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TEXAS DEPARTMENT OF MOTOR VEHICLE

S
TxDMV
VEHICLE IDENTIFICATION NUMBER
10_9747391
YEAR MODEL
1G1ZE5EU5CF324945 2012
MAKE OF VEHICLE
BODY STYLE
CHEV 4D
TITLE/DOCUMENT NUMBE: ,
DATE TITLE ISSUED

04331841038154452 05/23/201
MODEL MFG. CAPACITY
IN TONS WEIGHT NUMBER
LICENSE
2
MZ 3700 DN9P668 PREVIOUS OWNER
BARLOW AUTO GROUP/ARI MT LAU ODOMETER READIN
REL NJ
OWNER 10
REMARK(S)
ARI FLEET LT
4001 LEADENHALL ROAD ACTUAL MILEAGE
MT LAUREL, NJ 08054
I '

WEER OR AGENT MUST BE IN INK

UNLESS OTHERWISE THORI D BY W. IT IS A VIOLAT

THE NAME OF ANOTH PER ON ION OF STATE LAW TO SIGN
ON A ERTIFICATE OF TITLE
INFORMATION ON .A CERTIFICATEO OR OTHERWISE GIVE FALSE
F TITLE./

DATE OF LIEN
1ST LIENHOLDER

NONE 1ST LIEN RELEASED

BY

DATE OF LIEN
2ND LIENHOLDER

DATE OF LIEN AUTHORIZED AGENT

3RD LIENHOLDER

3RD LIEN RELEASED

IT IS HEREBY CERTIFIED THAT THE BY

PERSON HEREIN NAMED IS THE
OF THE VEHICLE DESCRIBED ABOVE OWNER
WHICH IS SUBJECT TO THE ABOVE
LIENS.

RIGHTS OF SURVIVO
RSHIP AGREEMENT
WE THE MARRIED PERSONS WHOSE
SIGNATURES APPEAR HEREIN, HEREB
AGREE THAT THE OWNERSHIP Y
OF THE VEHICLE DESCRIBED
CERTIFICATE OF TITLE SHALL FROM ON THIS
THIS DAY FORWARD BE HELD
AND IN THE EVENT OF DEATH OF JOINTL Y,
ANY OF THE PERSONS NAMED
AGREEMENT, THE OWNERSHIP OF THE IN THE SIGNATURE
VEHICLE SHALL VEST IN THE SURVIV DATE
OR(S).

FORM 30-C REV. 02/2012 SIGNATURE

DO NOT ACCEPT TITLE SHOWING DATE
ERASURE, ALTERATION, OR
MUTILATION.

vireZv• -,•111;k1u. Joa.ile,

- AL-49K.
WHEN VEHICLE IS SOLD, TITLE HOLDER MUST ASSIGN AND FURNISH THIS TITLE, CURRENT LICENSE RECEIPT, AND
SIGNED APPLICATION FOR TITLE (FORM 130-U) INDICATING DATE OF SALE AND uSALES PRICE TO THE PURCHASER WHO
MUST FILE APPLICATION WITH COUNTY TAX ASSESSOR-COLLECTOR WITH4N 30 DAYS TO AVOID PENALTY.
FEDERAL AND STATE LAW REQUIRES THAT YOU STATE THE MILEAGE IN CONNECTION WITH THE TRANSFER OF
01/' WNERSHIP. FA URE TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND/OR IMPRISONMENT.
hd n ned here c itfrihf villi e esvib s_Sfeis free and clear of all liens, except as noted herein, and has been transferred to the following printed name and address:
tOL '(
Name of Purc aser
,-- n

Street City State Zip

ASSIG NMENT

-------,

I certify to est wledge at 'the oFfomeenreading is the actual mileage of the vehicle unles one Of the following statements is checked:
OFTITLE

' 1. The mileage stated is in excess • its mech. nical !milts.

In .
.-- milik.g. - - t r NIN4-110D2M,ETER DISCREPANCY.
• uOMET R READING No Tenth ❑ 2. The odometer reading is not the c
e—oij
sDa tie. ElliM AR1 FLEETI . ur \
......
. - 0 Seller/Agent , r ted Name (same as signature)
I am aware of the above odometer certifi••tio ma. - by the seller/agent.

Signature of Buyer .,,t -I Printed Name (same as signature)

DEALERONLY

The undersigned hereby certifies that the vehicle described In this title is free and clear of all liens, except as noted herein, and has been transferred to the following printed name and address:
FIRST REASSIG NMENT

Name of Purchaser Street City State Zip

I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of tne following statements is checked:
❑ 1. The mileage stated is in excess of its mechanical limits.

10/' ODOMETER READING (No Tenths) ❑ 2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

Date of Dealer
Sale No.
Dealers Name

Agent's Signature Printed Name (same as signature)

I am aware of the above odometer certification made by the seller/agent.

Signature of Buyer/Agent Printed Name (same as signature)

S ECO NDR EASSI GN ME NT]

The undersigned hereby certifies that the vehicle described in this title is free and clear of all liens. except as noted herein, and has been transferred to thefollowing printed name and address:

Name of Purchaser , Street City State Zip

DEALE RONLY

I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
❑ 1. The mileage stated is in excess of its mechanical limits. /
110. ODOMETER READING (No Tenths) ❑ 2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

Date o fDealer ,
Sale ii No.
Dealer's Name '

Agent's Signature Printed Name (same as signature)

I am aware of the above odometer certification made by the seller/agent.

Signature of Buyer/Agent Printed Name (same as signature)

I

The undersigned hereby certifies that the vehicle described in the title is free and clear of all liens, except as noted herein, and has been transferred to the following printed name and address:
THI RDR EASSI GNME NT

Name of Purchaser Street City State Zip

DEALERONLY

I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked:
.. ❑ 1. The mileage stated is in excess of its mechanical limits.

PO' ODOMETER READING (No Tenths) 0 2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.
Date of Dealer
Sale No.
Dealer's Name

Agent's Signature Printed Name (same as signature)

I am aware of the above odometer certification made by the seller/agent.

Signature of Buyer/Agent Printed Name (same as signature)

Z LIENHOLDER TO BE RECORDED AND SHOWN ON NEW TITLE:

W
— 1ST LIEN IN FAVOR OF (NAME & ADDRESS)
— J