Form HSMV82109 "Application for Retirement of a Mobile Home Certificate of Title" - Florida

What Is Form HSMV82109?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2011;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HSMV82109 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV82109 "Application for Retirement of a Mobile Home Certificate of Title" - Florida

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
Neil Kirkman Building - Tallahassee, FL 32399
APPLICATION FOR RETIREMENT OF A
MOBILE HOME CERTIFICATE OF TITLE
This is to certify that I, _____________________________________, am
(Printed name of owner)
the lawful owner of a _______________________________ mobile home.
(Year)
(Make)
____________
____________________________________
Florida Title Number
___________________________________
Vehicle Identification Number
I further state that I wish to retire the certificate of title for the above described mobile
home and the following documents have been recorded
in the official records of the clerk of court in the county in which the real
property is located, pursuant to s. 319.261, Florida Statutes,
(photocopies
:
of the recorded documents must be attached)
 The Florida Certificate of Title.
 A lien satisfaction for the lien on the face of the title (if applicable), or a statement from the
lienholder that such security interest will be released upon retirement of the certificate of
title (if applicable).
 The legal description of the real property and if the property is leased, a
copy of the lease agreement.
 A sworn statement by the owner of the real property stating that he/she
is the owner of the mobile home and the home is permanently affixed to
the real property in accordance with state law.
Under Penalties of Perjury, I Declare That I Have Read The Foregoing
Document and That The Facts Stated In It Are True.
_________________________________________ ____________________________
(Signature of Owner)
(Date)
HSMV 82109 (Rev. 10/11) S
www.flhsmv.gov
STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
Neil Kirkman Building - Tallahassee, FL 32399
APPLICATION FOR RETIREMENT OF A
MOBILE HOME CERTIFICATE OF TITLE
This is to certify that I, _____________________________________, am
(Printed name of owner)
the lawful owner of a _______________________________ mobile home.
(Year)
(Make)
____________
____________________________________
Florida Title Number
___________________________________
Vehicle Identification Number
I further state that I wish to retire the certificate of title for the above described mobile
home and the following documents have been recorded
in the official records of the clerk of court in the county in which the real
property is located, pursuant to s. 319.261, Florida Statutes,
(photocopies
:
of the recorded documents must be attached)
 The Florida Certificate of Title.
 A lien satisfaction for the lien on the face of the title (if applicable), or a statement from the
lienholder that such security interest will be released upon retirement of the certificate of
title (if applicable).
 The legal description of the real property and if the property is leased, a
copy of the lease agreement.
 A sworn statement by the owner of the real property stating that he/she
is the owner of the mobile home and the home is permanently affixed to
the real property in accordance with state law.
Under Penalties of Perjury, I Declare That I Have Read The Foregoing
Document and That The Facts Stated In It Are True.
_________________________________________ ____________________________
(Signature of Owner)
(Date)
HSMV 82109 (Rev. 10/11) S
www.flhsmv.gov