CERTIFICATE OF TITLE FOR A VEHICLE _KEEP IN SAFE es ANY ALTERATION OR ERASURE VOIDS THIS TITLE = anc | 2T1BR30E65C392894 EMPTY WOT. GROSSWWGT. GYR. Page a ~oORY 4D SDN 2718128446 || SALESTAXPAD ODOMETER ——CDATEISSUED ~75..09<*180000* 09/23/22 QOOMETER BRAND PRIOR TTLENO 65404224 Frys shor i en RPESH IESE CHESAPEAKE VA 23322-8620 NO LIENS (Z,_ VOID IF ALTERED (Ss GSH311V 4! GIOA Pes eo ie EP GM BT 36189084 (392894) 00 ee “SEAAL SHEA CLAISEE | Satepocy>PURCHASER MUST SECURE A NEW TITLE, OF SURKIENDER Reassignment Form, Corto No. (applicable) ANY ALTERATIONS OF E*VSURE Wi VOID THB CERTIAGATE OF rue AAO FF MST THEN BE SURRENDERED TO SECURE A REPLACEMENT. Tie Oni 10 GAN HTFIN GO UAVS Gk SALE Dae ‘VevaL REV. (720) re Sie apn at ae leap W rt wi PLE Tranter of onneahip. Fare i The oda asa Halaman O OUND @ "aren ay task in taos cr Impose a ert) ered Cope Buss me Daven Sia At. : or om Zoom [wor is renee oe fs = TOA. Neue NOT ACTUAL Mag (oe cpa) CIN EXCESS fara ins BBL BAS Cle terns] 5 Ynce nrc um nae perc pean wm te aa ong ee He is) Saat Deal) Peg Nam Dealer Nurbor Tearang AION us ey Brooks Bee S414 mw "fe afar certcs a he vile deserbed i hs a was Wanaer ‘and rat Fe odo rag ata onl wm "ler warrants tis conical te expt at ate Tray be sujet toa lan. Se secaonF Tam aware of Gaalers odometer cerictn. Oa ofS Buyers) Prod Name. Buyers) Snare — eee ‘Tern Yon wa ramp tm Sacer vette Ws srt Rs pes esha eertin) Dealers) Sgnaiue Teale) Pinte Name Desi Namie Tearing araaeion ; ieee. Gece merse eine oe itera : a ah nae as ce He Gp cra “Th dal Cries Tal he vehicle Serb le was Wansered he ave bye anda te oso ite iso he Be Sal Wavansscooe of ta enept Pa th ne ea tay be sete ahora [ram aware ofthe dslers adorei ceifeaion, Date of Salo ‘Sele Price lawyers) Prod Name. nea ers) Aacrss sate Zp cose SLOUETEN RESINS] coat oto bot omy ate wont erin eas dort Sasepany CIN EXCESS of Macrae ts (it Tens rt te pica mat seat te tong samo) ‘DEALER ‘REASSIGNMENT "wa —raraeir baa ae nm acorn eco rae) is) Pea Name ‘Dealer hurber Tarang msiaion Tarloyod oo have bye and al he oda ead as tn Gand a Ber "clr warrants coat of io excopt Pat al atime ol anal’ f may be suet ta ton Soe Saco ‘DOES YOUR VEHICLE QUALIFY FOR CAR TAX RELIEF? you can answer YES tary fhe long ues yout cor ei consered by Stl Law shave @ buses use and des NOT cust fr Petsona ProponyTax Plt ls more than 0% ofthe vehce's anual lenge used aso busress expense fr federal Wcore lx Duposes OR rembursed by an epiover? i more than 50% ofthe Seprecaion ansonaed wth the verse doaucted as 2 buose expense for Pedal Income Tax puboRes? TIE he coe othe verse expuneed puesan to Secon 179 othe itral Revere Serica Coue? {ifthe vol te loasd by an navi, dons he leasing company pay th tau wet exrérearent forthe individual? ‘THlevenele's for 0 Persia! Use Business Use” Chock one of he boxes. Soo buss Uso cera above F [UENORS NAME TENOR CODE” DATE OFTEN Fg es ca SREP 2 | VENICLE COLOR: REGISTRATION PERIOD. LJ1VA_LJ@ VRS (2 aeoun)_C19 VAS (69 secon) (Emasions areas no elghe fo 8 YR repeat) INSURANCE CERTIFICATION: A venice mus be sired wih lab coverage whan i fgsaed, and must ronan sured while registered, whether or not is pecans OF the unre mez vac foe mus bo pal Ponales ‘ant 2s equromert. Te caity at check one}. pS Teese oo bs creat ee er pa, okt gh a Tai ural ei ea pgm OLY Tard co buses Vs (1 Ta wort tre era eng ee ed or we nT fv oe onan cova] In Vegi and i wt oman insured whl epstres. ae PLATES ISSUED) POWER OF ATTORNEY FOR NON-RESIDENT(S) AND CORPORATION(S) NOT DOMICILED IN VIRGINIA: Pursvon ote proveons cf Vigra Cade 45.20%, Two apps the Sommason ofthe Beperment ot Mater Veheles of the Conmonneaih of Virgina to be yout ue and wpa aget upon whom al egal een ent patie ny emery map yl 2 ra oe eee oan erat eg at ary pee or oa oma whch sre on Crna sa hav Sara oe eet fee [onan tn Come fa “APPLICATION FOR REGISTRATION PRIVACY NOTICE: The iormato. “Secyiy Numba, equosed i accowanes wih Vigia Code G546 2825 ard 462-008, Ay person wo farses ts Supply te reqrod romain wt be Sania a cerca of ta anor regitraton. Tite ané eatin fecots may be asserted accor ih ue. 2os trough 46.3204, 9 tusnanh, aw enorcoment or auoraod government ores. YO PAPERLITEE heck his boro do ot wart papar ies ou. An cron Conca ot THe woman one We] ONY USE OMY iP appears for overt you wy Geo TG TOR ee Wale whe suri owarn We owomare |B {mh thr ta omer ee coawnet? VES NO. GS Saewarome! ive any of he weno owners on ache Millay duly 6 senza” —OLVES ONO Sete ae en aS TS a EEE EE alt ie aniseed ort be rene aes a Rep a ay a [Bh oy ‘CERTIFICATION OF BUYER SATIRE GF APPLET ote a ONLY ~|rmerees SAC SEGUATY NONGERFEN OF CUSTONER carenepeno LS Naas ae aT RR 7 ony eae ‘STATE a REG FEES | EMAIL ADDRESS OF APPLICANT — err AD A 0 NT ee Pure ees | Soci SECURITY NOMBEREN OR Sforet:aniea0ed 2227556 Sele Cocurent (Sack) uw Fees VENGLE PRNGPVLLY GARHGEDW GY, TORN, COUNTY OR STATE OF en WIM UEN CYES GNO Prot of ASSs iy maton oval § #007 BALI ava 3400 onan weannn sun SMUINDRETO