[lien.county] COUNTY, FLORIDA

REPORT OF SALE

IN RE:  NOTICE OF CLAIM OF LIEN AND PROPOSED SALE OF VEHICLE

[lien.vehicle_year] [lien.vehicle_make] [lien.vehicle_title_no] VIN# [lien.vehicle_vin]

BY:   [lienor.company_name] AS LIENOR.

STATE OF FLORIDA

COUNTY OF [lien.county]

      I Ihsan Aboul Hosn dba MID-FLORIDA LIEN AND TITLE SERVICE LLC. Do hereby certify that:

      1.     I Am acting under power of attorney from the lienor designated in a Notice of Claim of Lien and Proposed Sale of Vehicle, a true copy which was heretofore filed with this Court.

       2.     On [lien.sale_date], commencing at [lien.sale_time] A.M. at [lien.sale_location] the above named lienor caused the vehicle described in said Notice of Claim of Lien and Proposed Sale of Vehicle, to-wit:

[lien.vehicle_year] [lien.vehicle_make] [lien.vehicle_title_no] VIN# [lien.vehicle_vin]  to be sold at public/private sale at which said vehicle was purchased by:

[purchaser.purchaser_name] [purchaser.address], [purchaser.city], [purchaser.state] [purchaser.zip]
(Name and Address of Purchaser)

For the sum of  [lien.lienor_retain]

3.     Lienor herewith deposits with the Clerk of the Circuit Court the sum of $ -0-, which represents all of the proceeds from the sale of the above-described vehicle, less the following amounts retained by lienor pursuant to Florida Statute 713.585(6).

[lien.labor_service]        Labor and services

[lien.storage_charges]        Storage charges

[lien.notice_cost]        Cost of publication

[lien.other_fees]        Other

[lien.lienor_retain]        Total amount retained by Lienor

   4.     No demand or request for a hearing pursuant to Florida Statute 713.585 has been made or filed, and no such hearing has been held.

   5.     This Report of Sale is submitted and filed in compliance with the requirements of Florida Statute 713.585(6).

Under penalties of perjury, I declare that I have read the forgoing document and that the facts stated in it are true and correct.             

           ______________________

           (Signature of Affiant)

DATED:  [lien.sale_date].