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Form For Bill Of Sale

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Motor Vehicle Bill of Sale Seller's Info: Seller's Name: Co-Owner: Seller's Address: City: State: Buyer's Info: Name: Co-Owner: Address: City: State: Zip Code: Zip Code: Description Of Vehicle Being Sold: Year: Model Description: Body Style: (2 Dr., 4 Dr., etc.) Make: Color: # Of Cylinders: State Title #: VIN#: (Vehicle ID Number) Odometer Reading: Miles Disclosure & Warranty The seller certifies that the odometer reading of this vehicle is correct to their knowledge, and that the seller has not modified the odometer, disconnected it, or rolled back the mileage during their ownership. This vehicle is being sold "As Is", meaning there is no warranty for any defect and all repairs are the responsibility of the BUYER unless the SELLER indicates any repairs for which they will pay for here: No other repairs are to be paid by SELLER. The BUYER hereby assumes all financial responsibility. Payment SELLER certifies to the BUYER that the SELLER has the authority to sell this vehicle and transfer the title to the BUYER. The SELLER further certifies that the title is free of liens. SELLER acknowledges receiving the following payment from the BUYER to transfer ownership of this vehicle. Selling Price Of Vehicle: Signatures SELLER and BUYER agree that to the best of their knowledge, all the information on this Bill Of Sale is correct. The SELLER has received payment from the BUYER and hereby transfers ownership of this vehicle to the BUYER. Signature of SELLER #1 Date Signature of BUYER #1 Date Signature of SELLER #2 Date Signature of BUYER #2 Date

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