SELLER'S CERTIFICATE AND VEHICLE BILL OF SALE
MOTOR VEHICLE DIVISION
ND DEPT OF TRANSPORTATION
North Dakota Department of Transportation, Motor Vehicle
608 E BOULEVARD AVE
SFN 2888 (4-2016)
BISMARCK ND 58505-0780
Telephone (701) 328-2725
Website: https://dot.nd.gov
Buyer Information
Check One:
Buyer's Legal Name
DL
FEIN
Telephone Number
City
State
Mailing Address
Zip Code
Vehicle Information
Make
Year
Model
Body Style
Color
Vehicle Identification Number
Fuel Type
Weight
I acknowledge on the date of sale indicated; that I grant, sell, transfer,
Selling Price
Date of Sale
and deliver to the buyer; for and in consideration of the selling price
and other adequate consideration.
Seller Information
Seller's Legal Name
Telephone Number
City
Zip Code
Mailing Address
State
Additional seller comments:
Seller hereby warrants that he/she is legal owner of such vehicle, that it is free from all liens and encumbrances except:
Seller confirms he/she has the right to sell the same and that he/she will warrant and defend the title thereof against the claims and demands of
all persons except:
If applicable, reason Certificate of Title can not be furnished:
Acknowledgement
(Sign before a Notary Public or Authorized Officer)
Name of Seller (Type or Print)
Signature of Seller
State
County
Date
Signed and sworn to (or affirmed) before me on
Name of Notary Public or other Authorized Officer (Type or Print)
Affix Notary Stamp
Signature of Notary Public or other Authorized Officer
Commission Expiration Date (if not listed on stamp)
PENALTY: The filing of a false or fraudulent Seller's Certificate of Sale is a Class B misdemeanor punishable by a fine of up to $500.00 and/or
thirty (30) days in jail.