Transfer of Bicycle Ownership and Change of Address Form

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Please correct the field(s) marked in red below:

Send in this form to the address below when you move. OR when you sell your bicycle, to transfer your registration to the new owner.

Check one of the following:

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Send in this form to the address below when you move. OR when you sell your bicycle, to transfer your registration to the new owner. Check one of the following:
Description of Bicycle for Transfer of ownership / Change of address:
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Description of Bicycle for Transfer of ownership / Change of address:
Seller’s information or Current Owner’s old address:
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Seller’s information or Current Owner’s old address:
New owner’s information or Current Owner’s new address: 
(Please supply new owner info even if they are a charity or if they live outside of Fort Lauderdale, or write “Unknown.”) 
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New owner’s information or Current Owner’s new address: (Please supply new owner info even if they are a charity or if they live outside of Fort Lauderdale, or write “Unknown.”)
For Transfer of Ownership: Seller’s verification of sale (this signature is required to transfer registration to new owner): I, the recorded Owner, assign the above described bicycle to the Buyer named above: 
 *
For Transfer of Ownership: Seller’s verification of sale (this signature is required to transfer registration to new owner): I, the recorded Owner, assign the above described bicycle to the Buyer named above:
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