Of Motor Vehicle Bill Of Sale Form

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555 WRIGHT WAY CARSON CITY, NV 89711 Reno/Sparks/Carson City (775) 684-4DMV (4368) Las Vegas Area (702) 486-4DMV (4368) Rural Nevada or Out of State (877) 368-7828 www.dmvnv.com BILL OF SALE 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. • If no liens exist write the word “NONE”. • Any alterations or erasures will require additional documentation 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: and Full Legal Name of Buyer(s) ________________________________________________________ or First Middle Last Nevada Driver’s License, Identification Card Number, or FEIN for businesses ___________________________________ Full Legal Name of Buyer(s) ________________________________________________________ First Middle Last Nevada Driver’s License, Identification Card Number, or FEIN for businesses ___________________________________ Address __________________________________________________________________________________________ Street City State Zip Code Buyer’s Signature __________________________________________________ Date ______________ his right, title and interest in and to the following described vehicle: Year _______________ Make ________________ Model ________________ Vehicle Identification Number Buyer certifies Lien in favor of____________________________________________________________ Name of business or individual holding lien Lienholder Address ________________________________________________________________________________ Street 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 Printed Full Legal Name ___________________________________________________________ First Middle Last Seller’s Address __________________________________________________________________________________ Street City State Zip Code Seller’s Signature__________________________________________________ Date ______________ RD104 (Rev. 8-2006)

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