Bill Of Sale Form - Nevada Department Of Motor Vehicles

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555 WRIGHT WAY
CARSON CITY, NV 89711-0700
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada or Out of State (877) 368-7828
BILL OF SALE
NRS 482.426
A Bill of Sale releases interest in a vehicle. A Certificate of Title or other ownership documents must accompany this form.
INSTRUCTIONS
All areas must be completed in full.
Complete the buyer area exactly as the new Certificate of Title will be printed.
Any alterations or erasures will require additional documentation and/or verification.
Please print or type
Know all men by these presents
______________________________________________
__________
That in consideration of
Dollars ($
)
and other value consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell,
transfer and deliver unto:
New Owner information
(if more than two owners, complete and attach an additional Bill of Sale (VP104) form; indicate “AND” or “OR”
between second and third owners)
Full Legal Name
and
st
of 1
Buyer
or
First
Middle
Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN
for businesses
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Full Legal Name
nd
of 2
Buyer
First
Middle
Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN
for businesses
Physical Address
Address
City
State
Zip Code
Mailing Address
Address
City
State
Zip Code
Buyer’s Signature
Date
Note: only one signature is required even if “AND” appears between the new owner’s names
Telephone
E-mail
his right, title and interest in and to the following described vehicle:
Vehicle Identification Number
Year
Make
Model
This vehicle has been Rebuilt as the term is defined in NRS 482.098
Buyer certifies Lien in favor of
If no liens exist, write the word “NONE” on the “Lien in favor of" line
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN
for businesses
Address
Address
City
State
Zip Code
Seller certifies that he is the lawful owner of said vehicle; that he has the right to sell the aforesaid; and that he will warrant
and defend the title of same against the claims and demands of all persons whomever except lienholder noted above.
Seller’s Full Legal Name
First
Middle
Last
Nevada Driver’s License, Identification Card Number, Date of
Birth, or FEIN for businesses
Mailing Address
Address
City
State
Zip Code
Signature of Seller
Date
VP104 (Rev. 8-2011)

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