Form Cl-0261-9709 - Report Of Sale - Volusia County, Florida

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REPORT OF SALE
IN RE:
Notice of Claim of Lien and Proposed Sale of Vehicle
_____________________________________________________________
(Description of Vehicle, Year, Make, Model, Vin. #)
BY:
__________________________________________________ as Lienor
(Name of Lienor)
STATE OF FLORIDA
COUNTY OF VOLUSIA
BEFORE ME, the undersigned authority, personally appeared _____________________
__________________________ , who being duly sworn, says that:
1.
He/She is the lienor or agency or attorney for lienor or duly authorized corporate officer
or representative of lienor designated in a Notice of Claim of Lien and Proposed Sale of
Vehicle, a true copy of which was heretofore filed with this Court.
2.
On the _____ day of _________________ , 20 ____ , commencing at _______
A.M./P.M., at (address of sale) _____________________________________________ ,
the above-named lienor caused the vehicle described in said Notice of Claim of Lien and
proposed Sale of Vehicle, to wit:
(Year, Make, Model, Vin.#) _________________________________________________
to be sold at public sale at which said vehicle was purchased for the sum of $_________ ,
by:
(Name) ___________________________________________________________
(Address)__________________________________________________________
3.
Lienor herewith deposits with the Clerk of the Circuit Court the sum of $ ____________ ,
which represents all of the proceeds from the sale of the above described vehicle, less the
following amounts retained by lienor pursuant to F.S. 713.585(8):
$_______________
Labor and Service
$_______________
Storage
$_______________
Cost of Publication
$_______________
Other ____________________________________
$_______________
Total amount retained by lienor
4.
No demand or request for hearing pursuant to F.S. 713.585 has been made or filed, and
no such hearing has been held.
5.
This Report of Sale is submitted and filed in compliance with the requirements of F.S.
713.585(8).
______________________________
STATE OF FLORIDA
Signature of Applicant
COUNTY OF VOLUSIA
I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and take acknowledgments, personally appeared
________________________________ , the person(s) described in and who executed the foregoing instrument. Said person(s) ________
is/are personally known to me or _______ provided the following type of identification:___________________________________________ .
WITNESS my hand and official seal in Volusia County, State of Florida, this ____ day of ______________________ , A.D., 20 _______ .
____________________________________________
Notary Signature
CL-0261-9709

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