Qualifying 1,1 'i, CLE.n}:;
2026 MUNICIPAL ELECTION
CITY OF BOYNTON BEACH }',' ,,: ,p;
CANDIDATE QUALIFYING CHECKLIST
Candidate's Name: r( o..( , cC-C F‘rict 2 Q District 4
Qualifying Information
Residencyk.
Requirements Statement
t
0 Article I
Proof of Residency(3 required)
ease Agreement
roof of Home Ownership
river's License/Florida ID
I Utility Bill- kIt5,-,jk,\k \ d.4._ ,s,a-i-is+'l frp,kr b tll
_Copy of Filed Income Tax Returns
And /
Voter Registration Card
Appointment of Campaign Treasurer and Designation of Campaign Depository for
Candidates (DS-DE 9)!6vr .1A. %.n c .urs \\MAR oP k -
— Candidate signature on Block 26
— Campaign Treasurer's signature on Block 27
_Form is completely filled out
Note: Only one primary and one secondary depository can be designated
PAppointment of Campaign Treasurer and Designation of Campaign Depository for
andidates (DS-DE 9). 1:0 ..,c N r!�UY.c-r
Candidate signature on Block 2
Campaign Treasurer's signature on Block 27
—
Form is completely filled out
Note: Only one primary and one secondary depository can be designated
Statement of Candidate (DS-DE 84).7 '3
Oath of Candidate (DS-DE 302NP). (Accepted at time of qualifying)
Note: the Candidate prints their name as they wish it to appear on the official ballot
0 Statement of Financial Interest Form 1 (CE Form 1). (Online filing)
Form to be printed out and turned in during qualifying.
Filing Fee for City Commissioner= $580.72 (2% of salary-Commissioner salary=
Filing
$29,035.76) (Check made out to City of Boyntyn Beach). (Accepted at time of qualifying)
CHECK MUST BE FROM CAMPAIGN ACCOUNT(EXAMPLE: JOHN DOE CAMPAIGN
ACCOUNT), AND SIGNED BY TREASURER/DEPUTY TREASURER.
RESIDENCY REQUIREMENTS
4OU z 2 '25 12:48Pr
LIT',' CLERK
BOYNTOt i BEACH
I,
/!/f'c&L ,1 candidate for
((ss
int ame) �
6VAA 7 v/j Vep ,-(W -- of the City
(Mayor/Commissioner— District #)
of Boynton Beach, have received, read and
understand the residency requirements of Article I of
the Charter of the City of Boynton Beach.
fl
(Signature of Candidate)
(Date)
CANDIDATE OATH
NONPARTISAN OFFICE ,;_;-..:i., i:i:4 -'r1
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a write-in C. TV CLERK
candidate-
. BC r,'NTON BERCI'
Write-in candidate
OFFICE USE ONLY
Candidate Oath
Name to appear on ballot: Xja-&/ Ale.6-1#
Check box if two last names without hyphen. ❑ (Name cannot be changed after qualifying.)
Check box if name includes nickname ❑ (For use of a nickname,you must complete the Nickname Affidavit on reverse side.)
� 67M46}// / ;
I swear or affirm that I am a candidate for the nonpartisan office of c! /�/,
(0/l ce) / strict#)
; I am a qualified elector of i(i _ #/ ,, 1 iw,L1 County. Florida
(Circuit#) (Group or Seat#) ��
I am a qualified elector under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I
have resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes. and I will support the
Constitution of the United States and the Constitution of the State of Florida.
Statement of Outstanding Fines, Fees, or Penalties
I owe outstanding fines, fees, or penalties,that cumulatively exceed$250, for ethics or campaign finance violations(s. 99.021(1)(d), F S).
YES, I Do NO, I Do Not vC
If you do,you must also specify the amount owed and each entity that levied the same on the reverse side.
` r
y.
,' ( 4A 93‘e- !`?J Aii)odfrhyry* Cirg,
Signatu e o andi•� ` Tele ho • Nu r1 p `�
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0 IP / , a fi / i
Addles ' I1) 0 t
sof Legal • siden
J State 'WCode
STATE OF FLOR . ' /y� / i�
OF ,/?I I /(�
Signat re .f Notary L:9
Print, Ty.- o Stamp CName of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means o `'''' E"SUS %,
online �nota�rizzation ❑ OR physical presence •�'��<c,F',' • UBLI
this /t7 day of `Vl7VQYy� 20�c .. . ,', C • = ,
Personally Known vf OR Produced Identification ❑ s • O M\SS 0��
Type of Identification Produced
hyo T�� ' -.:(c':--
0
'`o
3 OF�\•4••'Z'
DS-DE 302NP(Eff. 10/2023) C°4?4 ... �� 0,s,', Rule 1S-2.0001, F.A.C.
Phonetic Spelling of Name
Phonetic spelling for the audio ballot(not required for qualifying purposes): Print the name phonetically on the line below as you
wish it t e pronounced on/ ft
audioballot��as may be used by persons with disabilities(see instructions on page 3 of this form):
aci
Statement of Outstanding Fines, Fees or Penalties
Pursuant to Section 99.021(1)(d), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in
candidate,shall, at the time of subscribing to the oath or affirmation, state in writing whether he or she owes any outstanding fines, fees,
or penalties that cumulatively exceed$250 for any violations of s.8,Art. II of the State Constitution,the Code of Ethics for Public Officers
and Employees under part III of chapter 112. any local ethics ordinance governing standards of conduct and disclosure requirements, or
chapter 106.
Amount Entity
Affidavit of/Nickname (Only required if using nickname for the ballot.)
My legal name is !a,c/k /uC (4/.4 . I am over the age of eighteen (18)and the contents of this
affidavit are true and correct.
My nickname is . I am generally known by this nickname or have used it as part
of my legal name. I have not created the nickname to mislead voters. My nickname does not imply I am some other person, constitute
a political slogan or otherwise associate me with a cause or issue, or that is obscene or profane
Signature of Candidate:
STATE OF FLORIDA
COUNTY OF
Signature of Notary Public
Print,Type.or Stamp Commissioned Name of Notary Public below:
Sworn to(or affirmed)and subscribed before me by means
of online notarization ❑ OR physical presence ❑
this day of ,20 .
Personally Known ❑ OR Produced Identification ❑
Type of Identification Produced.
DS-DE 302NP(Eff. 10/2023) Rule 1S-2.0001, F.A.C.
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO. CMC APPLIED EXEMPTIONS) LEGAL DESCRIPTION
08-43-45-21-16-000-0580 2025 101349770 98 Homestead RIDGEWOOD HILLS LT 58
Additional Homestead
.iii Mr InriLtiNFIROcc1 11114 Mr Mcgt;L . Mill III
�y� ANNE M. CANNON ❑� .'o,;;...0'
'-t-¢ MCCRAY MACK CONSTITUTIONAL TAX COLLECTOR SCAN TOfi'�.
w 5. 806 NW 4TH ST Serving Palm Beach County ACCESS • !'.• ,o }c;
BOYNTON BEACH FL 33435-3732 -}..# '.:e„.
I II( � VIII IIII I II I I n II I n Pb t you. ACCOUNT Ili$4.3,...rt+ J
IIII I IIIA I III I I n III III III II VIII I or.....'7% .•
2025 REAL ESTATE PROPERTY TAX BILL
READ REVERSE SIDE BEFORE CALLING AD VALOREM TAXES READ REVERSE SIDE BEFORE CALLING
TAXING AUTHORITY TELEPHONE ASSESSED EXEMPTION TAXABLE MILLAGE TAX AMOUNT
COUNTY 561-355-3996 87,378 50,722 36,656 4.5000 164.95
COUNTY DEBT 561-355-3996 87,378 50,722 36,656 0.0330 1.21
CITY OF BOYNTON BEACH 561-742-6310 87,378 50,722 36,656 7.7500 284.08
CHILDRENS SERVICES COUNCIL 561-740-7000 87,378 50,722 36,656 0.4908 17.99
F.I.N.D. 561-627-3386 87,378 50,722 36,656 0.0270 0.99
PBC HEALTH CARE DISTRICT 561-804-5765 87,378 50,722 36,656 0.6561 24.05
SCHOOL LOCAL 561-434-8837 87,378 25,000 62,378 3.2480 202.60
SCHOOL STATE 561-434-8837 87,378 25,000 62,378 3.0730 191.69
SFWMD EVERGLADES CONST PROJECT 561-686-8800 87,378 50,722 36,656 0.0327 1.20
SO FLA WATER MANAGEMENT DIST. 561-686-8800 87,378 50,722 36,656 0.0948 3.47
SO FLA WATER MGMT-OKEE BASIN 561-686-8800 87,378 50,722 36,656 0.1026 3.76
TOTAL AD VALOREM 895.99
READ REVERSE SIDE BEFORE CALLING NON-AD VALOREM ASSESSMENTS READ REVERSE SIDE BEFORE CALLING
LEVYING AUTHORITY TELEPHONE RATE AMOUNT
SOLID WASTE AUTHORITY OF PBC 561-640-4000 205 00 205.00
BOYNTON BEACH FIRE RESCUE ASSESSMENT 561-742-6310 145.00 145.00
TOTAL NON-AD VALOREM 350.00
TOTAL AD VALOREM AND NON-AD VALOREM COMBINED 1,245.99
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$1,196.15 51.208.61 $1,221.07 $1,233.53 $1,245.99
4% 3% 2% 1% NO DISCOUNT APRIL 1, 2026
DETACH HERE **SEE REVERSE SIDE FOR INSTRUCTIONS AND INFORMATION** DETACH HERE
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO.
08-43-45-21-16-000-0580 2025 101349770
MCCRAY MACK
806 NW 4TH ST
BOYNTON BEACH FL 33435-3732
20251013497700001245994
LEGAL DESCRIPTION
RIDGEWOOD HILLS LT 58 P.O.BOX 3353 MAKE PAYMENT TO:
WEST PALM BEACH,FL 33402-3353 TAX COLLECTOR,PALM BEACH COUNTY
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$1,196.15 $1,208.61 $1,221.07 $1,233.53 S1,245.99 APRIL 1, 2026
4% 3% 2% 1% NO DISCOUNT
RE PT Bill 9/2024 2025 REAL ESTATE PROPERTY TAX BILL
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO. CMC APPLIED EXEMPTION(S) LEGAL DESCRIPTION
08-43-45-21-14-000-2280 2025 101348111 98 CHERRY HILLS LTS 228&229
'.•.. ANNE M. GANNON ❑,.. at. ,❑
.L:u- MCCRAY MACK CONSTITUTIONAL TAX COLLECTOR SCAN TO P"
,. ?r•.+ Oil.
806 NW 4TH ST Serving Palm Beach County ACCESS ''•o �0•�1�0;
BOYNTON BEACH FL 33435-3732 Serving you. .ACCOUNT =+?` v,14
www.pbctax.gov �o.io
2025 REAL ESTATE PROPERTY TAX BILL
READ REVERSE SIDE BEFORE CALLING AD VALOREM TAXES READ REVERSE SIDE BEFORE CALLING
TAXING AUTHORITY TELEPHONE ASSESSED EXEMPTION TAXABLE MILLAGE TAX AMOUNT
COUNTY 561-355-3996 108,466 108,466 4.5000 488.10
COUNTY DEBT 561-355-3996 108,466 108,466 0.0330 3.58
CITY OF BOYNTON BEACH 561-742-6310 108,466 108,466 7.7500 840.61
CHILDRENS SERVICES COUNCIL 561-740-7000 108,466 108,466 0.4908 53.24
F.I.N.D. 561-627-3386 108,466 108,466 0.0270 2.93
PBC HEALTH CARE DISTRICT 561-804-5765 108,466 108,466 0.6561 71.16
SCHOOL LOCAL 561-434-8837 270,642 270,642 3.2480 879.05
SCHOOL STATE 561-434-8837 270,642 270,642 3.0730 831.68
SFWMD EVERGLADES CONST PROJECT 561-686-8800 108,466 108,466 0.0327 3.55
SO FLA WATER MANAGEMENT DIST. 561-686-8800 108,466 108,466 0.0948 10.28
SO FLA WATER MGMT-OKEE BASIN 561-686-8800 108,466 108,466 0.1026 11.13
TOTAL AD VALOREM 3,195.31
READ REVERSE SIDE BEFORE CALLING NON-AD VALOREM ASSESSMENTS READ REVERSE SIDE BEFORE CALLING
LEVYING AUTHORITY TELEPHONE RATE AMOUNT
SOLID WASTE AUTHORITY OF PBC 561-640-4000 205.00 205.00
BOYNTON BEACH FIRE RESCUE ASSESSMENT 561-742-6310 145.00 145.00
TOTAL NON-AD VALOREM 350.00
PAST YEAR(S) TAX IS DELINQUENT TOTAL AD VALOREM AND NON-AD VALOREM COMBINED 3,545.31
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$3,403.50 $3,438.95 $3,474.40 S3,509.85 S3,545.31
APRIL 1, 2026
4% 3% 2% 1% NO DISCOUNT
DETACH HERE **SEE REVERSE SIDE FOR INSTRUCTIONS AND INFORMATION** DETACH HERE
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO.
08-43-45-21-14-000-2280 2025 101348111
MCCRAY MACK
806 NW 4TH ST
BOYNTON BEACH FL 33435-3732
20251013481110003545318
LEGAL DESCRIPTION
CHERRY HILLS LTS 228&229 P.O.BOX 3353 MAKE PAYMENT TO:
TAX COLLECTOR, PALM BEACH COUNTY
WEST PALM BEACH, FL 33402-3353
PAST YEAR(S) TAX IS DELINQUENT
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$3,403.50 $3,438.95 S3,474.40 $3,509.85 $3,545.31 APRIL 1, 2026
4% 3% 2% 1% NO DISCOUNT
RE PT Bill 9/2024 2025 REAL ESTATE PROPERTY TAX BILL
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO. CMC APPLIED EXEMPTION(S) LEGAL DESCRIPTION
08-43-45-21-17-002-0110 2025 101349951 98 POINCIANA HEIGHTS LT 11
ElII ��rr ■'hl` { ���{� `5 `'��0 '�y 1 ��� BLK 2
n��Y fL:Y1�Y1 f'rX I.l��IVI IYT.1I6:6LE.L�1 ��
it ANNE M. GANNON ❑� .Go ..12
MCCRAY MACK CONSTITUTIONAL TAX COLLECTOR SCAN TO ' t,�'r. '
806 NW 4TH ST Serving Palm Beach County ACCESS a ,o +o r
BOYNTON BEACH FL 33435-3732 Serving you. ACCOUNT ` ',.- .. r_:
www.pbctax.gov 1:1—;�-*.._
2025 REAL ESTATE PROPERTY TAX BILL
READ REVERSE SIDE BEFORE CALLING AD VALOREM TAXES READ REVERSE SIDE BEFORE CALLING
TAXING AUTHORITY TELEPHONE ASSESSED EXEMPTION TAXABLE MILLAGE TAX AMOUNT
COUNTY 561-355-3996 170,630 170,630 4.5000 767.84
COUNTY DEBT 561-355-3996 170,630 170,630 0.0330 5.63
CITY OF BOYNTON BEACH 561-742-6310 170,630 170,630 7.7500 1,322.38
CHILDRENS SERVICES COUNCIL 561-740-7000 170,630 170,630 0.4908 83.75
F.I.N.D. 561-627-3386 170,630 170,630 0.0270 4.61
PBC HEALTH CARE DISTRICT 561-804-5765 170,630 170,630 0.6561 111.95
SCHOOL LOCAL 561-434-8837 312,946 312,946 3.2480 1,016.45
SCHOOL STATE 561-434-8837 312,946 312,946 3.0730 961.68
SFWMD EVERGLADES CONST PROJECT 561-686-8800 170,630 170,630 0.0327 5.58
SO FLA WATER MANAGEMENT DIST. 561-686-8800 170,630 170,630 0 0948 16.18
SO FLA WATER MGMT-OKEE BASIN 561-686-8800 170,630 170,630 0 1026 17.51
TOTAL AD VALOREM 4,313.56
READ REVERSE SIDE BEFORE CALLING NON-AD VALOREM ASSESSMENTS READ REVERSE SIDE BEFORE CALLING
LEVYING AUTHORITY TELEPHONE RATE AMOUNT
SOLID WASTE AUTHORITY OF PBC 561-640-4000 205 00 205.00
BOYNTON BEACH FIRE RESCUE ASSESSMENT 561-742-6310 145.00 145.00
TOTAL NON-AD VALOREM 350.00
PAST YEAR(S) TAX IS DELINQUENT TOTAL AD VALOREM AND NON-AD VALOREM COMBINED 4,663.56
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$4,477.02 $4,523.66 $4,570.30 $4.616.93 $4,663.56 APRIL 1, 2026
4% 3% 2% 1% NO DISCOUNT
DETACH HERE **SEE REVERSE SIDE FOR INSTRUCTIONS AND INFORMATION** DETACH HERE
COUNTY OF PALM BEACH: NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS
PROPERTY CONTROL NO. YEAR BILL NO.
08-43-45-21-17-002-0110 2025 101349951
MCCRAY MACK
806 NW 4TH ST
BOYNTON BEACH FL 33435-3732
20251013499510004663566
LEGAL DESCRIPTION
POINCIANA HEIGHTS LT 11 BLK 2 P.O.BOX 3353 MAKE PAYMENT TO:
TAX COLLECTOR, PALM BEACH COUNTY
WEST PALM BEACH,FL 33402-3353
PAST YEAR(S) TAX IS DELINQUENT
AMOUNT DUE WHEN RECEIVED BY
NOV 30,2025 DEC 31,2025 JAN 31,2026 FEB 28,2026 MAR 31,2026 TAXES ARE DELINQUENT
$4,477.02 84,523.66 $4,570.30 $4,616.93 $4,663.56 APRIL 1, 2026
4% 3% 2% 1% NO DISCOUNT
RE PT Bill 9/2024 2025 REAL ESTATE PROPERTY TAX BILL
11/12/25,1227 PM State of Florida Voter Lookup I Voter Detail
Voter Information lookup
Please find your voter registration information below.
Full Name:
MACK MCCRAY
Street Address:
806 NW 4TH ST
City:
BOYNTON BEACH
Zip Code
33435
County Name:
PALM BEACH
Voter Identification Number:
112126170
Date Of Registration:
6/5/1972
Party:
Republican Party of Florida
Voter Status:
Active*
*An active voter refers to a registered voter who is eligible to vote.
1/3
https.dregistration dos 11 gov/en/CheckVoterStatus
Your City of Boynton Beach Utility Statement
Name: MACK MCCRAY Rate Class: RESIDENTIAL
Service Address: Service Period: www.boynton-beach.org
304 NW 12TH AVE 10/06/2025-11/0312025 .
Bill Date: 11/06/2025 '�f4P'
Account Number: .COUNT MMARY 150191-11432 Due Date: 12/01/2025 -28.20
Last Bill Amount
SERVICE RATE CONSUMPTION CHARGE Payments 0.00
f WATER SERVICE CHARGES Adjustments 0.00
WATER BFC 16.32 Balance Forward -$28.20
0-7TGAL 2.19 100 2.19
TOTAL WATER CHARGES $18.51 SUMMARY OF CHARGES
Water Total 18.51
SEWER CHARGES 4.46 Sewer Total 27.28
SEWER BFC 1.00 22.82 32.94
0•10 TGAL 2.82 Other Total
TOTAL SEWER TOTAL $27.28 Utility Tax 1.85
Current Charges 380.58
()OTHER CHARGES
Residential Refuse 23.45 Total Amount Due $52.38
Storm Water Charge 9.49
Utility Tax 1.85
TOTAL OTHER CHARGES $34.79
f WATER USAGE Monthly Water Usage I
a
CURRENT USAGE - 3.
Meter 5/284371
Days 28
Previous Read 428
Current Read 429 ' •FM,$1111 1 • 1 • 1 I-
Consumption 1 •MO Ii ■: i • I, I I I I 1 l III I-• - :-
Avg
Avg/Day 0.04 Dec wi KS MSA Ma MAY MN JA AUG SIP OCT Irea
b Previous Yew • Currant Year
Any account that becomes past due will be assessed a 510 late fee and considered delinquent. Any past due amount is due I
immediately.If there is a past due amount,the account is eligible for disconnection interruption.The entire amount due is required to hreinstate service. h
+PLEASE FOLD ON PERFORATION BEFORE TEARING-RETURN BOTTOM PORTION WITH YOUR PAYMENT+
Account Name: MACK MCCRAY
Service Address: 304 NW 12TH AVE
0. City of Boynton BeachAccount Number Current Charges Total Amount Due
Customer Relations Past Due After
PO Box 310 150191-11432 12/01/2025 $52.38
Boynton Beach,FL 33425-0310 r Service Period CYCLE/ROUTE Amount Enclosed
10/06/25-11/03/25 02-05 $
AlPLEASE MAKE CHECKS PAYABLE TO. CITY OF BOYNTON BEACH
PLEASE PLACE ACCOUNT NUMBER ON CHECK TO ENSURE PROPER CREDIT
s.AUTovaSCH 5-DIGIT 33436 10 PS5 156066AA06-A-1
2641 1 AV 0.566
11111'11'1111111111'I'1111111111111111"II'11111111h11'h'111111
MACK MCCRAY I'Illrllll11111I111'IrII'LLlrlrlrilll'l1'ill'IIlll1'lllllIII111
806 NW 4TH ST CITY OF BOYNTON BEACH
BOYNTON BEACH FL 33435-3732 PO BOX 31803
TAMPA FL 33631-3803
000150191000011432000000052381
MTRFS020K
INSTRUCTIONS FOR ATTACHING DECAL IMPORTANT INFORMATION
1. Clean area where new annual decal is to be affixed. Section 316.613,Florida Statutes,requires every operator of a motor vehicle transporting
2 Peel decal from this document a child in a passenger car,van,autocycle or pickup truck registered in this state and
3. Affix decal in the upper right corner of license plate. operated on the highways of this state,shall,if the child is 5 years of age or younger,
provide the protection of the child by properly using a crash-tested,federally approved child
restraint device. For children aged through 3 years,such restraint device must be a separate
carrier or a vehicle manufacturer's integrated child seat.For children aged 4 through 5 years,
a separate carrier,an integrated child seat,or a child booster seat may be used.
12A58741U 33754305 For limited exceptions,see s.316.613,F.S.
p S.320.0605,F.S.,requires the registration certificate,or true copy of a rental or lease
agreement,issued for any motor vehicle to be in the possession of the operator or carried in
the vehicle while the vehicle is being used or operated on roads of this state.
•
S.320.02 and 627.733,F.S.,requires personal injury protection and property damage
liability to be continuously maintained throughout the registration period. Failure to maintain
the mandatory coverage may result in the suspension of your driver license and registration.
Mail To:
MACK MCCRAY Important note:If you cancel the insurance for this vehicle,
806 NW 4TH ST immediately return the license plate from this registration to a Florida
BOYNTON BEACH,FL 33435 ( driver license or tax collector office or mail it to:DHSMV,Return Tags,
2900 Apalachee Parkway,Tallahassee,FL 32399. Surrendering the plate
will prevent your driving privilege from being suspended.
CO/AGY 15 / 12 T# 2207434289
FLORIDA VEHICLE REGISTRATION B# 1985110
PLATE A587U DECAL 03754305 Expires Midnight Fri 12/31/2027
YR/MK 2021/TOYT BODY 4D COLOR BLU Reg.Tax 126.20 Class Code 1
VIN 4T1K61AK2MU469887 TITLE 143046256 Init.Reg. Tax Months 24
Plate Type FAR NET WT 3399 County Fee 6.00 Back Tax Mos
Mail Fee Credit Class
DL/FEID M260540494710 Sales Tax Credit Months
Date Issued 11/5/2025 Plate Issued 1/3/2022 Voluntary Fees
Grand Total 132.20
IMPORTANT INFORMATION
MACK MCCRAY 1. The Florida license plate must remain with the registrant upon sale of vehicle.
806 NW 4TH ST 2. The registration must be delivered to a Tax Collector or Tag Agent for transfer to
BOYNTON BEACH,FL 33435 a replacement vehicle.
3. Your registration must be updated to your new address within 30 days of moving.
4. Registration renewals are the responsibility of the registrant and shall occur during
the 30-day period prior to the expiration date shown on this registration. Renewal
notices are provided as a courtesy and are not required for renewal purposes.
5 I understand that my driver license and registrations will be suspended
immediately if the insurer denies the insurance information submitted
for this registration.
FAR-FLORIDA ATLANTIC UNIVERSITY
Florida �'
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f ,MACic
6e06 NW 4TH ST
8OYNTON BEACM.F6,33445-3732
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