Bill Of Sale Form

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BILL OF SALE
I, (name:) ____________________________________________
Of (address:) ________________________________ (city:) ____________________________________
(state:) _____________________, hereby certify that I am the lawful owner of this vehicle:
Year __________ Make ____________ Model _______________________________________________
VIN# _________________________________________
And have the authority to sell it. I hereby acknowledge the receipt of $ ___________________________
(spell out) ____________________________________________________________________________
In the form of _______________, from (Buyer’s Name:) _______________________________________
Of (address:) ___________________________________ (city:) _________________________________
(state:) ______________, as full payment for the purchase of the said vehicle, which is sold “AS IS”.
I hereby state that the mileage of the vehicle at the time of sale is ___________________________.
I do hereby grant, sell and transfer full ownership of this vehicle to the buyer. I certify that this vehicle,
at the time of sale, is free from all encumbrances, taxes, fees and liens except as those specified on the
Title or listed below; and that, I (Seller) will defend and be held fully responsible for such lawful claims
and demands with respect to the vehicle, if any.
Buyer accepts full liability for the vehicle, damages, and any third party liability incurred from the vehicle
use from the date of sale.
If applicable, Seller agrees to make arrangements for the reasonable delivery of vehicle title from lien
holder to buyer immediately.
_______________________________ __________________
Signature of Seller
Date
_______________________________ __________________
Signature of Buyer
Date

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