EFTA00600366.pdf

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N.a vAbk-k Pt t.i- P Q-kiLks Pict- k) • to stiippl,,) 6_ -1[1-1 e tivt4E Pt,4,- ms LE M I /FPII IMEJ ock cr.fiv4-t..--ri 7‘co ~k1 10 egcnr- Powvt. cF tk-r-ro p.o eAk--Af, 0 aumsi • `x14-4 u-F ttkv( otp,Dm-th PLek . 4V ) VST sttVf\et, 3 bk't Tittiv s Pet S ()KW Old L - LIJE4 Ff-1 \C 'I 0 um:- r eq. k.,)(Li-rid pt-r To EFTA00600366 kfiN): cvbi-k`) oQ,(-\ EFTA00600367  EXPORT POWER OF ATTORNEY PLEASE FILL OUTCOMPLETELY& LEGIBLY .L2_ 03 DATE: 7- I I hereby name and appoint Earnestine Fame of Tropical Shipping to be my lawful attorney in fact to act on my behalf, to conduct all transactions necessary with the U.S. Customs Service in the proper exportation of the below stated vehicle, which is described as: MAKE MODEL COLOR BODY YEAR Zoo Fob -RINK wwk-reNUMBER E\/ 'IDENTIFICATION NUMER T1ILE and to do all things necessary to emir comp with all requirements pursuant to Section 192 of the Customs .A.ns. S Lt-C Owner's Name (type or print clearly) ; • Signature Of Co-Owner Co-Owner's Name (type or print clearly) C liktMkS , \it C.; 0 ?- (OtOO Keb kkt 0 (-c -k-\t'neCIS t3 Home Address Of Owner City/State/Couotty Zip Phone Number of Owner: (MO 11 1O County of y State of 1° Cast; Sworn to and subscribed to me this 2.3.— day of / 2"42€4, --/Lc., Produced Identification Personally known Type o •entification Prothrea HARRY I. BELLER Notary Public, State of New York Si Of Notary Public No. 018E4 853924 Qualified in Rockland County 66 Commission Expires Feb. 17, 20_ (Notary Seal) EFTA00600368  t4 BUYERS'GGUIDE is. IMPORTANT: Spoken promises are difficult to enforce,: • ••••••• .fift. clealer to put all promises in writing. Keep .•• •• this f 3 t .0 \ AL a 1.1.1 NN NUMSEA arThaacit 3142 i ( (:^ 3 01.4101 ST N NUMBER (Option•l) WARRANTIES FOR THIS VEHICLE: \(, AS IS NO WARRANTY YOU WILL PAY ALL COSTS FOR ANY REPAIRS. The dealer assumes no responsibtity for any repairs regardless of any oral statements about the vehicle. WARRANTY Ei FULL n LIMITED WARRANTY. The dealer will pay % of the labor and % of the parts for the covered systems that fail during the warranty period. Ask the dealer for a copy of the war- ranty document for a full explanation of warranty coverage, exclusions, and the dealer's repair obligations. Under state law, "implied warranties" may give you even more rights. oC SYSTEIr N OVERED: DURATION: rec Al felt, eaptyl a; Lk;It H SERVICE CONTRACT. A service contract is available at an extra charge on this vehicle. Ask for details as to coverage, deductable, price, and exclusions. If you buy a service contract within 90 days of the time of sale, state law "implied warranties" may give you additional rights. PRE PURCHASE INSPECTION: ASK THE DEALER IF YOU MAY HAVE THIS VEHICLE INSPECTED BY YOUR MECHANIC EITHER ON OR OFF THE LOT. SEE THE BACK OF THIS FORM for important additional information, including a list of some major defects that may occur in used motor vehicles. EFTA00600369  It VEHICLENESSEL TRANSFER AND REASSIGNMENT FORM A Putt Service Agency INSTRUCTIONS ON REVERSE SIDE ALL SIGNATURES MUST BE IN INK PHOTO COPIES NOT ACCEPTED ot Is 'SECTION 1: Vehicle/Vessel Description IDENTIFICATION NUMBER YEAR MODEL t MAKE LICENSE PU17E/CF MOTORCYCLE ENGINE I a) t 014PP,%'S'.;a Ji1iks 4r; 4 714 PPY7P SECTION 2: Bill of Sale NVe NOTE-RING. INC. sell, transfer, and deliver the above vehiclelvessel (PRINT SELLER'S NAMEISH 1 .:1 10 on for the amount of ...C.V. to (PRINT BUYERS NAMEISg MO DAY YR (SELLING PRICE) II this was a gift, indicate relationship: _ _ _ (pp, parents, spouse, friend, etc.) S (GIFT VALUE) SECTION 3: Odometer Disclosure Statement (Void if Mileage Is Altered or Erased) Federal and State Law requ'res that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. The odometer now reads CiFir17. (no tenths) miles, and to the best of my knowledge reflects the actual mileage unless one of the lonittments is checked. WARNING SWEETER DISCREPANCY ❑ Odometer reading is NOT the actual mileage 0 Mileage exceeds the odometer mechanical limits Explain odometer discrepancy: SECTION 4: Buyer and Seller (MUST print Hipp(. :rkifsiti, date and sign this section.) I acknowledge the odometer reading and thikrxt .isknster. I certify under penalty or perjury under me mews of the State of California that the information Lb fpwrIed is e and COMP . • PRINT NAME DATE OL in OR DEALER s *2.., LITTLE ST. JAMES, LLC X 12- 1543 mi l l i g PRINT NAME SIGNATURE DATE OL. ID OR DEALER I A 1 1 1 1 1 1 1 PAINT NAME SIGNATURE DATE IL ID OR DEALER 0 X I I I I I I I HARING ADDRESS CITY STATE DAYTIME PHONE I 6100 RED HOOK OUATERS B-3 ST THOMAS, VI 00802 212 b91-6414 SELLER I certify under penalty of perjury under the laws of the State of California that the information I have provided is true and correct. PRINT NAME SIGNATURE DATE DL ID OR DEALER I COVE MOTORING. INC. X 12 - 1543 1 .3 .1 t9 If t I I $ m PRINT NAME SIGNATURE DATE DL. ID OR DEALER s a 1 1 1 1 1 1 1 PRINT NAME SIGNATURE DATE OL. ID OR DEALERS X 1 1 1 1 1 1 1 WAILING ADDRESS WY STATE VP DAYTIME PHONE. IL hbf, bUPEALLIIII MVr... LOS1H MESH, LA '.4e.eic: I 94b 654•-bi 5 SECTION 5: Power of Attorney ei IVOIi I i J„ ;NFL. /Wo 1_ : :. ILE b I'. JAMES. ,......I. onnnint ;.....0 V F.- PII (PRINT NAME(S)) (PRINT NAME'S]) 15, .s my attorney in fact, to complete al necessary documents, as needed, to transfer ownership as required by law. i Signature requited by parson appointing Power of Attorney LX DATE it X 1 C.— I 5 —Q.1 i Signature required by person appointing Power of Attorney DATE REG 262 (REV 8/20:01 EFTA00600370  ✓sr Nif A Public Service Agency REPORT OF SALE-USED VEHICLE 28201173 SOW (MOVAWYR) DATE OPERATED (7.4O./DAY/YR) KIIIMIND i ; 0- ( -i -IA L I ;.-1 - 1 ait0 MAKE YEARMale. BODY TYPE MOTIVE POWER NUMBER OF AXLES MADER MOW Ffbin ;Ja.M.-- .=V f -ai.- vAtc• ::4 VENCLE IDENTIFICATM NUMBER MC ENGiNE NUMBER OR ADDITIONµ CENTIRCA11011NUMBER I 1:14.4...,:q.).1.'.•.k)"•, A 1 in....412... LAST REGISTERED IN STATE OF YEAR REGISTERED UCENSE MMBER COUNTY OF RESIDENCE IF RELIVED JUNK OR SALVAGE-DISMANTLER NOTICE OF ACQUISITION NUMBER SOLO TO: PRINT TRUE FULL NAME AS TT APPEARS ON THE DRIVER LICENSE OR ID CARD IN THE ORDER SHOWN BELOW DRIVER UCENSFACI CARD NO, (I) LItILE 61” 14mES LLC CAST MIST ODRA DRIVER LM1ENSEA0 CARD NO. AND OR (2) UUSWCSS OR RESIDENCE ADDRESS APT. NUMBER CITY STATE IP CODE 6100 RED HOOK °DRIERS 0-3 ST THOMAS VI paae2 AMILINO ADDRESS-IFDIFFERENT FROMM/OW OR LOCARON (FOR TRAILER ODACTVVESSEL) APT. NUMBER CITY STATE Z. CODE DEALERS NAME BY COVE MOTORING. INC. ADDRESS CITY 1 666 SUPERIOR AVE COSTA MESA CA 92627 DEALERS M/MBER SALESPERSONS NUMBER 13194 SIGNATURE OF PuRCHASE 7 RIEJ- 1(2) X / REMINDERS TO PERSONS PREPARING THIS REPORT ...• • • .': • ' •• •. these reports in numerical sequence. '2. Do not forget to have purchaser sign Report of Sale. 3. Make sure Temporary Identification copy is affixed to vehicle before delivery. 4. When necessary to void a report, refer to instructions enclosed in the Report of Sale package. REG SI (REV 4441 — DMV copy — iat; OCiz S &I USED VEHICLE DEALER NOTICE/TEMPORARY IDENTIFICATION (Must be affixed to the vehicle before delivery to the purchaser) 28201173 MAKE YEAR MODEL 800Y TYPE WHOLE MENTIFICA1100 NUMBER FORD SIC EV 1FASPP2120111463 DATE SOLD (MO.OA YAW/ MAURO RUMBEFI SALESPERSON'S NUMBER 12-15-03 13194 P TO: PRINT TRUE FULL RAMIS) t ST. 311".Y..;i:S, LLC (2) BUSINESS OR RESIDENCE ADDRESS APT. NUMBER CITY STATE ZIP CODE :61:1) HCialti NOTE: UPON TRANSFER OR SALE, DEALER MUST ENTER ODOMETER READING HERE. onn,r-inD k' IMPORTANT! ENTER BOTH DEALERS AND SALESPERSON'S NUMBERS This nil() ; is a viola of purchase of vehicle. Do not use as an application to regstration or Me. LEO SI (REV EFTA00600371  Ptg. 6/03 RETAIL INSTALLMENT SALE CONTRACT SIMPLE INTEREST FINANCE CHARGE R.O.S. Number Stock Number Deale iber Contract Number ng County and Zip Code) Creditor • Seller (Name and Address) Buyer (and Co-Buyer) Name and Address (Includi i NG, ;IC. LITTLE 6 Y., JAMES, LLL 1666 SUPERIOR Rya. 6100 REP, HOOK SURTERS CUS1 MESA, CA SEES:7 6T. LiLatA6, VI 03800. contract you Cheese to buy the vehicle on credit under the the vehicle below for cash a on credit. By signing INS or You, the Buyer (and CcnBuyet d any), may buy sus' m this contract) the Amount Financed and Finance ents on the front and back of this contrac t. Y0u agree to pay he Creditor - Seller (sometimes 'we" Disclosures below are part of this contract. agreem your finance charge on a daily basis. The Truth-In Lending Charge according to the payment schedule below. We will figure New Make Primary Use For Which Purchased F and Model Odometer Vehicle Identification Number Year Used n personal, family or household 11 business •Jr..c.r.• ., 0 agricultural STATEMENT OF INSURANCE FEDERAL TRUTH-IN-LENDING DISCLOSURES NOTICE No person is required as a o:goiti:n d finance the Total of Total Sale ourdese of amolor vehde to rxrchasecr negotiate any instrance ANNUAL FINANCE Amount thrash a pater neurame coesaY. aged or broker. Financed Payment* Price PERCENTAGE CHARGE The total cost of Vehicle Insurance The dollar The amount of The amount you Term Premium RATE your purchase on amount the credit provided will have paid after The cost of you have made all credit, including Ded.C.em pi, Fife &Theft Mos S NIA your credit as credit will to you or S 4/3 on your behalf. payments as your down VA . le $ 'NIC a yearly rate. cost you. payment of $ • (bd.W ien _ scheduled. • "- is Badly Injury S __LUL Limits Ms $ NIA s 54ae. 1Ze $ 64th. i?,•21(e) $ 4044. d0(e) Papery Oswego $ %/8 Limits_Mot. S "I 0. Y1 % $. ivy) (c) $ We Mot $ Will (e means an estimate Medal • 'S Mos $ ift° YOU° PAYMENT SCHEDULE WILL BE: $ nt `I Amount of Payments: When Payments Are Due: TotalWade kisurarce Penn alter of Payments: UNLESS A CHARGE IS INCLUDED el THIS AGREEMENT FOR One Payment of One Pawned of 14; ii BY RMUC UABILITY OR PROPERTY DAME INSURACE, PAYMENT FOR SUCH COVERAGE IS NOT PROMED 111IS AGREEMENT. N/ H Monthly, Beginning You may buy the phyacal damage insurance this coned Payments 6400 .00 le) 12-12-03 rectums (see back) from anyone you choose who is accept- One Final Payment it is tie, you we payable charged 5% of he part ol the able to us. You are not required to buy any other insurance late Charge. a pared is oil received in he within 10 din alter to obtain delis. payme gut isle a mininum Ina-ce dame, Prepayment. II you pay off le your debt ealy. you may be charged sum X berg pun:rased. Security Interest. You are gimp au:sway Menasha the vehde Additional Infemiston: See this coed for more nforrnalio n includes information alma nonsaymert dead, my naked CO-Buyer 2 finance dues, and security merest MOTORINS, INC,. recayrned in IS beide the sehedukd dale, MeMuM Seller X COVE II We reserace is deeded Ware pages a aeries km the ITEMIZATION OF THE AMOUNT FINANCED named insurance careanes vall dame the leans arecondom 1. Total Cash Price E41211;.7. lat2 (A) Application for Optional Credit Insurance A. Cash Price or Motor Vehicle and Accessories B•A 0 Credit Life: El Buyer El Coarier 0 Both $ I. Cash Price Vehicle El Credit Disabety (Buyer Only) _WO 2. Cash Price Arressones $ Premium N/A (6) Term Exp. B Document Preparation Foe (not a governm ental lee) N/A Credit Lite Mos. _ $ Nig (C) N`1' C. Sae Fee Paid to Seler M 1A Credit Disability Mos $ D. Sales Tax (on A + B • C) Total Cleat Insurance Premiums $ INII 4 lb) n Fee $ (E) E. (Coesnal) EPANeaVelies Rom of Sale or Rennet Traasamc Insurance Company Name (F) F. (Optional) Senice Contract' G. Prior Credit or tease Balance pad by Seller to N (A) Home Office Address (see downpayment arid trade-incalculation) er Credit life insurance and credit disability menace are not H. (Optional) Gap Contract (to whom paid)* required to obtain credit. They we not be prowled unless $ in you sign and agree to pay the extra cost. Credit the insur- 1. Other Go whom paid)* ance is based on your original payment schedule. This For insurance may not pay all you owe on this contract d you make late payments. Crock disability insurance does not Total Cash Price (A through I) cover any increase in your payment cr in the number el 2. Amounts Paid to Public Officials payments. Coverage for credit life insurance arid credit (A) disability insurance ends on the original due dale for the A. License Fees al /O last payment unless a different term for the insurance is 03) sheen above. B. Registration/Transfer/Titling Fees $ en: (C) You are applying for the credit insurance C. California Tire Fees' hue marked above. Your signature below means (D) a Other that you agree that (1) You are not eligible (E) for insurance if you have reached your 65th E. Other (2) birthday. (2) You are *legible for disability Total Official Fees (A through E) is............... ..k. ir ,,,... cm, wortrinn fnr warmo EFTA00600372  (Ai DOCTOR OR CHIROPRACTOR IN THE Mal Odom LAST 6 MONTHS (Refer to 'Total Disabilities VIE Not Covered in your policy for details). B less Prior Crock or Lease Balance Wig $ ON 12-IN; x C. Net Tradein (A less B) Ondcate if a negative to ril numbed $ ICI Date Buyer Signature Age n Deferred Dow payment sera $ ID) X Manufacturers Rebate I. r A Date Co•Buyer Signature F. Other $ l'k. • A (E) nee $ _(F) OPTIONAL GAP CONTRACT A gap cortad OS G. Cash fu /C. bon contract) is nod Hated 10 San credt ate sorcella: $ (G) will not be Total Downpayment (C through GI provided udeSS you sign below and agree lo pay the extra $ . dG (6) cost tl you cheese to by a gap Contracl the cost is shown (It regalre. enter zero on Me 6 and net to amoral less than zero in Hem IH. See your gap cortract br dela co the prolettiOn as a poseke abler mine 16 above 7. Amount Financed (5 less 6) it lades. 6.1/10. 00 (7) 'Seder may keep part of these amounts. Term lk /A Mos NIC: Name Of Gap Contract Buyer X SEUERASSISIEDLOAN BUYER MAY BE WOWED TO RIDGE SEVER FOR NE LOAN, MC AUTO BROKER FEE DISCLOSURE OPTIONAL SERVICE CONTRACT You wnf to purchase Will BE OBUGATE FOR THE INSTALLIEW PATIENTS ON 80111186 If this contract reflects the retail sale of a RETk1INSTALLIEW SALE CONMACTMOTHE WAX a service contract wan with the kalowing company for new motor vehicle, the sale Is not subject the term shown below to the pce shown n dem IF to a fee received by an autobroker from us Company N/A Proceeds of loan From' unless the following box Is checked: Term N/A Moto N/A Amount S N/A Finance Charge $ NIA Nes Total S N/A Payable in N/A 0 Name of autobroker receiving fee, If Buyer X inslaVments of S N/A s N/A applicable: HOW THIS CONTRACT CAN BE CHANGED. from Ibis Loan is sham in item 60 This contract contains the entire agreement between you and us relating to this contract. Any NOTICE OF RESCISSION RIGHTS charge to the contract must be in writing and both If Buyer and Co -Buyer sign here, the provisions of the Rescission Rights you and wo must sign it. No oral changes are the back giving the Seller the right to rescind if Seller is section on binding. to a financial institution will apply. unable to assign this contract X X Buyer X Co-Buyer X Buyer Initials Co•Buyer Irutiab OPTION: ❑ You pay no finance charge if the Amount Financed, item 7, s paid in full on or More N/A THE MINIMUM PUBLIC LIABILffY INSURANCE UNITS PROVIDE SELLER'S INITIALS NOT" CURRENT INSURANCE POLICY WILL COVER YOUR NEWLYD ACQUIRE IN LAW MUST BE MET BY EVERY PERSON WHO PURCHASES A VEHICLE IF YOU ARE UNSURE WHETHER OR W. G: D VEHICLE IN THE EVENT OF AN ACCIDENTYOU SHOULD CONTAC T YOUR INSURANCE AGENT. YOuw PRESENT POLICY MAY NOT COVER COLLISION DAMAGE NOT HAVE FULL COVERAGE. SUPPLEMENTAL COVERA FOR COLLISI OR MAY NOT PROVIDE FOR FULL REPLACEMENT COSTS FOR THE VEHICLE BEING PURCHASEO. IF YOU DO DEALER. HOWEVER, UNLESS OTHERWISE SPECIFIED, GE ON DAMAGE MAY BE AVAILABLE TO YOU THROUG THE COVERAGE YOU OBTAIN THROUGH THE DEALER PROTEC H YOUR INSURANCE AGENT OR THROUGH THE SELLING THE UNPAID BALANCE REMAINING AFTER THE VEHICLE HAS BEEN TS ONLY THE DEALER. USUALLY UP TO THE AMOUNT OF FOR ADVICE ON FULL COVERAGE PUT WILL PROTECT YOU IN THE REPOSSESSED AND SOLD. THE BUYER SHALL SIGN TO ACKNOWLEDGETHAT HE/SHE UNDERS EVENT OF LOSS OR DAMAGE TO YOUR VEHICLE, YOU SHOULD TANDS THESE PUBLIC LIABILITY TERMS AND CONDITIONS. CONTACTYOUR INSURANCE AGENT. SIS X Representations of Buyer. Seller has retied on the truth and You represent that you have given a true payoff amount on the accuracy of the information provided by you in connection with the Trade-In Vehicle. 6.B as "Prior Credt or Lease Balance," you must vehicle traded in. If the payoff amount is more than the amount shown above in item item 6.8 as "Prior Credit or Lease Balance," Seller willpay Seller the excess on demand. If the payoff amoun refund the difference to you. t is less than the amount shown above in Buyer X Co-Buyer X Notice to buyer: (1) Do not sign this agreement before you read it or if it contain in copy of this agreement. (3) You can prepay the full amoun s any blank spaces to be filled in. (2) You are entitled to a completely filled of your obligations under this agreement, the vehicle may be t due under this agreement at any time. (4) If you default in indebtedness evidenced by this agreement. repossessed and you may be subject to suit and liabilitythe performance for the unpaid you have a corn ,...,41.:V:41.4 II. ' tale, you should try to resolve it with the seller. Complaints corm rnlve practices or methods by the seller may be referred to the of Motor Vehicles, city attorney . the district attorney. or an investigator for the Department Alter this contras tie. may not change the financing or payment terms unless and it Is an unfair ■ - x IM seller to make a unilateral change. you agree in writing to the change. You do not have to agree to any change. Buyer Signature X . Co-8 uyer Signature X Be: I NO COOLING OFF PERIOD California law daei•Eut• vide. fora "coding off" or other cancellation period YOU ACKNOWLEDGE THAT YOU HAVE READ SIDES OF THIS CONTRACT BEFORE SIGNING BELOWBOTH Therefore, you calin))1, for vehicle sales. . 'rel• ibis contract simply because you change your mind, decide the YOU ACKNOWLEDGE RECEIPT OF A TRUE AND COM- vehicle costs tor:hit:6c yduyiad acquired a different v • r you sign below, you may PLETELY FILLED IN COPY OF THIS CONTRACT AND EVERY only r ' this *kid. cement al cause, such as fraud. OTHER DOCUMENT THAT YOU SIGNED DURING CONTRACT `_k NEGOTIATIONS. Buyer signature X Date' z:- I -1 Co-Buyer Signa ure X Date Co•Buyers and Other Chimers — A tenet *apeman who is cesportsi does not have to pay the deb. The co-buyer or other owner ble br write the entire debt. An other owner is a person advise knows tat the Creditor has a security interest in the vehicle and consents name s on the mile to the vehicle lot to the security interest. Other Owner sagnaltLre.X Address Setter Signature X 'alJt' t . ANC. Date.c -: 'Id By kw- FORM NO. 553-CA dew MOUS Pomo mem *10(0 RnvehL osi timely TOcSout ..mseso T4( Plierell &WOES now~rnt EDAM*, yn •41:0311.1106. 'Komi 4015 AOPLICO ASWIMona AC " — EFTA00600373