEO IS THE OWNER IIIJTHDRIZEO AGENT
O F THE
VEHICLE DESCRIBEO ABOVEW HI C H I S SUBJECT
TO THEABO V E LIENS
.•

A I G H T S O F S U A V I V O A S H I P AG A E E M E N T
SIGNATUAE DATE
W8, THE MARREO PEASONS WHOSE SIGNATUAES APPEAA HEABN, HEAE8Y
AGREE THIIT THE OWNERSHI' OF THE VEHICI.E OESCAl8EO O< THS
CEATIFICATE fF TITLE SHALL FAOM THS OAY F OAWAAO BE HELO JOINTL Y
SIGNATUAE DATE
ANO N THE EVENT 0F OEATM 0F ANY 0F THE PEAS ONS NAMEO IN THl
AGREEMENT THE
, ONNEASHIP 0F THE VEHICLE 5HALL VEST IN THE SUAVIVOA(S).

SIGNATUAE DATE
ESHOWING ERASURE, ALTERATION, ORMUTILATION.
DO NOT ACCEPT TITL
WHEN VEHICLE IS SOLD, TITLE HOLDER MUST ASSIQN AND FURNISH THIS TITLE INDICATINQ
A DATE OF SALE TO THE PURCHASER WHO MUST FILE APPLICATION WITH COUNTY TAX
ASSESSOR.COLLl!CTOR WITHIN 30 DAYS TO AVOID PENALTY.
162483790
► FEDERAL AND'STATE LAW REQUIRES THAT YOU STATE THE MILEAOE IN CONNECTION WITH THE TRANSFEA OF
OWNIERSHIP, FAILUAIE TO COMPLETE OA PAOVIDINO A FALSE STATIEMENT MAY AESULT IN FINES AND/OA IMPAISONMIENT.
Toe understgned hereby certilieS lhal lhe vehlcle descnbed in lhls tille 1s free and clear ol all llens, excepl as noled hereln, and has been lranslerred lo lhe folloWing prmled name and address:

Narne ot Pun:haser Streel City Slale Zip

/
1 certlfy lo the best of my knowledge lhal the odometer reading Is the actual mlleage ol tha vehlcle unless one of the lollowing statements Is checked:
, O 1. The mileage stated Is In excess ol ils mechanical llmits.
►; ..,..,,,......, OOOMETER READINO (No Tenlhs) 0 2. The odomeler readlng is not the actual mileage. WARNING • ODOMETER OISCREPANCY.

1�1: 01 1 ------, - _ _ - - _ _ ..., ,- - -

Sl gn eture of Selle
- _____
,,A- g-ent Pnnted Name (sama as s,gnature)
1 am aware ol the above odometer certillcatíon made by the seller/agent. ,/'
II

Pnnted Name (same as signatura)

I
Signatura of Buyer/Agent

Toe underslgned het'eby certd1es lhal lhe veh1cle descnbed In lhls lrtle Is free and ciear of ali hens, excepl al noled here1n. and ha• been transferred lo lhe lollow1ng prinled name and address:

Neme of Pu rcheser , Slreel I Clty Slale Z1p

1 certlfy lo the best ol my knowledge lhat the odomeler reading Is lhe aclual mlleage ol lhe vehlcle unless one of lhe following slalements is checked:
► �
,.,...,, """"'=-,--'-=-----,--- O 1. The mileage slaled Is In excess ol 11s mecharncal hm11s.
OOOMETER REAOINO (No /enlhs) · O 2. The odomeler reading Is not the actual mileage. WARNING • OOOMETER OISCREPANCY.
I�:/: of
�
l ______.;.____________________________ l �
aler
1
Deele(s Neme
/
Agent's Slgnalure Pnnled Name (same as signalure)
1 am aware of lhe above odomeler certiflcation made by lhe seller/agent. /
•
� Signatura of Buyor/AQenl Prlnted Name (same as slgnature)

y.. unclerslQned hereby certlfles lhal the vehlcle descnbed In lhls hile Is free and ctear of all llens, except as noled hereln, and nas been lransfer,ed lo lhe followlng prlnled name and address:
!zw \
�z� Name of Purchaser Street Cily Slate Zlp
1 certify lo lhe best of my knowledge lhat the odomeler reading Is lhe actual mileage ol the vehlcle unless one of the following stalements Is checked:
¡
S:2enoz ► , �---- O 1. The mileage slaled is in excess of ils mecharncat llm11s.
en ¡g:/: of
i1í a:
,,,...,.........,.. --- -OOOM -ETE R READINO INo Tcn4hs)
-
- �
O 2. The odomeler readlng is not lhe actual mileage. WARNING • OOOMETER DISCREPANCY.
l� aler 1 /
a:-'i1íw =C"-- ------' j / , �
='-------__J
4 Deale(s Name
zo
o
o
Agenl's Signatura Pnnted Name (same as signature)
üw 1 am aware of the aboveodometer certillcalion made by the seller/agenl.

en Slgnalure of Buyer/Agent , Printed Name (sama as signature)

The undersigned he/eby cert,ties lhat lhe vehlcle descnbed In 1111s lllle Is free and ciear of all liens, excepl as noted hcre,n, and has been lransJerred lo lhe lollow1ng prinled name and address:
1-
zw Name ol Purchase r \ St reet City Stale Zip
�>­
Z-'
¡
1 certify to lhe best ol my knowledge thal the odomeler reading is lhe aclual mileage of lhe vehicte unless one ol lhe lollowing statemenls Is checketl:
O 1 The mileage slated is in excess of its mechanical limils.
► .._.. ,
wen ºa:
(!)Z
•. ''" OOOME.TEA READtNO (No y_,fu¡ � O 2. The odomeler reading Is not the actual mileage. WARNING • ODOMETER DISCREPANCY.
01
W-'
l� :
<(W
;.:; c.:
a:<( 1:
., c.
______...,JI _____·_�-------------�------------- "12
l Deale(s Name
°'�
"'ª-'ª_' _______.I

a:o º
w
Agenl's Signatura Prinled Name (same as signature)
I
1-
1 am aware of the above odometer certlficalion made by the seller/agenl.

Slanalure of Buver/Aaenl Pnnled Name (sama es slgnalure)

ffi
:J
LIENHOLDER TO BE RECORDED ANO SHDWN ON NEW TITLE:
1ST LIEN IN FAVOR OF (NAME & ADORES$)
1