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efta-efta00600366DOJ Data Set 9Other

`PieAse

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DOJ Data Set 9
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efta-efta00600366
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EFTA Disclosure
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`PieAse LA-le SA . Jahkes y t_LC \—\tAv1 .5 Re c ot. a 0 "c'W N„,t) G. •V v. N.a Q-kiLks Pict- k) • to C12-Owt-ei S: e vAbk-k Pt t.i- P stiippl,,) 6_ -1[1-1 e tivt4E Pt, 4,- cr.fiv4-t..--ri ms L ock E 7‘co ~k1 10 egcnr- Powvt. cF tk-r-rop.o eAk--Af, 0 aumsi • `x14-4u-F ttkv( otp,Dm-th PLek . 4V ) 3 bk't Tittiv s Pet S ()KW Old L - \C 'I 0 r eq. k.,) (Li-rid pt-r To um:- LIJE4 Ff-1 M I /FPII IMEJ VST sttVf\et, EFTA00600366 kfiN): cvbi-k`) oQ,(-\ EFTA00600367 EXPORT POWER OF ATTORNEY PLEASE FILL OUTCOMPLETELY& LEGIBLY DATE: 7- I .L2_ 03 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: YEAR MAKE MODEL COLOR BODY Zoo Fob -RINK 'IDENTIFICATION NUMER and to do all things necessary to emir comp Section 192 of the Customs .A.ns. wwk-re E\/ T1ILE NUMBER with all requirements pursuant to S Lt-C Owner's Name (type or print clearly) ; Signature Of Co-Owner Co-Owner's Name (type or print clearly) (OtOO Keb kkt 0 c(- -k-\t'neCIS t3 C liktMkS , \it C.; 0 ?- Home Address Of Owner City/State/Couotty Zip Phone Number of Owner: (MO 11 1O State of County of y Sworn to and subscribed to me this 2.3.— day of / 2"42€4,--/Lc., Cast; Produced Identification Type o •entification Prothrea Si Of Notary Public (Notary Seal) Personally known HARRY I. BELLER Notary Public, State of New York No. 018E4853924 Qualified in Rockland County 66 Commission Expires Feb. 17, 20_ EFTA00600368 t4 BUYERS'Gis.GUIDE ••••••• IMPORTANT: Spoken promises are difficult to enforce,: this f AL \ .0 a 3 t i ( ( : ^ 3 01.4101 ST N NUMBER (Option•l) WARRANTIES FOR THIS VEHICLE: .fift.clealer to put all promises in writing. Keep .•• •• 1.1.1 arThaacit 3142 NN NUMSEA \(, 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. SYSTEIro C NOVERED: 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 a) t 014PP,%'S'.;a Ji1 iks 4r; YEAR MODEL t MAKE LICENSE PU17E/CF 4 714 PPY7P MOTORCYCLE ENGINE I SECTION 2: Bill of Sale NVe NOTE-RING. INC. (PRINT SELLER'S NAMEISH 1.:1 10 to (PRINT BUYERS NAMEISg II this was a gift, indicate relationship: _ on sell, transfer, and deliver the above vehiclelvessel MO DAY YR for the amount of _ _ (pp, parents, spouse, friend, etc.) ...C.V. (SELLING PRICE) 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 K 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 2.., * LITTLE ST. JAMES, LLC DATE 12- 1543 OL in OR DEALER s mi l l i X g PRINT NAME SIGNATURE A DATE OL. ID OR DEALER I 1 1 1 1 1 1 1 PAINT NAME SIGNATURE X DATE IL ID OR DEALER 0 I I I I I I I HARING ADDRESS CITY STATE 6100 RED HOOK OUATERS B-3 ST THOMAS, VI 00802 DAYTIME PHONE I 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 COVE MOTORING. INC. SIGNATURE X DATE 12- 1543 DL ID OR DEALER I 1 .3 .1 t9 If t I I $ m PRINT NAME a SIGNATURE DATE DL. ID OR DEALER s 1 1 1 1 1 1 1 PRINT NAME SIGNATURE X DATE OL. ID OR DEALERS 1 1 1 1 1 1 1 WAILING ADDRESS WY STATE VP IL hbf, bUPEALLIIII MVr... LOS1 H MESH, LA '.4e.eic: I DAYTIME PHONE. 94b 654•-bi 5 SECTION 5: Power of Attorney ei /Wo 1_ : :. ILE b I'. JAMES. ,......I. onnnint ;.....0 V F.- PII IVOI i I i J„ ;NFL. (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. LX i Signature requited by parson appointing Power of Attorney 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) i ; 0- ( -i -IA L DATE OPERATED (7.4O./DAY/YR) I ;.-1 - 1 ait0 KIIIMIND MAKE F f bin YEAR Male. ;Ja.M.-- BODY TYPE .=V MOTIVE POWER f-ai.- vAtc• NUMBER OF AXLES ::4 MADER MOW VENCLE IDENTIFICATM NUMBER I 1:14.4...,:q.).1.'.•.k)"•,A 1 in....412... MC ENGiNE NUMBER OR ADDITIONµ CENTIRCA11011 NUMBER 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 (I) LItILE 61” 14mES LLC DRIVER UCENSFACI CARD NO, AND CAST MIST ODRA OR (2) DRIVER LM1ENSEA0 CARD NO. UUSWCSS OR RESIDENCE ADDRESS 6100 RED HOOK °DRIERS 0-3 APT. NUMBER CITY ST THOMAS STATE VI IP CODE paae2 Z. CODE AMILINO ADDRESS-IFDIFFERENT FROMM/OW OR LOCARON (FOR TRAILER ODACTVVESSEL) APT. NUMBER CITY STATE DEALERS NAME COVE MOTORING. INC. BY ADDRESS 1 666 SUPERIOR AVE CITY COSTA MESA CA 92627 DEALERS M/MBER 13194 SALESPERSONS NUMBER SIGNATURE OF PuRCHASE 7 RIEJ- / ...• • • .': • ' •. 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. 1(2) X REMINDERS TO PERSONS PREPARING THIS REPORT REG SI (REV 4441 — DMV copy — &I S iat; OCiz USED VEHICLE DEALER NOTICE/TEMPORARY IDENTIFICATION (Must be affixed to the vehicle before delivery to the purchaser) 28201173 MAKE FORD DATE SOLD (MO.OA YAW/ 12-15-03 P TO: PRINT TRUE FULL RAMIS) YEAR MODEL SIC 800Y TYPE EV WHOLE MENTIFICA1100 NUMBER 1FASPP2120111463 MAURO RUMBEFI SALESPERSON'S NUMBER 13194 t ST. 311".Y..;i:S, LLC BUSINESS OR RESIDENCE ADDRESS (2) APT. NUMBER CITY STATE ZIP CODE :61:1) HCialti k' nil(); NOTE: UPON TRANSFER OR SALE, DEALER onn,r-inD IMPORTANT! ENTER BOTH DEALERS AND SALESPERSON'S NUMBERS This MUST ENTER ODOMETER READING HERE. 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 Deale iber Contract Number R.O.S. Number Stock Number Buyer (and Co-Buyer) Name and Address (Including County and Zip Code) LITTLE 6 Y., JAMES, LLL 6100 REP, HOOK SURTERS 6T. LiLatA6, VI 03800. Creditor • Seller (Name and Address) i NG, ;IC. 1666 SUPERIOR Rya. CUS1 MESA, CA SEES:7 You, the Buyer (and CcnBuyet d any), may buy the vehicle below for cash a on credit. By signing INS contract you Cheese to buy the vehicle on credit under the agreements on the front and back of this contract. Y0u agree to pay he Creditor - Seller (sometimes 'we" or sus' m this contract) the Amount Financed and Finance Charge according to the payment schedule below. We will figure your finance charge on a daily basis. The Truth-In Lending Disclosures below are part of this contract. New Used Year Make and Model Odometer Vehicle Identification Number Primary Use For Which Purchased •Jr..c.r.• ., n personal, family or household 11 business 0 agricultural FEDERAL TRUTH-IN-LENDING DISCLOSURES ANNUAL PERCENTAGE RATE The cost of your credit as a yearly rate. 0. Y1 % FINANCE CHARGE The dollar amount the credit will cost you. $. ivy) (c) Amount Financed The amount of credit provided to you or on your behalf. $ 54ae. 1Ze Total of Payment* The amount you will have paid after you have made all payments as scheduled. $ 64th. i?,•21(e) Total Sale Price The total cost of your purchase on credit, including your down payment of s • "- is $ 4044. d0(e) YOU° PAYMENT SCHEDULE WILL BE: (e means an estimate alter of Payments: Amount of Payments: When Payments Are Due: One Payment of One Pawned of 14; ii Payments N/ H Monthly, Beginning One Final Payment 6400.00 le) 12-12-03 late Charge. a pared is oil received in he within 10 din alter it is tie, you we payable charged 5% of he part ol the payme gut isle Prepayment. II you pay off le your debt ealy. you may be charged a mininum Ina-ce dame, Security Interest. You are gimp au:sway Menasha the vehde berg pun:rased. Additional Infemiston: See this coed for more nforrnalion includes information alma nonsaymert dead, my naked recayrned in IS beide the sehedukd dale, MeMuM finance dues, and security merest ITEMIZATION OF THE AMOUNT FINANCED 1. Total Cash Price A. Cash Price or Motor Vehicle and Accessories I. Cash Price Vehicle $ B•A 2. Cash Price Arressones $ _WO B Document Preparation Foe (not a governmental lee) C. Sae Fee Paid to Seler D. Sales Tax (on A + B • C) E. (Coesnal) EP ANeaVelies Rom of Sale or Rennet Traasamcn Fee $ F. (Optional) Senice Contract' G. Prior Credit or tease Balance pad by Seller to (see downpayment arid trade-incalculation) H. (Optional) Gap Contract (to whom paid)* 1. Other Go whom paid)* E41211;.7. lat2 (A) N/A N/A M 1A (6) (C) (E) (F) N (A) er $ in For Total Cash Price (A through I) 2. Amounts Paid to Public Officials A. License Fees B. Registration/Transfer/Titling Fees C. California Tire Fees' a Other E. Other Total Official Fees (A through E) (A) al /O 03) $ en: (C) hue (D) (E) (2) STATEMENT OF INSURANCE NOTICE No person is required as a o:goiti:n d finance the ourdese of amolor vehde to rxrchasecr negotiate any instrance thrash a pater neurame coesaY. aged or broker. Vehicle Insurance Term Premium S 4/3 Ded.C.empi, Fife &Theft Mos S NIA VA le $ 'NIC $ (bd.Wien _ . Badly Injury S Limits Ms $ NIA __LUL Papery Oswego $ %/8 Limits_Mot. S "I Medal We Mot $ Will • 'S Mos $ ift° TotalWade kisurarce Penn $ `I nt UNLESS A CHARGE IS INCLUDED el THIS AGREEMENT FOR RMUC UABILITY OR PROPERTY DAME INSURACE, PAYMENT FOR SUCH COVERAGE IS NOT PROMED BY 111IS AGREEMENT. You may buy the phyacal damage insurance this coned rectums (see back) from anyone you choose who is accept- able to us. You are not required to buy any other insurance to obtain delis. sum X CO-Buyer 2 Seller X COVE MOTORINS, INC,. II We reserace is deeded Ware pages a aeries km the named insurance careanes vall dame the leans arecondom Application for Optional Credit Insurance 0 Credit Life: El Buyer El Coarier 0 Both El Credit Disabety (Buyer Only) Term Exp. Premium Credit Lite Mos. $ Nig _ Credit Disability Mos $ N`1' Total Cleat Insurance Premiums $ INII 4 lb) Insurance Company Name Home Office Address Credit life insurance and credit disability menace are not required to obtain credit. They we not be prowled unless you sign and agree to pay the extra cost. Credit the insur- ance is based on your original payment schedule. This insurance may not pay all you owe on this contract d you make late payments. Crock disability insurance does not cover any increase in your payment cr in the number el payments. Coverage for credit life insurance arid credit disability insurance ends on the original due dale for the last payment unless a different term for the insurance is sheen above. You are applying for the credit insurance marked above. Your signature below means that you agree that (1) You are not eligible for insurance if you have reached your 65th birthday. (2) You are *legible for disability is............... ..k. ir ,,,... cm, wortrinn fnr warmo F EFTA00600372 Mal Odom VIE B less Prior Crock or Lease Balance C. Net Tradein (A less B) Ondcate if a negative numbed n Deferred Dow payment Manufacturers Rebate F. Other G. Cash Total Downpayment (C through GI (It regalre. enter zero on Me 6 and net to amoral less than zero as a poseke abler mine 16 above 7. Amount Financed (5 less 6) 'Seder may keep part of these amounts. (Ai Wig $ ON $ to ril ICI $ sera ID) $ I. r A (E) $ l'k. • A _(F) $ fu /C. (G) $ . dG (6) 6.1/10. 00 (7) SEUERASSISIEDLOAN BUYER MAY BE WOWED TO RIDGE SEVER FOR NE LOAN, MC Will BE OBUGATE FOR THE INSTALLIEW PATIENTS ON 80111186 RETk1 INSTALLIEW SALE CONMACTMOTHE WAX Proceeds of loan From' Amount S N/A Finance Charge $ NIA Total S N/A Payable in N/A inslaVments of S N/A s N/A from Ibis Loan is sham in item 60 AUTO BROKER FEE DISCLOSURE If this contract reflects the retail sale of a new motor vehicle, the sale Is not subject to a fee received by an autobroker from us unless the following box Is checked: 0 Name of autobroker receiving fee, If applicable: NOTICE OF RESCISSION RIGHTS If Buyer and Co -Buyer sign here, the provisions of the Rescission Rights section on the back giving the Seller the right to rescind if Seller is unable to assign this contract to a financial institution will apply. Buyer X Co-Buyer X DOCTOR OR CHIROPRACTOR IN THE LAST 6 MONTHS (Refer to 'Total Disabilities Not Covered in your policy for details). 12-IN; x Date Buyer Signature X Date Co•Buyer Signature OPTIONAL GAP CONTRACT A gap cortad OS sorcella: bon contract) is nod Hated 10 San credt ate will not be provided udeSS you sign below and agree lo pay the extra cost tl you cheese to by a gap Contracl the cost is shown in Hem IH. See your gap cortract br dela co the prolettiOn it lades. Term lk /A Mos NIC: Name Of Gap Contract Age nee Buyer X OPTIONAL SERVICE CONTRACT You wnf to purchase a service contract wan with the kalowing company for the term shown below to the pce shown n dem IF Company N/A Term N/A Moto N/A Nes Buyer X HOW THIS CONTRACT CAN BE CHANGED. This contract contains the entire agreement between you and us relating to this contract. Any charge to the contract must be in writing and both you and wo must sign it. No oral changes are binding. X X Buyer Initials Co•Buyer Irutiab OPTION: K You pay no finance charge if the Amount Financed, item 7, s paid in full on or More N/A SELLER'S INITIALS THE MINIMUM PUBLIC LIABILffY INSURANCE UNITS PROVIDED IN LAW MUST BE MET BY EVERY PERSON WHO PURCHASES A VEHICLE IF YOU ARE UNSURE WHETHER OR NOT" CURRENT INSURANCE POLICY WILL COVER YOUR NEWLY ACQUIRED VEHICLE IN THE EVENT OF AN ACCIDENTYOU SHOULD CONTACT YOUR INSURANCE AGENT. W. G: YOuw PRESENT POLICY MAY NOT COVER COLLISION DAMAGE OR MAY NOT PROVIDE FOR FULL REPLACEMENT COSTS FOR THE VEHICLE BEING PURCHASEO. IF YOU DO NOT HAVE FULL COVERAGE. SUPPLEMENTAL COVERAGE FOR COLLISION DAMAGE MAY BE AVAILABLE TO YOU THROUGH YOUR INSURANCE AGENT OR THROUGH THE SELLING DEALER. HOWEVER, UNLESS OTHERWISE SPECIFIED, THE COVERAGE YOU OBTAIN THROUGH THE DEALER PROTECTS ONLY THE DEALER. USUALLY UP TO THE AMOUNT OF THE UNPAID BALANCE REMAINING AFTER THE VEHICLE HAS BEEN REPOSSESSED AND SOLD. FOR ADVICE ON FULL COVERAGE PUT WILL PROTECT YOU IN THE EVENT OF LOSS OR DAMAGE TO YOUR VEHICLE, YOU SHOULD CONTACTYOUR INSURANCE AGENT. THE BUYER SHALL SIGN TO ACKNOWLEDGETHAT HE/SHE UNDERSTANDS THESE PUBLIC LIABILITY TERMS AND CONDITIONS. SIS X Representations of Buyer. Seller has retied on the truth and accuracy of the information provided by you in connection with the Trade-In Vehicle. You represent that you have given a true payoff amount on the vehicle traded in. If the payoff amount is more than the amount shown above in item 6.B as "Prior Credt or Lease Balance," you must pay Seller the excess on demand. If the payoff amount is less than the amount shown above in item 6.8 as "Prior Credit or Lease Balance," Seller will refund the difference to you. Buyer X Co-Buyer X Notice to buyer: (1) Do not sign this agreement before you read it or if it contains any blank spaces to be filled in. (2) You are entitled to a completely filled in copy of this agreement. (3) You can prepay the full amount due under this agreement at any time. (4) If you default in the performance of your obligations under this agreement, the vehicle may be repossessed and you may be subject to suit and liability for the unpaid indebtedness evidenced by this agreement. you have a corn Complaints corm of Motor Vehicles, Alter this contras and it Is an unfair Buyer Signature X . ,...,41.:V:41.4 II.' tale, you should try to resolve it with the seller. rnlve practices or methods by the seller may be referred to the city attorney. the district attorney. or an investigator for the Department tie. may not change the financing or payment terms unless you agree in writing to the change. You do not have to agree to any change. -x IM seller to make a unilateral change. Co-8 uyer Signature X Be: I NO COOLING OFF PERIOD California law daei•Eut• vide. fora "coding off" or other cancellation period for vehicle sales. Therefore, you calin))1, 'rel• ibis contract simply because you change your mind, decide the vehicle costs tor:hit:6c yduyiad acquired a different v • r you sign below, you may only r ' this *kid. cement al cause, such as fraud. Buyer signature X Co•Buyers and Other Chimers — A tenet *apeman who is cesportsible br write the entire debt. An other owner is a person advise name s on the mile to the vehicle lot does not have to pay the deb. The co-buyer or other owner knows tat the Creditor has a security interest in the vehicle and consents to the security interest. Other Owner sag naltLre.X Address t . ANC. Setter Signature X 'al Jt' Date.c-: 'Id By YOU ACKNOWLEDGE THAT YOU HAVE READ BOTH SIDES OF THIS CONTRACT BEFORE SIGNING BELOW. YOU ACKNOWLEDGE RECEIPT OF A TRUE AND COM- PLETELY FILLED IN COPY OF THIS CONTRACT AND EVERY OTHER DOCUMENT THAT YOU SIGNED DURING CONTRACT NEGOTIATIONS. Date' z:- I `_k-1 Co-Buyer Signa ure X Date kw- FORM NO. 553-CA dew MOUS Pomo mem *10(0 RnvehL osi timely TOcSout ..msesoyn •41:0311.1106. 'Komi 4015 T4( Plierell &WOES now~rnt EDAM*, AOPLICO ASWIMona AC " — EFTA00600373

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Phone311.1106
Phone4853924
Phone8201173
SWIFT/BICODOMETER
Wire Reftransfer ownership

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