Case File
efta-efta00600366DOJ Data Set 9Other`PieAse
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00600366
Pages
8
Persons
0
Integrity
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EFTA00600366
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EFTA00600367
EXPORT POWER OF ATTORNEY
PLEASE FILL OUTCOMPLETELY& LEGIBLY
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
1°
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
Technical Artifacts (5)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
311.1106Phone
4853924Phone
8201173SWIFT/BIC
ODOMETERWire Ref
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