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TEXAS CERTIFICATE OF TITLE

TEXAS DEPERTAMENT OF MOTOR VEHICLES

171068687
VEHICLE IDENTIFICATION NUMBER YEAR MODEL MAKE OF VEHICLE BODY STYLE

1FTCR10AXNTA69558 1992 FORD PK


DOCUMENT NUMBER DATE TITLE ISSUED
07060754983654862 05/29/2007
MODEL MFG. CAPACITY WEIGHT LICENSE NUMBER
IN TONS
RAN 5000 STY7308
PREVIOUS OWNER ODOMETER READING

FORD MOTOR COMPANY EXEMPT


OWNER REMARK(S)
05/29/2007
EDGAR O LOPEZ
2338 E 14TH ST
BROWNSVILLE, TX 78521

X
SIGNATURE OF OWNER OR AGENT MUST BE IN INK

UNLESS OTHERWISE AUTHORIZED BY LAW, IT IS A VIOLATION OF STATE LAW TO SGN THE


NAME OF ANOTHER PERSON ON A CERTIFICATE OF TITLE OR OTHERWISE GIVE FALSE
INFORMATION ON A CERTIFICATE OF TITLE.

DATE OF LIEN 1ST LIENHOLDER

NONE 1ST LIEN RELEASED


DATE

BY
AUTHORIZED AGENT
DATE OF LIEN 2ND LIENHOLDER

2ND LIEN RELEASED


DATE

BY
AUTHORIZED AGENT
DATE OF LIEN 3RD LIENHOLDER

3RD LIEN RELEASED


DATE

BY
IT IS HEREBY CERTIFIED THAT THE PERSON HEREIN NAMED IS THE OWNER
OF THE VEHICLE DESCRIBED ABOVE WHICH IS SUBJECT RO THE ABOVE LIENS. AUTHORIZED AGENT

R I G H T S O F S U R V I V O R S H I P A G R E E M E N T
WE, THE MARRIED PERSONS WHOSE SIGNATURES APPEAR HEREIN, HEBERY SIGNATURE DATE
AGREE THAT THE OWNERSHIP OF THE VEHICLE DESCRIBED ON THIS
CERTIFICATE OF TITLE SHALL, FROM THIS DAY FORWARD BE HELD JOINTLY, AND
IN THE EVENT OF DEATH OF ANY OF THE PERSONS NAMED IN THE AGREEMENT,
THE OWNERSHIP OF THE VEHICLE SHALL VESTIN THE SURVIVOR(S) SIGNATURE DATE

SIGNATURE DATE
FORM 30-C REV. 8-94
DO NOT ACCEPT TITLE SHOWING ERASURE, ALTERATION, OR MUTILATION.
WHEN VEHICLE IS SOLD, TITLE HOLDER MUST ASSIGN AND FURNISH THIS TITLE, CORRENT LICENSE RECEIPT, AND
SALES TAX AFFIDAVIT TO THE PURCHASER WHO MUST FILE APPLICATION WITH COUNTY TAX ASSESSOR-COLLECTOR
WITHIN 20 WORKING DAYS TO AVOID $10 PENALTY.
FEDERAL AND STATE LAW REQUIRES THAT YOU STATE THE MILEAGE IN CONNECTON WITH THE TRANSFER OF
OWNERSHIP. FAILURE TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND/OR IMPRESONMENT.
The undersigned hereby certies 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:

Name of Purchaser Street City State Zip


ASSIGNMENT

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:
OF TITLE

1. The mileage stated is in excces of its mechanical limits.


2. The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.
ODOMETER READING (No Tenths)
Date of
Sale
Signature of Seller/Agent Printed Name (same as signature)
I am aware of the above odometer certication made by the seller/agent.

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

The undersigned hereby certies 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 REASSIGNMENT

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 the following statements is checked:
DEALER ONLY

1. The mileage stated is in excces of its mechanical limits.


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

Agent´s Signature Printed Name (same as signature)


I am aware of the above odometer certication made by the seller/agent.

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

The undersigned hereby certies 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:
SECOND REASSIGNMENT

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 the following statements is checked:
DEALER ONLY

1. The mileage stated is in excces of its mechanical limits.


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

Agent´s Signature Printed Name (same as signature)


I am aware of the above odometer certication made by the seller/agent.

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

The undersigned hereby certies 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:
THIRD REASSIGNMENT

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 the following statements is checked:
DEALER ONLY

1. The mileage stated is in excces of its mechanical limits.


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

Agent´s Signature Printed Name (same as signature)


I am aware of the above odometer certication made by the seller/agent.

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


LIEN

LIENHOLDER TO BE RECORDED AND SHOWN ON NEW TITLE:


1ST LIEN IN FAVOR OF (NAME & ADDRESS)
REFERENCIA: C0204535
PEDIMENTO Pagina 1 de 1
NUM. PEDIMENTO: 07 24 3266 7027472 T. OPER: IMP CVE. PEDIMENTO: VP REGIMEN: IMD CERTIFICACIONES
DESTINO: 9 TIPO CAMBIO: 15,35300 PESO BRUTO: 5000.000 ADUANA E/S: 240 ADMINISTRACION GENERAL
DE ADUANAS
MEDIOS DE TRANSPORTE VALOR DOLARES: 5650.00 . BANCO: 11 BBVA BANCO
ENTRADA/SALIDA: ARRIBO: SALIDA: VALOR ADUANA: 75444 ADUANA NUEVO LAREDO,TAMPS
7 7 7 PRECIO PAGADO/VALOR COMERCIAL 75444 24-0 CAJA 42
OP_ 1140926602911
DATOS DEL IMPORTADOR/EXPORTADOR R.F.C. COAJ880206
RFC : ----- NOMBRE,DENOMINACION O RAZON SOCIAL: PEDIMENTO: 3266-7027472
FEHA: 29-05-2007
CURP: COAJ880206HGTRLN01 JUAN RAFAEL CORONA ALVAREZ HORA : 13:19:49
DOMICILIO: C POTOSI 1 COL S/N SAN LUIS DE LA PAZ GUANAJUATO C.P. 37900 TURNO: T.M.
... IMPORTE: $20848.00
VAL.SEGUROS SEGUROS FLETE EMBALAJES OTROS INCREMENTABLES
0 0 0 0 0
ACUSE ELECTRONICO CLAVE DE LA SECCION ADUANERA
DE VALIDACION: DE DESPACHO:
240
KKE9F8N0

S/M S/N (1) BULTO TOTAL PRIMERA SELECCION AUTOMATIZADA M3


MARCAS,NUMEROS Y TOTAL DE BULTOS: 29/05/2007 14:50 OPER: 370-
FECHAS TASAS A NIVEL PEDIMENTO PEDIEMNTO: 3266-7027472
ENTRADA: 29/05/2007 Firma: USPAJSRR00
CONTRIB. CVE.T. TASA TASA VEHICULOS: 0001/0001
PAGO: 29/05/2007 DTA 7 8.00000 *** DESADUANAMIENTO LIBRE ***
PRV 2 140.00000 *** C U M P L I D O ***
CUADRO DE LIQUIDACION
CONCEPTO F.P. IMPORTE CONCEPTO F.P. IMPORTE TOTALES
DTA 0 604 PRV 0 161 EFECTIVO 20848
IVA 0 12539 IGI 0 7544 OTROS 0

TOTAL 20848

DATOS DEL PROVEEDOR


ID. FISCAL NOMBRE , DENOMINACION O RAZON SOCIAL DOMICILIO VINCULACION
03010004905 EDGAR LOPEZ 2338 E 14 TH ST BROWNSVILLE TX 78521 NO
NUM. FACTURA FECHA INCOTERM MONEDA EXT. VAL. MON. EXT. FACTOR MON. EXT. VAL. DOLARES
TITULO 29/05/2007 DAF USD 5650.00 1.0000000 5650.00
CLAVE / COMPL. IDENTIFICADOR: VP
PARTIDAS
FRACCION SUBD VINC MET VAL UMC CANTIDAD UMC UMT CANTIDAD UMT P.V/C P. O/D
SEC DESCRIPCION
VAL ADU/USD IMP. PRECIO PAG. PRECIO UNT. VAL AGREG
MARCA MODELO CODIGO PRODUCTO
1 87043105 0 0 6 6 1,000 6 1,000 USA USA IVA 15.00000 1 0 12539
IGI 10.00000 1 0 7544
CAMIONETA USADA MARCA FORD RANGER .XL AÑO 1992 PICK UP 2 PUERTAS 6 CIL. 3.0 LTS
75444 75444 75444.00000 0
FORD RANGER PICK UP
VIN/NUM. SERIE KILOMETRAJE VIN/NUM. SERIE KILOMETRAJE
1FTCR10AXNTA69558 0
IDENT COMPLEMENTO IDENT COMPLEMENTO IDENT. COMPLEMENTO
ES U EX 1
MV 1992
******** FIN DE PEDIMENTO ******** NUM. TOTAL DE PARTIDAS : 1 ******** CLAVE PREVALIDACION: 010 *********

AGENTE ADUANAL APODERADO ADUANAL O DE ALMACEN DECLARO BAJO PROTESTA DE DECIR LA VERDAD DE
LOS TERMINOS DE LO DISPYESTO PO EL
NOMBRE O RAZ.. SOC: GARZA QUINTERO GERARDO 1 ARTICULO 81 DE LA LEY ADUABAERA: PATENTE O
AUTORIZACION
RFC: GAQG610403QC2 CURP: GAQG610403HTSRNR0600
3266

NUMERO DE SERIE DEL CETRIFICADO: 00001000000100050924


FIRMA ELECTRONICA AVANZADA
1HtisXabvVP6FupPOJT5PX6zGy5jiRGwkY1DJeMbttrXyLToC4EnzboZV0M4ZwEHZHbUDL82akETZ5LmcO3LoMN/89zrAGnphqRAmz9KG17uIJqeprQNCdDT
INsJw93txj52pQ05vo9130mz+aNjDuDEat8G5BG8FdYQUp3pwc= Anexo 22

2a. COPIA: IMPORTACION Destino/Origen: INTERIOR DEL PAIS

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