BILL OF SALE

1. THE PARTIES.

This transaction is made in the County ,
State of ___________, on ___________, 20___________ by and
between:
Buyer:______________________ with a mailing address:______________________
(“Buyer”), and agrees to
purchase Vehicle from:______________________
Seller: ___________with a mailing address of______________________
(“Seller”), and agrees to sell the Vehicle to the Buyer under the following terms:

2. VEHICLE

Body Type:______________________
Odometer: ______________________ Miles
Make:______________________Model:______________________
Year:______________________ Color:______________________
Vehicle Identification Number (VIN):______________________
Hereinafter known as the “Vehicle.”

3. THE EXCHANGE.

The Seller agrees to transfer ownership and possession of the
Vehicle for: (check one)
☐- Cash Payment. The Buyer agrees to pay $ to the Seller.
☐- Trade. The Buyer agrees to pay $ and trade the following:
Make: Model: Body Type:
Year: Color: Odometer: Miles
☐- As a Gift. The Seller is giving the vehicle as a gift to the Buyer. The value of
the vehicle is $ .
☐- Other. _________________________________
Known as “Exchange”.

4. TAXES.

All municipal, county, and state taxes in relation to the sale of the Vehicle,
including sales taxes, are paid by the (check one):

[] Buyer and not included in the
exchange.

[] Seller and included as part of the exchange.

BUYER AND SELLER CONDITIONS.
The undersigned Seller affirms that the above information about the Vehicle is
accurate to the best of their knowledge. The undersigned Buyer accepts receipt of
this document and understands that the above vehicle is sold on an “as is, where is”
condition with no guarantees or warranties, either expressed or implied.

5. AUTHORIZATION.

Buyer Signature: Date:______________________
Print Name:______________________
Seller Signature: Date:______________________
Print Name:______________________

ODOMETER DISCLOSURE

FEDERAL and STATE LAW requires that you state the mileage in connection with the
transfer of ownership. Failure to complete or providing a false statement may result in
fines and/or imprisonment.

I/We, , the Seller, certify to the best of my/our knowledge that
the odometer reading of Miles.

The actual mileage of the vehicle is accurate, unless one (1) of the following statements
is checked ( ):
☐- I hereby certify that the odometer reading reflects the amount of mileage
more than its mechanical limits.
☐- I hereby certify that the odometer reading is not the actual mileage.

WARNING – ODOMETER DISCREPANCY
Buyer Signature: Date:______________________
Print Name:______________________
Seller Signature: Date:______________________
Print Name:______________________

NOTARY ACKNOWLEDGMENT

(SELLER ONLY)
State of ______________________
County of ______________________
On ___________, 20___________ , before me,______________________
(insert name and title of the officer), personally appeared ______________________
(seller’s name) who proved to me on the basis of satisfactory evidence to be the person
whose name is subscribed within the Motor Vehicle Bill of Sale and acknowledged to
me that they executed the same in their authorized capacity, and that by their signature
on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the state of
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Notary Public:______________________
Print Name: ______________________

The Commission Expires: ___________, 20___________.

(seal)

A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.