5TFUYSF11EX398406
5TFUYSF11EX398406
5TFUYSF11EX398406
Seller:
t -·
Document evidences transfer of title from seller to Member. Member agrees vehicle is sold "AS IS WHERE IS" with no warranties.
Sale is final. Transporter acknowledges it is agent of Member and assumes responsibility for ensuring vehicle is loaded and secured
for transport in compliance with law, and shall defend and indemnify Copart from any claim, damage, or loss related to loading and
securing of vehicle or transportation from Copart's premises. Copart is not a co-signer.
Released to (Signature):
Piige 1 ofl
-. 73467554
14 TOYT • @ 73467554
TUNDRA DOU S/lVR "' SDOG
PH: 23 - PR: 23 ~ 398406
•
Copart Title Express "' US/I
$ Agreement completed.
2024-10-31 -1:06:19 PM GMT
INSTRUCTIONS: In accordance with Section 39 of Public Act 21-106, this form below may only be used as a Special
Power of Attorney to authorize an insurance company or its agent, to make, complete, and/or sign an application for a motor
vehicle registration and/or certificate of title, or other written document, form, or application that is required to be filed with
the Department of Motor Vehicles (DMV). This Special Power of Attorney may only be used in connection with a
transaction involving the motor vehicle registration, or certificate of title, for the motor vehicle identified below for which the
insured has either received, or will receive, a total loss settlement for damage or theft from the Insurance company.
KNOW ALL PERSONS BY THESE PRESENTS, which are intended to constitute a Special Power of Attorney, that I,
_ _ _ _ _ _ _ _ _ _....,.._____Kri_·s_to_fi_er_D
__M_i_lls_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , hereby appoint
(Print full name of the PrincipaV/nsured)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _u;..;S;..;AA.;.;c._IN_S:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , as my attorney-in-fact
(Print the full name of your Agent)
to act In my name, place, and stead, in any way which I myself could do, as if I were personally present, to the full extent
permitted by law, to act as an agent, to make, to complete, and to execute any application, or other written document, or form
that is required to be filed with the Department of Motor Vehicles in connection with the motor vehicle registration, or
certificate of title to the motor vehicle identified below for which I either received, or will receive, as compensation for the total
loss settlement, for damage or theft, from my Insurance company. This Special Power of Attorney is only valid and being
granted for the express purposes stated herein, and may not be used for any other transaction(s) involving any other person
or party.
'°'
1,-,ease
Electronicalr. signed by: Kristofer Mills
Date: Oct 3 , 2024 09:06 EDT
. your name, m. the same manner, as pnnted
sign • above)
734675 54 [!11,,
■ 73467554
14TOYTDOU SILVR ,. ~~
TUNDRA
PH· 23 - PR· 23
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398406
W1 an e ewuumc signature, I agree that the electronic signaturs shall have the same legal effeci, vcmu y, ·auu u ......,.;.,.........,., _______ -· USA
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If s1gmng 'th 1 ~- · ·
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the fullest extent pennitted by Connecticut General statute, Section 1~272.
73467554
14 TOYT ..•~~
@.,~ , 73467554
STATE OF MAINf TUNDRA Dou SILVR ~""fl,~. • sooc
~~~~
VEHICLE lD NUMBER
5TFUY5F11EX398406
NEW / USED
YEAR
2014
MAKE
TOYT
MODEL
TUNDRA
PH: E.._:_PR: 23
BODY
PK
- -
~ -
TITLE NUMBER
16482738
398406
.....~ USA
a: 06/23/2021
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Trtle Date
Interest In this vehicle Is released by:
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Trtle Date
THIS CERTIFICATE IS PRIMA FACIE PROOF OF OWNERSHIP ISSUED IN COMPLIANCE WITH STATE OF MAINE LAW
KEEP IN A SAFE PLACE - NOT IN VEIDCLE
L15879957
73467554
WARNING: Federal and Maine law requires that you state the mileage in connection with a transfer ol ownership. F 14 TOYT
Statement or providing a false statement may result In fines and/or Imprisonment.
ASSIGNMENT OF OWNERSHIP
TUNDRA DOU SILVR
PH: 23 - PR: 23
- - - - - - - - - - - - - - - - -- - ~;~ed
,_p51(2/J
r
h ~ «ate _ __
Date _____ _ _ __
name(s)
Selle(s address ( P R I N T ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Z i p - - - - - - - - -
OWN ON NEW TITLE (If no lien, print NONE)
_ _ _ _ __ _ __ __,,Ue,_....,,,,-_=
1
. ,- - - - - - - - -- or _ _ =-- - - ---===:-:;:""°".;;;;;-;;;;;::;:=::::-=:-----::--:=
certlfy that there was due from _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _....,,
(0eot=""o,'")- - - - - - - - - - - - - - - - - - - -
a valid lien dated _ _ _ _ _ _ _ _ _ on the motor-vehicle described on the face or this certlficate:
(Date ol Lien)
I lurther certify that default having been made in the payment of the loan that:
Check One
0 the debtor volunlarily surrendered the possession of this motor vehicle to the undersigned lienholder on ------.=::s-------
(Date)
0 the undersigned llenholder seized this motor vehicle without process of the law on _ _ _ _ _ _ __ _ _ _ _ _ under authority of the
conditions of the loan contract (Dalo)
The undersigned llenholder further certifies that the vehicle described herein was lawfully repossessed under the terms of the security agreement and In full accord
with pertinent Maine Statutes
(Name ol Lienholder) (Aulhoriled SignallJre)
IMPORTANT NOTES:
1. The lien must be released on the face of the title
THIS AFFIDAVIT MUST BE NOTARIZED
Before me personally appeared, _ _ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _who by being duly sworn
under oath says the statements set forth above are true and correct. Sworn to and subscribed before me at, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Maine this _ _ __ __ _ _____ day of _ _ _ _ _ _ _ _ _ _ _ , 20