Mvd-10009 - Bill Of Sale Template - State Of New Mexico - Taxation & Revenue Department Motor Vehicle Division

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STATE OF NEW MEXICO - TAXATION & REVENUE DEPARTMENT
MVD - 10009
MOTOR VEHICLE DIVISION
REV.
05/12
Bill of Sale
ANY ALTERATIONS OR
ERASURES WILL VOID
THIS DOCUMENT!
BEFORE FILLING OUT FORM CAREFULLY READ INSTRUCTIONS ON REVERSE SIDE
Exact Sale Amount:
VEHICLE OR VESSEL INFORMATION
$
Year
Make
Model
Body Type (series)
Engine Number (if Applicable)
Vehicle or Hull Identification (Serial) Number
License Plate or Vessel Registration Number
State
Overall Vessel Length
Vessel Transom Depth
Vessel Beam Width
FT.
IN.
FT.
IN.
FT.
IN.
VEHICLE ODOMETER DISCLOSURE STATEMENT
Federal and State Law Requires the Transferor (Seller) of a Vehicle to State the Odometer Mileage Upon Transfer of Ownership. Anyone Convicted
of a Fraudulent Odometer Statement Will be Subject to Fines and/or Imprisonment.
I (we) hereby certify that the ODOMETER READING of the vehicle described above is:_______________________________________ (no tenths) miles
and that to the best of my knowledge stated mileage is (check one of the following):
WARNING!
THE ACTUAL
MILEAGE IN EXCESS OF
MILEAGE (AM)*
MECHANICAL LIMITS (EL)*
NOT THE ACTUAL MILEAGE
ODOMETER DISCREPANCY (NM)*
* = Mileage Codes
Seller(s)
Seller(s)
X
Printed Name
Signature
Buyers(s)
Buyers(s)
X
Printed Name
Signature
SELLER MUST REMOVE PLATE BEFORE TRANSFERRING OWNERSHIP OF THIS VEHICLE
NOTE: The Division Is Not Responsible For False Or Fraudulent Statements Made In Connection With This Transfer
Of Ownership Or Held Liable For Recording Errors.
DEALERSHIP NAME type or print
Dealer License Number
LIENHOLDER'S NAME(S) type or print
Lienholder Number (if any)
Address
File Date
City, State, Zip Code
Maturity Date
SELLER'S NAME(S) IF PRIVATE SALE
Date
type of print
Address
City, State, Zip Code
For the Exact Amount Indicated, I (We) Hereby Sell, Transfer and Convey the Vehicle or Vessel Described Above, Warrant It to be Free of
Any Liens or Encumbrances and Certify that All Information Given is True and Correct to the Best of My (Our) Knowledge.
First Seller's Signature
Second Seller's Signature (if Joint Ownership)
X
X
BUYER'S NAME(S)
IMPORTANT:
type or print
There is an Additional
Statutory Fee for Failure
Address
by Purchaser to Apply for
Transfer Within 30 Days
City, State, Zip Code
from Date of Sale.

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