621815439A8 CERTIFICATE OF TITLE VEHICLE HISTORY

CA92347518
AUTOMOBILE
YR
VEHICLE NUMBER MODEL MAKE PLATE NUMBER

WAUBGAFC4CN006285 2012 AUDI H82S34

UNLADEN REGISTRATION
BODY TYPE MODEL AX WEIGHT FUEL TRANSFER DATE FEES PAID EXPIRATION DATE

4W G $182 03.04.2024
YR 1ST
SOLD CLASS YR MO EQUIPMT/TRUST NUMBER ISSUEDATE

MOTORCYCLE ENGINE NUMBER

2015 AG 02.20.2022
ODOMETER DATE ODOMETER READING

REGISTERED OWNER(S)

MARIAN FLORIN
CEAUSESCU

3935 32 NORTH STREET

SAN DIEGO CA 92104

I certify (or declare) under penalty of perjury under the laws of the State of California that THE SIGNATURE(S) BELOW RELEASES
INTEREST IN THE VEHICLE.
1a X
DATE SIGNATURE OF REGISTERED OWNER

1b X act
DATE SIGNATURE OF REGISTERED OWNER
Federal and State law requires 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 (no tenths), miles and to the best of my knowledge reflects the actual
mileage unless one of the following statements is checked. Mileage is VOID if altered or erased.

WARNING Odometer reading is not the actual mileage. Mileage exceeds the odometer mechanical limits.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DATE TRANSFER OR SELLER SIGNATURE(S) DATE TRANSFERED BUYER SIGNATURE(S)

X X
PRINTED NAME OF SELLER OR AGENT SIGNING FOR A COMPANY PRINTED NAME OF BUYER OR AGENT SIGNING FOR A COMPANY

IMPORTANT READ CAREFULLY

Any change of Lienholder (holder of security interest must be reported to the Department of Motor Vehicles within
10 days.
LIENHOLDER(S)

2. X
Signature releases interest in vehicle. (Company
names must be countersigned)

Release Date

CA171667913
030720 REG, 17.30RS (REV.02/216)
 APPLICATION FOR TRANSFER BY NEW OWNER (PLEASE PRINT OR TYPE
Any change of registered owner or lienholder must be recorded with the Department of Motor Vehicles (DMV) within ter (10) days. The
title, transfer fee and in most Instances, use tax and a smog certificate must be presented to DMV to record the ownership, change.
3a. TRUE FULL MAME(S) OF NEW REGISTERED OWNER(S) (LAST, FIRST, MODELE) AS IT APPEARS ON DRIVER´S LICENCE OR ID. CARD

(LAST, FIRST, MIDDLE)

3b. AND
N
OR
E
4. STREET ADDRESS OR P.O. BOX NUMBER
W

5. CITY STATE ZIP CODE

R
E
G 6. MAILING ADDRESS STREET OR P.O. BOX NUMBER (DO NOT COMPLETE IF SAME AS RESIDENCE ABOVE)
I
S
7. CITY STATE ZIP CODE
T
E
R
8. FOR TRAILER COACHES ONLY - ADDRESS OR LOCATION WHERE KEPT
E
D
If there is a mailing address entered on this form it is a valid, existing and accurate address. I consent to receive service of process at this
O mailing address pursuant to Code of Civil Procedure Sections 415.20(b), 415.30(a) and 416 90
W
N I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
E SIGNATURE OF NEW REGISTERED OWNER CALIFORNIA DRIVER LICENCE OR ID CARD NO. PURCHASE DATE
9a. DATE
R X
SIGNATURE OF NEW REGISTERED OWNER CALIFORNIA DRIVER LICENCE OR ID CARD NO. PURCHASE PRICE OR IF GIFT, SO STATE
9b. DATE
X
LEASED 10. ADDRESS OF NEW LESSEE IF DIFFERENT FROM LINE 4 ABOVE (WILL NOT BE PRINTED ON TITLE)
VEH.
ONLY

L
11. NAME OF LIENHOLDER - FIRM OR INDIVIDUAL HOLDING SECURITY INTEREST (IF NO LIEN, WRITE "NONE") DO NOT ENTER NAME OF REGISTERED OWNER(S) ABOVE ELECTRONIC LIENHOLDER ID
I ELT#
E
N N 12. STREET ADDRESS OR P.O. BOX NUMBER
E H
W O
L
D 13. CITY
E
R

TITLE REASSIGNMENTS BY LICENSED CALIFORNIA DEALERS

FEDERAL LAW REQUIRESthat you state the mileage upon of ownership. Failure to complete or making a fase statement may result
in fines and / or imprisoment.
I certify under penalty of perjury under the laws of the signature below relases my interest in this vehicle,
acknowledges the odometer mileage recorded by the seller, and certifies that the odometers reading entered above my signature ( in compliance
with federal law) and the oher information entered by me on this document are true and correct.

14. Odometer now reads: (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless
R/S NUMBER
D one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
E I certify (or declare) under penalty of perjury under the laws of the state of california that the foregoing is true and correct.
A DATE SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
L X
E SALES PERSON´S NO.
BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING PRINTED NAME OF BUEYER OR AGENT
R DATE
X
DATE OF AUCTION AUCTION NAME DEALER NUMBER
SOLD THROUGH
T AUCTION IF APPLICABLE
R
A 15. Odometer now reads: (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless
R/S NUMBER
N one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
S I certify (or declare) under penalty of perjury under the laws of the state of california that the foregoing is true and correct.
A SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
DATE
C
T
X
PRINTED NAME OF BUEYER OR AGENT SALES PERSON´S NO.
I DATE BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING
O X
N (no tenths) miles, and to the best of my knowledge reflects the actual mileage of the vehicle unless
16. Odometer now reads: R/S NUMBER
S one of the following statements is checked: WARNING - Mileage is not the actual mileage. exceeds the odometer mechanical limits.
I certify (or declare) under penalty of perjury under the laws of the state of california that the foregoing is true and correct.
SIGNATURE OF AUTHORIZED AGENT PRINTED NAME OF AGENT DEALER NAME DEALER NUMBER
O DATE
N X
L DATE BUYER´S SIGNATURE, ACKNOWLEDGES ODOMETER READING PRINTED NAME OF BUEYER OR AGENT SALES PERSON´S NO.
Y X