BILL OF SALE FOR MOTOR VEHICLE (To Be Filled Out By Seller)
Make ________
Model ______
Year ____
Style ___________
Color _________
Odometer reading ________________
Vehicle ID Number _____________________
Date of Purchase ________________
Seller's Registration Number: ___________________ Have you previously filed an application for title of this vehicle? Yes ___ No ___
Seller's Name: __________________ City or Town: __________________
Address: ____________________ State: ____________
AS OWNER OF THIS VEHICLE, I HEREBY TRANSFER OWNERSHIP TO:
Buyer's Name: __________________ City or Town: ___________________
Address: ____________________ State: _____________
For the sum of _________________________________ ($___________)
I purchased this vehicle from: ___________________________ Name
_____________________________ Street and Number
____________________ City or Town
__________ State
I DECLARE UNDER PENALTY OF PERJURY THAT THE STATEMENTS HEREIN CONTAINED ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
__________________ Seller
__________________ Date