MOTOR VEHICLE BILL OF SALE
BLOCKS “A” AND “B” MUST BE COMPLETED IN ORDER TO RENDER THIS BILL
OF SALE ACCEPTABLE FOR VEHICLE REGISTRATION. BLOCK “C” IS OPTIONAL
A
. THIS IS TO CERTIFY THAT I, THE SELLER -
NAME:
SURNAME
GIVEN NAME(S)
PHONE NO.
ADDRESS:
_______________________________________________________________________________________________
NUMBER OR STREET
CITY/TOWN
_______________________________________________________________________________________________
PROVINCE/TERRITORY
POSTAL CODE
PERSONAL IDENTIFICATION –
NUMBER
TYPE – (e.g. DRIVER’S LICENCE)
DO HEREBY SELL MY VEHICLE DESCRIBED AS FOLLOWS -
MAKE
YEAR
SERIES
MODEL
ODOMETER READING
KM
VEHICLE IDENTIFICATION NUMBER (VIN)
VEHICLE COLOUR
VEHICLE WEIGHT (GVWR)
KG
TYPE OF VEHICLE – ENTER “X”
____2 DR. SEDAN
____MOTORHOME
____ALL-TERRAIN VEHICLE
____STATIONWAGON
____4 DR. SEDAN
____UTILITY VEHICLE
____PICK-UP TRUCK
____VAN
____CONVERTIBLE
____MOPED
____SNOW VEHICLE
____BUS
____HATCHBACK
____MOTORCYCLE
____TRUCK (more than 4,500kg GVWR)
____TRAILER
OTHER VEHICLE INFORMATION – ENTER “X”
____SALVAGED (include Inspection Report)
____REBUILT (include Inspection Report)
____MECHANICALLY FIT
B
. TO THE FOLLOWING BUYER -
NAME:
SURNAME
GIVEN NAME(S)
PHONE NO.
ADDRESS:
_______________________________________________________________________________________________
NUMBER OR STREET
CITY/TOWN
_______________________________________________________________________________________________
PROVINCE/TERRITORY
POSTAL CODE
VEHICLE SOLD FOR SUM OF -
(SUBJECT TO THE TERMS & CONDITIONS SPECIFIED IN BLOCK “C”)
$
I HEREBY CERTIFY THE ABOVE INFORMATION IS TRUE TO
DATE OF SALE -
THE BEST OF MY KNOWLEDGE AND UNDERSTANDING
DAY _________ MONTH ________________ YEAR ___________
SELLER
AT______________________________________________________
SELLER’S WITNESS
IN THE PROVINCE/TERRITORY OF_________________________
BUYER
IN THE COUNTRY OF_____________________________________
BUYER’S WITNESS
C
. SPECIAL CONDITIONS OF SALE – THE VEHICLE DESCRIBED ABOVE IS:
1. FREE OF ALL LIENS AND ENCUMBRANCES?
____NO
____YES
IF NO, NAME OF LIEN HOLDER IS:_________________________________________________________________________
2. PAID FOR IN FULL? ____YES
____NO
PAID BY:____CASH ____CHEQUE
____MONEY ORDER
3. PAYMENT TERMS? ____YES
____NO
IF YES, SPECIFY______________________________________
4. WHERE WAS THIS VEHICLE REGISTERED LAST? __________________________________________________________