Motor Vehicle Bill Of Sale Form

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Motor Vehicle Bill of Sale
DATE OF SALE/DELIVERY:
SELLER
BUYER
Seller’s Name:
________________________
Buyer’s Name:
________________________
DL#:
________________________
DL#:
________________________
________________________
________________________
Seller’s Address:
Buyer’s Address:
________________________
________________________
City:
City:
________________________
________________________
State:
Zip:
State:
Zip:
________________________
________________________
________________________
________________________
VEHICLE
Year:
Engine Size:
________________________
________________________
Make:
________________________
________________________
Odometer Reading:
Model:
________________________
Miles
Color:
________________________
Kilometers
VIN:
________________________
StateTitle #:
________________________
Hours
DAMAGE DISCLOSURE AND WARRANTY
The seller certifies that the odometer reading of this vehicle is correct to their knowledge, and that the seller
has not modified the odometer, disconnected it, or rolled back the mileage during their ownership. This
vehicle is being sold "As Is", meaning there is no warranty for any defect and all repairs are the responsibility
of the BUYER, which are detailed here: ______________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PAYMENT
SELLER certifies to the BUYER that the SELLER has the authority to sell this vehicle and transfer the title to
the BUYER. The SELLER further certifies that the title is free of liens. SELLER acknowledges receiving the
following payment from the BUYER to transfer ownership of this vehicle.
$
PRICE OF VEHICLE:
SIGNATURES
SELLER and BUYER agree that to the best of their knowledge, all the information
on this Bill Of Sale is correct. The SELLER has received payment from the BUYER
and hereby transfers ownership of this vehicle to the BUYER.
____________________ ________
____________________ ________
Seller Signature
Date
Buyer Signature
Date
____________________
Notary Public
____________________
____________________
Acknowledgment
Print Seller Name
Print Buyer Name
(not required in some states)

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