Form 1957 - Bill Of Sale/even - Trade Bill Of Sale, Form 5049 - Notice Of Sale Or Transfer

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MISSOURI DEPARTMENT OF REVENUE
MOTOR VEHICLE BUREAU
PO BOX 100
FORM
QUESTIONS SHOULD
1957
JEFFERSON CITY, MISSOURI 65105
BE REFERRED TO
dor.mo.gov/
(573) 526-3669
(573) 526-3669
BILL OF SALE/EVEN — TRADE BILL OF SALE
(REV. 9-2010)
The seller must complete all applicable information and sign this form. The Bill of Sale/Even-Trade Bill of Sale must be notarized when
showing proof of ownership on major component parts of a rebuilt vehicle.
PURCHASER(S) NAME(S) (TYPED OR PRINTED)
SELLER(S) NAME(S) (TYPED OR PRINTED)
ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
__ __ __ __ __
__ __ __ __ __
MOTOR VEHICLE
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YEAR
MAKE
TITLE NUMBER
__ __ __ __
VEHICLE IDENTIFICATION NUMBER
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
SALE DATE
SALE PRICE
IF AN EVEN-TRADE OCCURRED PLEASE COMPLETE THE INFORMATION IN
__ __ / __ __ / __ __ __ __
SECTION C.
BOAT
TRAILER
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YEAR
MAKE
TITLE NUMBER
YEAR
MAKE
TITLE NUMBER
__ __ __ __
__ __ __ __
VESSEL IDENTIFICATION NUMBER
VEHICLE IDENTIFICATION NUMBER
__ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
SALE DATE
SALE PRICE
SALE DATE
SALE PRICE
__ __ / __ __ / __ __ __ __
__ __ / __ __ / __ __ __ __
OUTBOARD MOTOR
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YEAR
MAKE
TITLE NUMBER
HORSEPOWER
__ __ __ __
MOTOR IDENTIFICATION NUMBER
__ __ __ __ __ __ __ __ __ __ __ __
SALE DATE
SALE PRICE
__ __ / __ __ / __ __ __ __
UNIT/VEHICLE TRADED FOR
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YEAR
MAKE
TITLE NUMBER
__ __ __ __
VEHICLE IDENTIFICATION NUMBER
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
PURCHASER’S ACKNOWLEDGEMENT
I hereby certify under penalty of perjury that all information provided is true and accurate and is made without intent to defraud.
SIGNATURE OF ONE PURCHASER
SIGNATURE OF ONE SELLER
UNIT/VEHICLE SOLD FOR DESTRUCTION
YES
NO
NOTARY REQUIRED FOR: REBUILT VEHICLE
NOTARY PUBLIC EMBOSSER OR
STATE
COUNTY (OR CITY OF ST. LOUIS)
BLACK INK RUBBER STAMP SEAL
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
YEAR
USE RUBBER STAMP IN CLEAR AREA BELOW.
NOTARY PUBLIC SIGNATURE
MY COMMISSION
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
MO 860-0398 (9-2010)

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