New Jersey Motor Vehicle Bill Of Sale, Form Os/ss-2 - Odometer Disclosure Statement Page 3

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VI.   A dditional   D etails.   T he   P arties   a gree   t o   a ny   o ther   t erms   o r   c onditions   n ot  
stated   i n   t his   B ill   o f   S ale   a re   a s   f ollows;   _ __________________________________________________  
_________________________________________________________________________________________________  
VII   S ignatures.  
 
-­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐    
Buyer   # 1:   _ ________________________________________________________   D ate:   _ __________________    
(If   a ny)   B uyer   # 2:   _ _______________________________________________   D ate:   _ __________________  
-­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐    
Seller   # 1:   _ _________________________________________________________   D ate:   _ _________________  
(If   a ny)   S eller   # 2:   _ ________________________________________________   D ate:   _ _________________  
-­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐    
Witness(es)  
 
Witness   # 1:   _ _______________________________________________________   D ate:   _ ________________  
Witness   # 2:   _ _______________________________________________________   D ate:   _ ________________  
-­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐   -­‐  
Notary   P ublic  
On   t his   _ ________________   d ay   o f   _ __________________________,   2 0______   b efore   m e,  
__________________________________________   a   n otary   p ublic,   p ersonally   a ppeared  
__________________________________________,   w ho   p roved   t o   m e   o n   t he   b asis   o f   s atisfactory  
evidence   t o   b e   t he   p erson(s)   w hose   n ame(s)   i s/are   s ubscribed   t o   t he   w ithin  
instrument   a nd   a cknowledged   t o   m e   t hat   h e/she/they   e xecuted   t he   s ame   i n  
his/her/their   a uthorized   c apacity(ies),   a nd   t hat   b y   h is/her/their   s ignatures   o n   t he  
instrument   t he   p erson(s),   o r   t he   e ntity   u pon   b ehalf   o f   w hich   t he   p erson(s)   a cted,  
executed   t he   i nstrument.   I   c ertify   u nder   P enalty   o f   P erjury   u nder   t he   l aws   o f   t he  
State   o f   _ _________________   t hat   t he   f oregoing   i s   t rue   a nd   c orrect.  
 
Witness   m y   h and   a nd   O fficial   S eal  
 
_______________________________________________________________________  
(Seal)  

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