Form 4606 - Bill Of Transfer
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MISSOURI DEPARTMENT OF REVENUE
FORM
MOTOR VEHICLE BUREAU
4606
PO BOX 100, JEFFERSON CITY MO 65105-0100
(573) 526-3669
(Rev. 12-2008)
BILL OF TRANSFER (FARM PRODUCTS ONLY)
“I, _____________________________________, transfer to ______________________________________________________________
(Transferor’s Name)
(Dealership’s Name)
the farm product(s) listed below as a trade-in towards the purchase of a motor vehicle, trailer, or all-terrain vehicle purchased for agricultural
use.”
Agricultural use — Used in cultivating or raising agricultural products.
AGRICULTURAL PRODUCT INFORMATION (THE PRODUCT MUST HAVE BEEN PRODUCED OR RAISED BY THE TRANSFEROR.)
Produced or raised — means the transferor of the agricultural product either cultivated the grain or has cared for the livestock.
PRODUCT
QUANTITY
TRADE-IN VALUE
(Type of grain, livestock, etc.)
(Pounds, number, etc.)
The farm product (Please check/complete one of the following):
was physically delivered to the Dealership on _________________ by __________________________________________________
(Date Delivered)
is being stored at a grain elevator or stockyard.
farm product location: ________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
NOTE: If the product is being stored at a grain elevator or stockyard, a separate receipt issued by the grain company or stockyard
must be attached to this bill of transfer. The receipt must show that the dealership has legal title to such farm product. A
statement or invoice from a grain company or stockyard in the name of “CASH SALE” is NOT ACCEPTABLE. A check made
payable directly to the dealership by the grain company or stockyard is NOT ACCEPTABLE without the receipt from the
grain company or stockyard showing the product was transferred to the dealership.
NEWLY ACQUIRED MOTOR VEHICLE, TRAILER, OR ALL-TERRAIN VEHICLE INFORMATION
YEAR
MAKE
IDENTIFICATION NUMBER
REQUIRED SIGNATURES
“I certify under penalty of perjury that I have produced or raised the farm
“I certify under penalty of perjury that I have
product(s) referenced above and traded it to the dealership indicated. I further
accepted legal ownership of the farm product(s)
certify that the newly acquired vehicle referenced above will be used for
listed above as a trade-in for the above listed
agricultural purposes.”
vehicle for the value shown.”
SIGNATURE OF TRANSFEROR
SIGNATURE OF AUTHORIZED AGENT FOR DEALERSHIP
MO 860-2727 (12-2008)
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