Free GT-200404 - Florida


File Size: 461.9 kB
Pages: 1
Date: August 14, 2008
File Format: PDF
State: Florida
Category: Tax Forms
Word Count: 821 Words, 5,398 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://dor.myflorida.com/dor/forms/2008/gt200404.pdf

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SAMPLE Secondhand Dealer's Property Form - Provided as a courtesy
CONTACT A PROPERTY INVESTIGATOR IN YOUR LOCAL POLICE OR SHERIFF DEPARTMENT TO GET THE CORRECT FORM FOR YOUR AREA

dealer Name & addreSS

date

coNtrol #

dePt. #___________________________________ time ______________________ am Pm delivery/ Pick-uP date ____________________________

tyPe of traNSactioN PurchaSe
Name (laSt) (firSt) (middle)

buy-Sell
date of birth

loaN

coNSigNmeNt
SeX (m/f) race

trade

Seller iNformatioN

w. white b. black i. americaN iNdiaN a. aSiaN/orieNtal

reSideNtial addreSS (Street, apt. No., city, State & zip)

home PhoNe (area code & Number)

(
Place of emPloymeNt

) )
wgt. eyeS

­ ­
hair ideNtifyiNg markS

buSiNeSS PhoNe (area code & Number)

(
dl # / official Photo id # tyPe ageNcy/State hgt.

tyPe h. r. S. a. b. handgun rifle Shotgun airgun black Powder

actioN r. S. b. l. P. S. revolver Semi-auto bolt action lever Pump Single Shot

fiNiSh c. b. S. X. chrome/Nickel blue Steel Stainless Steel other

tyPe r. ring w. watch N. Necklace b. bracelet P. Pendant/charm e. earrings c. chain l. cuff links X. other

metal y. yellow gold w. white gold S. Sterling Silver P. Platinum t. tri-color X. other

geNder m. men's w. women's N. Not applicable

Style S. Serpentine h. herringbone r. rope b. box link f. figaro a. cameo c. class/School P. band o. Solitaire N. Nugget d. cluster m. monogram X. other
braNd

StoNe ShaPe o. oval r. round P. Pear e. emerald m. marquise h. heart X. other

StoNe color c. clear g. green a. amber P. Purple b. blue r. red/Pink y. yellow k. black o. brown w. white

barrel 1. 2. 3. 4. Single double over/under other

Serial Number

Jewelry

firearm

codeS

owNer aPPlied Number

item tyPe

model/maNufacturer Number

ProPerty

deScriPtioN of item (iNScriPtioNS, color, Size, markS, deSigN, School, year, iNitialS, barrel, leNgth)

tyPe

actioN

gauge/caliber

fiNiSh

barrel

amouNt Paid

$
Serial Number owNer aPPlied Number item tyPe braNd SecoNd StoNe firSt StoNe tyPe metal kt wt geNder Style Size leNgth # StoNeS ShaPe ct wt color # StoNeS ShaPe ct wt color model/maNufacturer Number

ProPerty

deScriPtioN of item (iNScriPtioNS, color, Size, markS, deSigN, School, year, iNitialS, barrel, leNgth)

tyPe

actioN

gauge/caliber

fiNiSh

barrel

amouNt Paid

$
Serial Number owNer aPPlied Number item tyPe braNd SecoNd StoNe firSt StoNe tyPe metal kt wt geNder Style Size leNgth # StoNeS ShaPe ct wt color # StoNeS ShaPe ct wt color model/maNufacturer Number

ProPerty

deScriPtioN of item (iNScriPtioNS, color, Size, markS, deSigN, School, year, iNitialS, barrel, leNgth)

tyPe

actioN

gauge/caliber

fiNiSh

barrel

amouNt Paid

$
Serial Number owNer aPPlied Number item tyPe braNd SecoNd StoNe firSt StoNe tyPe metal kt wt geNder Style Size leNgth # StoNeS ShaPe ct wt color # StoNeS ShaPe ct wt color model/maNufacturer Number

ProPerty

deScriPtioN of item (iNScriPtioNS, color, Size, markS, deSigN, School, year, iNitialS, barrel, leNgth)

tyPe

actioN

gauge/caliber

fiNiSh

barrel

amouNt Paid

$
SecoNd StoNe firSt StoNe tyPe metal kt wt geNder Style Size leNgth # StoNeS ShaPe ct wt color # StoNeS ShaPe ct wt color

538.16(1) any personal property pawned with a pawnbroker, whether the pawn is a loan of money or a buy-sell agreement, is subject to sale or disposal if the pawn is a loan of money and the property has not been redeemed or there has been no payment on account made for a period of 90 days, or if the pawn is a buy-sell agreement and the property has not been repurchased from the pawnbroker or there has been no payment made on account within 60 days. the seller or designated purchaser may repurchase the above described for the original purchase price plus storage and handling charges and applicable taxes, if the seller exercises the option on or before the time period agreed from the above date. this paper must be presented at the time of repurchase. buyer is not responsible for loss or damage. all renewals and repurchases must be in cash. i understand that all items not repurchased or renewed within the established time period below will be sold without notices being sent. designated Purchaser _____________________________ repurchase Price 1-30 day $ ______________ 31-60 day $ _______________ _____ day $ ____________ initials of customer _________

total Paid right thumb Print of Seller

dePt. #

coNtrol #

in consideration of the sum listed below, paid in hand and receipt acknowledged by seller, said seller does herein sell, transfer and assign all of his rights, title and interest in the above described property to the dealer. total Paid _____________________________________________________________ initials of Seller _____________________________ i verify that i am eighteen years or older, and i am the rightful owner of the above described property which is being sold or pledged, or that i am entitled to sell or pledge such goods, and that the property is clear of all liens and encumbrances, including liens for past due child support. if proven otherwise, i promise full restitution, and understand that i will be criminally prosecuted to the fullest extent of the law. dealer's representative _____________________________________ Person receiving Property Seller's Signature

___________________________ _________________________________________________ gt-200404, r. 07/08

effective July 1, 1993