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VEHICLE IDENTIFICATION NUMBER YEAR MODEL MAKE OF VEHICLE BODY STYLE
X
SIGNATURE OF OWNER OR AGENT MUST BE IN INK
BY
AUTHORIZED AGENT
DATE OF LIEN 2ND LIENHOLDER
BY
AUTHORIZED AGENT
DATE OF LIEN 3RD LIENHOLDER
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 certies 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:
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
The undersigned hereby certies 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
The undersigned hereby certies 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
The undersigned hereby certies 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
TOTAL 20848
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