Form Cs-L(Mvr)40 - Bill Of Sale
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1BILL OF SALE
KNOW ALL MEN BY THESE PRESENTS:
That in consideration of ______________________________________________ Dollars ($ _______________ )
and other valuable consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell,
transfer and deliver unto ______________________________________________________________________ (buyer),
his right, title and interest in and to the following described vehicle:
License Plate No. __________________ Vehicle Identification No. ___________________________________________
Make and Model Year ________________________________ Body Type _________________________
The said seller hereby warrants that he is the lawful owner of said vehicle; that it is free from all liens and
encumbrances except *lien in favor of _________________________________________________
NAME
*If no lienholder shown,
transfer will be processed
_______________________________________________________________________________
without recording lien.
ADDRESS
CITY
STATE
ZIP CODE
Federal and state laws require that you state the mileage in connection with the transfer of ownership. Failure to
complete or providing a false statement may result in fines and/or imprisonment.
I certify that the odometer now reads ___________________________ (no tenths) and to the best of my knowledge that it
reflects the actual mileage unless one of the following statements is checked:
o
(1) The odometer reading reflects that amount of mileage in excess of its mechanical limits.
o
(2) The odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY.
Signed this ______ day of _________________ , 20 ____
______________________________________________
Signature of Seller
______________________________________________
Printed Name of Seller
______________________________________________
Signature of Seller
______________________________________________
Printed Name of Seller
______________________________________________
Address
______________________________________________
City
State
Zip Code
Subscribed and sworn before me this _________ day
NOTARY CERTIFICATION:
of _______________________________ ,20 _____ .
(Hawaii Administrative Rules §5-11-8)
Document Date: _________________ No. Pages: ______
__________________________________________
Document Description: ____________________________
Notary Public
State of Hawaii, _________________ Judicial Circuit
Notary Printed Name
Circuit
My commission expires: _________________
Notary Signature
Date
(Stamp or Seal)
(Stamp or Seal)
CS-L(MVR)40 (Rev. 9/10)
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Parent category: Business