Bill Of Sale On Motor Vehicle Form - Louisiana
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1BILL OF SALE ON MOTOR VEHICLE
I, the undersigned, sell to:
Date: __________________________
______________________________________________________________________________________
Name
______________________________________________________________________________________
Address
The following described vehicle:
______________________________________________________________________________________
Make
Model
Body
Year
______________________________________________________________________________________
Color
Odometer
Vin
For the sum of $________________________cash in hand paid, trade, or value received, the receipt of
which is hereby acknowledged. I hereby bargain, grant, sell, convey, and deliver with full guaranty of title
and with complete transfer and subrogation of all rights and actions of warranty against all former
proprietors of the property and declare that I have full rights to sell said vehicle, and that all taxes and
license and title fees due any state, parish and/or municipality have been paid.
I further warrant the above described vehicle to be free of mortgages, liens, and encumbrances except
$__________________________________ to _________________________________________lien
holder.
Furthermore, I appoint __________________________________________as my attorney-in-fact to sign
all documents in my name to dispose of said vehicle and/or to obtain a marketable title for same,
I hereby give the State of Louisiana to mail the title to the buyer-trader.
________________________________
______________________________
W itness Signature
Seller Signature
________________________________
_______________________________
W itness Printed Name
Seller Printed Name
________________________________
W itness Signature
________________________________
W itness Printed Name
STATE OF LOUISIANA
PARISH OF _____________________
Affidavit By Witness
Before me, the notary, personally came and appeared the undersigned who, after being duly sworn, did dispose and say
that he/she is one of the witnesses to this document and that the signature of the Donor thereto is true and genuine and
affixed hereto of his/her own free will in the presence of the witnesses whose names are affixed hereto.
_______________________________
_________________________________
Witness Signature
Notary Public
_______________________________
_________________________________
Witness Printed Name
Notary Printed Name & ID #
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