LJ

VEHICLE IDENTIFICATION NUMBER

4T1BK1EB8EU121972 4T1BK1EB8EU121972

06 05 4

0

0

I ►

a :1

LL 0

itla

*Ila

nd

O I—

I-

0

N3

31:I

•

0 -11

MASSACHUSETTS DEPARTMENT OF TRANSPORTATION TITLE NUMBER DATE OF ISSUE

12/09/2015 BQ644680 MODEL NO. BODY STYLE/TYPE

NEW/USED

3544

SEDAN • USED MODEL NAME

AVALON MAKE

'rOYT MFRS. MODEL YEAR

2014 CYL. PASS. DRS. PURCHASE DATE ODOMETER READING

2,622 PREY. TITLE NO. PREY. TITLE STATE

II 09/13/2015 2,622 ACTUAL MILEAGE

BN881855 IF PREVIOUS STATE WAS TITLE EXEMPT,

REGISTRATION NUMBER IS DISPLAYED,

MA m 33

THE FIRST LIENHOLDER'S INTEREST IN THE VEHICLE DESCRIBED IN THIS CERTIFICATE IS HEREBY RELEASED

AUTHORIZED SIGNATURE:

NAME:

DATE RELEASED:

RELEASE OF FIRST LIEN:

TITLE TYPE AND BRANDS SALVAGE VEHICLE SALVAGE VEHICLE

REPAIRABLE COLLISION

TITLE MESSAGE(S):

SECOND LIENHOLDER:

RELE INTEREST IN THE VEHICLE

CERTIFICATE IS HEREBY RELEASED NA

MAILING ADDRESS ONLY:

COMMERCE INS CO 2 GOING RD SHIRLEY, MA 01464 -- 2201

OWNER(S) NAME AND ADDRESS:

COMMERCE INS CO 2 GOING RD SHIRLEY, MA 01464-2201

FIRST LIENHOLDER:

TITLE TYPE

THE D

BRAND BRAND

RAND RAND

0

0

C)

0 LL

THE REGISTRAR OF MOTOR VEHICLES HEREBY CERTIFIES THAT AN APPLICATI VEHICLE DESCRIBED HEREIN HAS BEEN DULY FILED, PURSUANT TO THE PROVI MASSACHUSETTS. BASED ON THE STATEMENTS OF THE APPLICANT AND THE REC NAMED IS THE OWNER OF SAID VEHICLE.

TITLE FOR THE MOTOR E COMMONWEALTH OF

GENCY, THE APPLICANT

THE REGISTRAR OF MOTOR VEHICLES FURTHER CERTIFIES THAT THE VEHICLE IS SUBJECT TO ANY SECURITY INTERESTS SHOWN HEREIN.

CL) Erin C. Deveney

Registrar

CONTROL NO. G 5 1 8 5 7 8 0 NOT THE TITLE NUMBER

ALTERATION OR ERASURE VOIDS THIS TITLE. KEEP IN SAFE PLACE

REGISTRY OF MOTOR VEHICLES

ALL SECTIONS ABOME HAVE BEEN COMPLETED AND SIGNED. SIGNING BELOW INDICATES PRINTED NAME(S) OF PURCHASER(S):

YOU ARE AWARE OF THE ODOMETER DISCLOSURE STATEMENT MADE BY THE SELLER(S1 URCHASER(S): DO NOT SIGN BELOW LINT SIGNATURE(S) OF PURCHASER(S): DATE

No Tenths

CAUTION: ONLY CHECK A BOX IF THE ODOMETER READING DIFFERS FROM ACTUAL MILEAGE

1. I hereby certify to the best of my knowledge the odometer reading stated is in excess of its mechanical limits. (The odometer started at zero again.)

No Tenths

DEALER'S LICENSE NUMBER:

I DEALERSHIP NAME AND ADDRESS'

SIGNATURE OF LICENSED DEALER: PRINT NAME :

DATE

DATE. PRINTED NAME(S) OF PURCHASER(S): SIGNATURE(S) OF PURCHASER(S):

The uncle licensed Dealer PRINT NAME OF PURCHASER(S):

certifies that the Ttle to the motor vehicle described on the face of this Certificate of Title was transferred to: PRINT ADDRESS:

ODOMETER DISCLOSURE STATEMENT

"I certify to the best of my knowledge the odometer reading specified hete is the actual mileage of the vehicle, unless one of the following statements is checked:"

CAUTION: ONLY CHECK A BOX IF THE ODOMETER READING DIFFERS FROM ACTUAL MILEAGE

1. I hereby certify to the best of my knowledge the odometer reading stated is in excess of its mechanical limits. (The odometer started at zero again.)

2. I hereby state the odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY

WARNING: liffmassDOT _ Re..s" or Motor Vehicle.

Federal and Massachusetts lam, require that you state the mileage in connection Atn the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

ANY ERASURES, WHITE-OUTS OR CROSS-OUTS WILL VOID THE ASSIGNMENT AND ALL ASSIGNMENTS THAT FOLLOW

ASSIGNMENT OF CERTIFICATE OF TITLE BY OWNER THIS IS TO BE COMPLETED BY THE SELLER and delivered to the Purchaser with the vehicle. If a Non-Dealer sale, purchaser must make application for a new Certificate of

Title on MA form RMV-1, and file it immediately with the Massachusetts RMV and surrender the assigned Title.

I/we hereby assign, transfer, and convey the motor vehicle described on the reverse side of this certificate, for the sale price herein stated, to the following named purchaser, and I/we hereby

warrant the Title to said motor vehicle and that same is free of all liens and encumbrances.

SALE PRICE. $

STREET:

PRI NAME OF PURCHASE S) R

' mk Iota_ VoiA, c\--v \f\C_ CITY STATE

DATE OF SALE:

ZIP:

ODOMETER DISCLOSURE STATEMENT CAUTION: ONLY CHECK A BOX IF THE ODOMETER READING DIFFERS FROM ACTUAL MILEAGE

"I certify to the best of my knowledge the odometer reading specified here is the actual mileage of the vehicle, unless one of the following statements is checked:"

No Tenths

1. I hereby certify to the best of my knowledge the odometer reading stated is in excess of its mechanical limits. (The odometer started at zero again.)

2. I hereby state the odometer reading is not the actual mileage. WARNING-ODOMETER DISCREPANCY

SIGNAT F SELLER(S):

L('./7-4471 PRINTED NAME(S) OF SELLER(S):

Commerce Insurance "TE/zi--

1st RE-ASSIGNMENT BY LICENSED DEALER ONLY The undersigned licensed Dealer he

certifies that the Title to the motor vehicle described on the face of this Certificate of Title was transferred to.

PRINT NAME OF PURCHASER(S). PRINT ADDRESS.

SIGNATURE(S) OF PURCHASER(S): PRINTED NAME(S) OF PURCHASER(S):

DATE :

ODOMETER DISCLOSURE STATEMENT CAUTION: ONLY CHECK A BOX IF THE ODOMETER READING DIFFERS FROM ACTUAL MILEAGE

"I certify to the best of my knowledge the odometer reading specified here is the actual mileage of the vehicle, unless one of the following statements is checked:"

No Tenths

1. I hereby certify to the best of my knowledge the odometer reading stated is in excess of its mechanical limits. (The odometer started at zero again.)

2. I hereby state the odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY

DEALER'S LICENSE NUMBER: DEALERSHIP NAME AND ADDRESS:

SIGNATURE OF LICENSED DEALER: PRINT NAME

DATE

2nd RE-ASSIGNMENT BY LICENSED DEALER ONLY The undersigned licensed Dealer hereby certifies that the Title to the motor vehicle described on the face of this Certificate of Title was transferred to:

PRINT NAME OF PURCHASER(S): PRINT ADDRESS:

SIGNATURE(S) OF PURCHASER(S): PRINTED NAME(S) OF PURCHASER(S):

DATE

ODOMETER DISCLOSURE STATEMENT

"I certify to the best of my knowledge the odometer reading specified here is the actual mileage of the vehicle, unless one of the following statements is checked:"

2. I hereby state the odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY

DEALERSHIP NAME AND ADDRESS

PRINT NAME DATE:

DEALER'S LICENSE NUMBER:

SIGNATURE OF LICENSED DEALER:

3rd RE-ASSIGNMENT BY LICENSED DEALER ONLY