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Get and Sign Fl Destruction Form
(if applicable)
3
Year
Make
Color
BHP/CC (if applicable)
Body
Weight
Florida Title Number or FL#
TYPE OF TOW
PUBLIC
4
PRIVATE
OWNER / APPLICANT’S CERTIFICATIONS
The Motor Vehicle/Vessel/Mobile Home described above was owned by ________________________________________________,
(Last Registered Owner of Record)
with a recorded lien to ___________________________________________________________________ and has been lawfully sold to
(Registered Lienholder of...
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